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DATE (MM/DD/YYYY) <br />A� " CERTIFICATE OF PROPERTY INSURANCE <br />03/05/2025 <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 />PRODUCER CONjACT <br />BIBERK <br />P.O. Box 113247 <br />Stamford, CT 06911 <br />INSURED <br />Kandice Sherwood <br />219 Ancona Dr <br />Belmont Shore, CA 90803 <br />u/c' No Ext : (844) 472-0967 o/c No): 203 E-M654-3613 <br />ADDRESS' salessu000rtCa)biberk.com <br />INSURER B : <br />INSURER D : <br />INSURER(S) AFFORDING COVERAGE <br />I I INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />NAIC # <br />LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Location: 219 Ancona DrBelmont Shore, CA 90803 <br />Bldg #001: Consultants - All Other - 4167702 <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 />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YYYY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YYYY) <br />COVERED PROPERTY <br />LIMITS <br />X I <br />PROPERTY <br />OF LOSS <br />DEDUCTIBLES <br />N9BP864109 <br />10/01/2024 <br />10/01/2025 <br />BUILDING <br />PERSONAL PROPERTY <br />BUSINESSINCOME <br />EXTRA EXPENSE <br />RENTAL VALUE <br />BLANKET BUILDING <br />BLANKET PERS PROP <br />BLANKET BLDG & PP <br />$ 0 <br />CAUSES <br />$ 0 <br />BASIC <br />BUILDING <br />2OONTENTS <br />$ 0 <br />BROAD <br />$ 0 <br />X <br />SPECIAL <br />$ <br />EARTHQUAKE <br />$ n a <br />WIND <br />$ n a <br />FLOOD <br />$ n a <br />INLAND MARINE <br />OF LOSS <br />NAMED PERILS <br />TYPE OF POLICY <br />$ <br />CAUSES <br />$ <br />POLICY NUMBER <br />$ <br />CRIME <br />TYPE OF POLICY <br />$ <br />BOILER & MACHINERY <br />EQUIPMENT BREAKDOWN <br />$ <br />SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <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, Attn: Human Resources <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Department ISAOA ATIMA <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza M34 <br />Santa Ana, CA 92701 <br />©1995-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD <br />