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AccoRil' CERTIFICATE OF LIABILITY INSURANCE <br />DATE iMMIDOMYYI <br />11/04/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE D058 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder In Ileu of such endorsement S , <br />PRODUCER <br />slfd{'eFartill Jade Yap <br />9440 W Sahara Ave., Suite 125 <br />N A T Jade Yap _ _ <br />PHONEPAX <br />1: 702.333-1080 LgLc, Nol: <br />E-MAIL statefar <br />ADDRESS,)ade.ya p yzt_j@ m.com <br />_.........M.CO <br />INSURERS) AFFORDING COVERAGE <br />HAICC <br />INSURER A: State Farm Fire and Casualty Company <br />25143 <br />Las Vegas NV 891178819 <br />INSURED W <br />INSURER a: <br />_ <br />INSURER c: <br />PARTNERS FOR A SAFER AMERICA ING <br />_ <br />INSURER D: <br />6617 WESTERN RIDER TRL <br />INSURER E : <br />1 INSURERF: <br />RENO NV 895118568 <br />nrIVFRAGFA CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.ADD <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />SUBI <br />WVO <br />POLICY NUMBER <br />POUCY SET <br />MMIDO <br />POLICY UP <br />MMIDD.. <br />LIMITS <br />q <br />GOMMEkCIAL GENERAL LIABILITY <br />CLAIMS -MADE < OCCUR <br />Y <br />Y <br />98-AP-0509.E <br />10/1112024 <br />10/1112025 <br />EACH OCCURRENCE <br />5 2,000.000 <br />P AGE O a El ce <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL d ADV INJURY <br />$ 2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY �jECT [X]LOC <br />OTHER: <br />GENERAL AGGREGATE <br />s 4,000,000 <br />PRODUCTS - COMPIOP AGO <br />$ 4.000,000 <br />$ Y <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTO$ONLY AUTOS ONLY <br />IFS acddent) MBINED SINGLE LIMIT <br />BODILY INJURY (Par person) <br />$ <br />$ <br />BODILY INJURY (Par eccklent) <br />$ <br />a cItimt) <br />$ <br />$ <br />UMBRELLA UAB <br />EXCESS UAB <br />J_ICLAIMS <br />OCCUR <br />MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OEO RETENTION $ <br />S <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY <br />ANY PROPRIETORIPARTNEWEXECUTNE YIN <br />OFFICERIMEIdOER EXCLUOEQ� <br />IMand0lory In NH) <br />fI as, descdhe ender <br />DES. PTIO OFOPERATIONS slow <br />NIA <br />PER I OTH- <br />$ <br />E.L. EACH ACCIDENT <br />g <br />E.L DISEASE - EA EMPLOYE <br />E.1. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be ausobed Umore spaco is raqulrod) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO IN <br />POLICE DEPARTMENT/ JAIL BEREAU ACCORDANCE WITH THE POLICY PROVISIONS, <br />62 CIVIC CENTER PLAZA M-88 AurrwalzeoR Nr rivE <br />SANTA ANA, CA 92701 <br />✓� m 198 R CORAfION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered mar-A>;ORD <br />Itl9t48 2005 165279 205 0'1-19-2023 <br />