SANTA ANA CHAMBER OF COMMERCE (7)

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'4 CERTIFICATE OF LIABILITY INSURANCE D09/04/2024 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 INSURER(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 endorsement(s). PRODUCER CONTACT Eddie Quillares Jr. State Farm Agency NAME: Eddie Quillares Jr. 415 N. Broadway PHONE o.Extl:714.6 7.7 FAX ec No:714.617 1 a Santa Ana, CA 92701 nDDREss:eddie@ dliel�r � I I Y S �y An e IN'JRER(S)AFFORDING✓ COVERAGE ✓✓✓ NAIC/# INSURER A:State F2 r1,,,, it L OAt V 25143 INSURED INSURER B:State F en Mutual obi e Insurance- Ove d o 25178 Santa Ana Chamber of Commercep 1631 W. Sunflower Ave S E C35 INSURRER;: E a 2024•09.09 Santa Ana, A 92704 c e v e t ATTN: MartyPerterson 1 4• 22 _ 7 00 COVERAGES CERTIFICATE NUMBER:75-0450 �ISUM�R`. 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IA SR,WVD POLICY NUMBER DM SUER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY Y Y 92-CM-E499-2 G 03/01/2024 03/01/2025 EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S 300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 3,000,000 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 6,000,000 7 POLICY PRO- JECT LOC $ B AUTOMOBILE LIABILITY y V 431 6546-001-75 03/01/2024 09/01/2025 COMBINED eD SINGLE LIMIT (Ea eccidenq $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) s ALL OWNED - SCHEDULED AUTOS _ AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) S S S UMBRELLA LIAB - OCCUR EACH OCCURRENCE S _ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S A WORKERS COMPENSATION X WC LIMITS STATU- OTH- AND EMPLOYERS'LIABILITY Y f N 92-KD-J745-1 02/01/2024 02/01/2025ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICE/MEMBER EXCLUDED? Y N f A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DFSCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) o,,,,._ Risk Management Misr= REVIEWED&APPROVED BY: o ®' Risk Management Specialist / CERTIFICATE HOLDER CANCELLATION �' City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention: Executive Director, Community Development ACCORDANCE WITH THE POLICY PROVISIONS. Agency thirty (30) days prior written notice AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza M-25, Santa Ana, CA 92701. . U...01.1C2J6-- ©1988-2010 AC i CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012