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Tori Pierson <br />914MR]" <br />Digitally signed by Tori <br />Pierson <br />Date: 2022.06.07 11:28:53 <br />-07'00' <br />JEANA <br />DATE (MMIDOfYYYY) <br />10/ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such enclorsoment(s). <br />I CONTACT <br />� <br />NAME ` LN—E- <br />N IN <br />(AfC,(949) 55,13-9800 (A/C, N.):(949) 553-0670 1 <br />INSURED <br />Service First <br />2510 North Grand Ave, Ste. 110 <br />Santa Ana, CA 92705 <br />. . . . . . ................ . <br />COVEYAGES CETTIFICATE VUl1BI RE*MKW VUtfBE1: 1 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />A66L D VIS-L - ERR R - - - - <br />INSR TYPE OF INSURANCE POLICY NUMBER <br />INSD WVD <br />POLICY EFF POLICY EXP I <br />WMIDONY LIMITS <br />-LT—R- <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X] OCCUR <br />X <br />x <br />---aM1DDNYYy <br />----aM1DD1YYYY <br />ATN2118412 <br />8/11/2021 <br />-CMMLQDjx=+---- <br />8/112022 <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISE$JEO ggcurwrtce), <br />--- <br />$ 1,000,000 <br />100,000 <br />$_­.­­­_­. <br />- <br />10,6bo <br />ME D EXPAAnyi1rie-person I <br />PERSONAL. & AGV INJURY <br />000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />2,000,000 <br />Jr [- LOC <br />PRODUCTS COMP/OP AGG, <br />$ 2,000,000 <br />- <br />i <br />OTHER: <br />-E]POLICY <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea @cc cl dm tL <br />$ <br />ANY AUTO <br />BODILY INJURY r <br />_Leerpers�_ <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident)_ <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY I F AUTOS ONLY <br />PROPERTY <br />__(-Per <br />----- - <br />E <br />UMBRELLA LIAR CUR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB CLAIMS -MADE <br />.AGGREGATE— <br />L--J <br />DED RETENTION$____ <br />----- <br />WORKERS COMPENSATION <br />OT <br />7T PER H- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ERA a� <br />ANY PROPRIETOR/PARTNER/EXECUTIVE I <br />FFICER/MEMBER EXCLUDE[ <br />I[A <br />E�.IAEACH ACCIDENT <br />$ <br />Mandatory in NH) <br />E.L. -DISEASE EA EMPLOYEE <br />$ <br />If yes describe under <br />DES6 RIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: All operations performed by the Named Insured during the current policy period. glaipwv <br />City of Santa Ana, Risk Management, it's officers, employees, agents, representatives, <br />and volunteers are included as Additional Insureds as respects General <br />Liability per attached endorsement. <br />This Insurance shall apply as Primary and Non -Contributory per attached endorsement. <br />Waiver of Subrogation for General Liability: See Attached Endorsement. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Risk Mwtogeownt mbwn <br />�11 Wj- REM. & APPRov8O RY. <br />ACORD 25 (2016103) 1988-2015 ACORD COF 'Risk Mean Qi-lAjde <br />The ACORD name and logo are registered marks of ACORD e ................... I <br />