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DATE <br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE (MMIDDIYYYY) <br /> 08/13/2025 <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 CONTACT NAME: Jessica Guzman <br /> StateFarm Florence Harrison State Farm Agency AICO"No Ext: 310-330-8220 FAX <br /> No): 310-330-8220 <br /> A A License#OF73725 ADDRESS: Jessica.guzman.fxxp@statefarm.com <br /> 227 S La Brea Ave. INSURER(S)AFFORDING COVERAGE NAIC# <br /> Inglewood CA 90301 INSURER A: State Farm Mutual Automobile Insurance Company 25178 <br /> INSURED INSURER B: 0 <br /> All City Management Services,INC. INSURER C: 0 <br /> INSURER D: H1 <br /> 11643 TELEGRAPH RD INSURER E: <br /> Santa Fe Springs CA 90670 INSURER F: <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 /> NSR ADD SUB POL CY EFF POL CY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> OCCUR DAMAGE TO RENTED <br /> CLAIMS-MADE El PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> PRO- PRODUCTS-COMP/OP AGG <br /> POLICY JECT LOC $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY 711-6928-B01-75D 08/13/2025 02/001/2026 EOa accciden'SINGLE LIMIT $ 1 00D 000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED X BODILY INJURY P <br /> AUTOS ONLY AUTOS (Per accident) $ <br /> HIRED NON-OWNED 642 2191-B01-75B 08/01/2025 08/01/2026DAMAGE <br /> AUTOS ONLY X AUTOS ONLY Per accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N <br /> OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ <br /> ❑(Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> APPROVED <br /> By Tu Tran Nguyen at 7.25 am.Sep 08, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <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 /> AUTHORIZED REPRESENTATIVE <br /> 20 Civic Center Plaza,4th Floor Completed by State Farm Underwriting Operations.If signature <br /> Santa Ana CA 92701 is required, please refer to contact name above. <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 1001486 132849.14 04-13-2022 <br />