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SUPER BIRTHDAY, INC dba MINI EXPRESS
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SUPER BIRTHDAY, INC dba MINI EXPRESS
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Last modified
3/26/2024 2:36:00 PM
Creation date
3/1/2022 3:03:38 PM
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Contracts
Company Name
SUPER BIRTHDAY, INC dba MINI EXPRESS
Contract #
N-2022-048
Agency
Library
Expiration Date
5/1/2022
Insurance Exp Date
5/12/2022
Destruction Year
2027
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'`�� RCERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />3(MM/DD" <br />z <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 endorsement(s). <br />PRODUCER <br />Tradestone Insurance Services, Inc <br />14772 Pipeline Ave. Ste B <br />Chino Hills CA 91709 <br />CONTACT <br />NAME: Albina Planlda <br />PHONE FAX <br />A/C No EXt : 909-597 4241 vc, No): 909-597-4281 <br />ADDRESS: service@tradestoneins.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: California Automobile Insurance Company <br />INSURED <br />Super Birthday, Inc. <br />1941 California Ave # 77591 <br />INSURER B: State Compensation Insurance Fund <br />INSURERC: <br />INSURER D : <br />Corona CA 92887 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER:814149261 REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />I <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE OCCUR <br />DAMAGETO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PRO JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />BAD40000002495 <br />10/13/2021 <br />10/13/2022 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />9298047-21 <br />5/12/2021 <br />5/12/2022 <br />X PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Ten days notice of cancellation for non payment will be provided. <br />RE: Santa Ana Public Library April 30, 2022 <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 AUTHORIZED REPRESENTATIVE RA Moupmott,D( <br />Santa Ana CA 92701 �� ovEDSr <br />It�� ��, ��� �� <br />@ 1988-2015 ACORD C(1,,l KMrvoa gene it iencair ae <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />
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