ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO/YYYY)
<br /> `----- 04/26/2024
<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
<br /> Automotive Aftermarket Services, Inc. NAMEPHONE:
<br /> FAX
<br /> 7777 Greenback Ln#212 (A/C.No.Ext)• (A/C,No):
<br /> E-MAIL
<br /> Citrus Heights,CA 95610 ADDRESS:
<br /> INS JRElaIg4ta r9� ted by Angie NAIL#
<br /> INSURER A: Int rstatk Fi &Casualt Co 22829
<br /> INSURED Stommel,Inc.DBA:LEHR Angie Af u • 4 ance 54895
<br /> 631 N Market Blvd,Suite N NS E r I()FEW.C21024_1 0.02 1 C.08.5634630
<br /> Sacramento,CA 95834
<br /> INSURERD: _ _O�IOOI
<br /> INSURER E:
<br /> 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 /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
<br /> LTRINSD WVD POLICY NUMBER ,(MM/DD/YYYY) (MM/OD/YYYYL LIMITS
<br /> A i I COMMERCIAL GENERAL LIABILITY Y SEIAP662023-336 05/01/2024 05/01/2025 EACH OCCURRENCE $ 1,000,000
<br /> CLAIMS-MADE OCCUR DAMAGE TO RENTED
<br /> PREMISES(Ea occurrence) $ 1,000,000
<br /> MED EXP(Any one person) 5 20,000
<br /> PERSONAL 8 ADV INJURY 5 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
<br /> POLICY PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER: $_
<br /> B AUTOMOBILE LIABILITY SCV0137152301 05/01/2024 05/01/2025 COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident)
<br /> ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED ✓ SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> ✓ AHIREDUTOS ONLY 1 A NON-UTOOWNED
<br /> SONLY PROPERTY DAMAGE
<br /> (Per accident) $
<br /> A UMBRELLA LIAB OCCUR USC033041231 05/01/2024 05/01/2025 EACH OCCURRENCE $ 4,000,000
<br /> 1 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000
<br /> DED RETENTIONS $
<br /> C WORKERS COMPENSATION STWC561765 05/01/2024 05/01/2025 / PER OTH-
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICERIMEMBEREXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below _E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> D Garagekeepers 5E1AP662023-336 05/01/2024 05/01/2025 $7,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> City of Santa Ana,officers,agents,employees,and volunteers are named as additionally insured on this policy pursuant to written contract,agreement,or
<br /> memorandum of understanding.Such insurance as is afforded by this policy shall be primary,and any insurance carried by City shall be excess and
<br /> noncontributory.30 Days Notice of Cancellation w/10 Days nonpay
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL RE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC`
<br /> 20 Civic Center Plaza Risk MaasgemeniDivision
<br /> Santa Ana„CA 92702 AUTHORIZED REPRESENTATIVE .0 REVIEWED&APPROVED BY:
<br /> el ' 11÷tlavao
<br /> I Risk Management Specialist -
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<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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