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/ 1 ® <br />A� o CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDEVYYYY) <br />05/26/2022 <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 WANED, 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 />CONTACTJose Gastelum, Agent <br />NAME: <br />PHONE 714-557-3344 we Ne :714-327-0198 <br />Eat <br />ADDRE ss: jose.gastelum.LBLS@stalefarm.cem <br />INSURER(S) AFFORDING COVERAGE NAICIf <br />INSURER A:State Fan Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />SLS PROPERTY SOLUTIONS, INC. <br />919 E SANTA ANA BLVD <br />SANTA ANA, CA 92701 <br />INSURER B <br />INSURER C: <br />INsuRER D: <br />NSURER E: <br />INSURER F : <br />CERTIFICATE NUMBER: REVISION NUMBER: <br />YwvcM L CERTIFICATE •v�.�.-�...��... <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 />INSD <br />SUBR <br />wo <br />POLICY NUMBER <br />POLICY EFF <br />(MWDDNYYYI <br />POLICY EXP <br />IMMODIVINY'l <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE )RENTED <br />$ <br />CLAIMS -MADE ❑ OCCUR <br />PREMISES Ea occurrence <br />MEO EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />POLICY JECT LOC <br />A <br />OTHER: <br />AUTOMOBILE LIABILITY <br />y <br />5355136-F01-75C <br />06/01I2022 <br />12101/2022 <br />COMBINED SINGLE LIMIT <br />E.accident <br />$ 1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />AUTO <br />4733354-F13.75F <br />06/13/2022 <br />12/1312022 <br />BODILY INJURY (Per accident) <br />$ <br />ALL OWNED X SCHEDULED <br />HANY <br />AUTOS AUTOS <br />NON -OWNED <br />PROPERTYDAMAGE <br />per accident <br />$ <br />HIRED AUTOS x AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />lfTE OHR <br />STAT_ <br />E.L. EACH ACCIDENT <br />$ <br />AND EMPLOYERS'LWBILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED') ❑NIA <br />(Mandatory In NH) <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS bebw <br />A <br />200fi Fartl F250 SD <br />Y <br />535 5136-F01-75C <br />06/0112022 <br />12/01/2022 <br />iFTSX 1p$16E168260 <br />2018 Ford F150 Pickup <br />473 3354-F13.75F <br />06/13/2022 <br />12/13/2022 <br />1FTMFiCB3JHE76591 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached N mare space is required) <br />2006 Ford F250 SD & 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 />HOLDER <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4th FLOOR <br />SANTA ANA CA, 92702 <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 />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />Mkt RIA ManagmedDlWslon <br />REV exED Is APPROVED By: <br />"' 7' A+gs Auvrdo <br />Risk Management Specialist <br />