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r r..7— DATE IV II D 1 CERTIFICATE LIABILITY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementfst. PRODUCER STATE FARM MUTUAL INSURANCE COMPANY Stalerarm FULLERTON, CA 92835 AOORESS;...J MNV.._.... __ _...__. ._.._. INSURER A INSURED _SERVICEmFIR T IrasurNeRla; 2510 NORTH GRAND AVENUE 4110 INSURERC. SANTA ANA, CA 92705 INSURED D INSURER E CERTIFICATE NUMBER.' RFVl.%I0N NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __. _�_ _—.._._.. . INSR--l- LTR TYPE OF INSURANCE ---.. . ,,,_, ,_...- _____.. POLICY Ei''F V'41L IGYJ4F POLICY NUMBER MMPQ6IYYYY MMd�Q�DIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY' L7,AMAGE T+aNTEb_... PREMISES Ea occuirre oe _ CLAIMS -MADE - _ OCCUR MED EXP (Any one Person) $ PERSONAL & ADV INJURY $ ... GENERAL AGGREGATE ..GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCT'S - COMPdOP AGG $ PR' POLICY cT LOC A AUTOMOBILE .� LIABILITY 67$ t1936•Ft17-75A 0131G7120 2 Ilfllp7/26]23 COMBINED SINGLE LIMIT Ea acgdent)__ . $ 1,000 00() ANY AUTO BODILY INJURY {Per �✓'( ALL OWNED ` SCHEDULED ---- INJURY AUTOS r" AUTOS � Per ae�odent i i $ NON OWNED_ IiIRED AUTOS AUTOS ,YBODILY PROPERTY DAMAC'E...-_.- P,eraccldent) 5 ..__...... $ UMBRELLA LNAa OCCUR1-1 EACH OCCURRENCE EXCESS LIAB L LANMS-MADE ..-_.- _.-.. _- _....-.,..-_-. AGGREGATE. ....,.-..,_. .m.......,. $ DE0 RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS° LIABILITY Y d N TORY LVMIT _...._-. ER _----- -- ANY PROPRIETCRIPARTNERIEXECUTIVE OFF10EIMEMBER iEXCLUOEn? NIA I7.L EAG.H ACCI➢'ENT _... .. _.,...... __- $ m...... _-..— ..., (Mandatory In NH) E.L.ISEASE - EA EMPLOYE $ Ifyes, describe under .......�. E.L. DISEASE - POLICY UMNT $ El El DESCRIPTION OF OPERATIONS N LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) FPI MANAGEMENT, INC, AND ALL OWNED OR MANAGED PROPERTIES are additional insured on the Auto Liability policy. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA CA 92702 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREQ IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE - -Risk- st1Dw Wn. REMPIEwN9E.Y & A"RavED NFr. � NN�� "�es°ez Nr�tcsia� t1988-201JYAARD CC7FThe' ACORD name and logoare reglsterRd Wks +a# AIwIDI I I I 11111". 1-32 54!n0,t5 UT-ZJ-2V1 s