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A� O® CERTIFICATE OF LIABILITY INSURANCE <br />os/zs/zozz <br />D05/26/00/22 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />JOSE GASTELUM, AGENT Lic# OD10779 <br />STATE FARM INSURANCE <br />StateFarm 1780 E MCFADDEN AVE STE 114 <br />• • SANTA ANA CA, 92705 <br />CONNE CTJose Gastelum, Agent <br />ON <br />fAI,, 714-557-3344 IVC No:714-327-0198 <br />n DREW:Jose.gastelum.LBLS@statefarm.com <br />INSURER($) AFFORDING COVERAGE <br />NAICp <br />INSURER A State Farm Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />InSURER B : <br />SLS PROPERTY SOLUTIONS, INC. <br />INSURER C: <br />919 E SANTA ANA BLVD <br />INSURER D: <br />SANTA ANA, CA 92701 <br />INSURERE: <br />IN$URERF: <br />COVERAGES - CERTIFICATE NUMBER: 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 />rypE OF INSURANCE <br />ADDL <br />D <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />tMMIDDIVY111 <br />POLICYEXP <br />(MMIDDinnifYIDLIMITS <br />COMMERCIAL GENERAL LIABILITY <br />C4UMS-MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />PREMI ES Ea occurrence) <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOC <br />ECT <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGO <br />$ <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />Y <br />535 5136-FOt-75C <br />06/0112022 <br />12/01/2022 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />4733354-F73-75F <br />06/1312022 <br />12/13/2022 <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Pitlenl <br />(Per accident) <br />( ) <br />$ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTO$ <br />PROPERTY DAMAGE <br />Par acciden! <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS-MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />_ <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETORIPARTNEWID(ECUTIVE <br />OFFICERIMEMBEREXCLDOEDP ❑ <br />N/A <br />- <br />E.L. DISEASE - EAEMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />! <br />DESCRIPTION OF OPERATIONS below <br />1 <br />E.L. DISEASE -POLICY LIMIT <br />I $ <br />A' <br />2006 Ford F250 SD <br />1FTSXIP96EB68260 <br />Y <br />535 5136•FOI.75C <br />06/01/2022 <br />12/01/2022 <br />2118 Ford F150 Pickup <br />1F1MF1CB3JKE>6591 <br />473335 <br />06/13/2022 <br />12113/2022 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />2006 Ford F250 SO & 2018 Ford F150 Pickup: Hired autos is only for rented vehicles <br />City of Santa Ana, its officers, agents, and employees and representatives are named as Additional Insured as respects with AUTOMOBILE LIABILITY for <br />services provided by the named insured. Coverage is primary and non-contributory <br />30 days notice of cancellation applies. <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4th FLOOR <br />SANTA ANA CA, 92702 <br />.9G1CLa1aq C111L.,10 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE - Real, Me genmt Didva, <br />n 19NR-21116 AmRn n Ri:k,wruq�mmr aemraladr <br />ACORD 252014101e name and logo are registered marks of ACORD <br />( ) The ACORD 9 9 Iv�woO roco4a.a o4-vy-cUi4 <br />