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,�ac�c rcct "° CERTIFICATE OF LIABILITY INSURANCE <br />O 09/6/2(26/2 0I24 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />MEDPRO INSURANCE SERVICES LLCIPHS <br />PHONE (866)467-8730 <br />(AIC, No, Ext): <br />FAX <br />(AIC, No): <br />36214543 <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />E-MAIL <br />San Antonio, TX 78251 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIL# <br />INSURED <br />INSURER A: Sentinel Insurance Compan Ltd. <br />11000 <br />PALACIOS LAW OFFICE <br />BOX 7282 RI A n g i ^ ARIVERSIDE CA 92513-7282(�••+� <br />INSURER B <br />evedo <br />INSURER D : natpl <br />r <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRER: <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 />I NDICATED.NOTWITHSTAND ING 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 <br />TERMST EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />DD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1 ,000,000 <br />CLAIMS-MADEElOCCUR <br />DAMAGE TO RENTED <br />PREMISESa occur ancel <br />$1,000,000 <br />X <br />MED EXP (Anyone person) <br />$10,000 <br />General Liability <br />y <br />A <br />X <br />X <br />36 SBM TH3424 <br />06/28/2024 <br />06/28/2025 <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />POLICY [:] PRO- � LOG <br />JECT <br />PRODUCTS - COMPIOP AGG <br />$2„000,000 <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />a accident) <br />$1 000 000 <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />36 SBM TH3424 <br />06/28/2024 <br />06/28/2025 <br />BODILY INJURY (Peraccident) <br />HIRED NON -OWNED <br />X AUTOS X AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />J <br />CLAIMS - <br />MADE <br />AGGREGATE <br />ED RETENTION $ <br />WORKERS COMPENSATION <br />PER <br />CTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />I <br />E <br />ANY YIN <br />PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />NIA <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this <br />policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy. <br />Uity of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division <br />BEFORE THE EXPIRATION HATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701-4058 <br />AUTHORIZED REPRESENTATIVE <br />��"ea /O RCVIEi,IED&Apm '( 1 Sr <br />C31988-2015 ACORD <br />ACORD 25 (2016103) <br />The ACORD name and logo are registered marks of ACORD Ruk Management Specialist ' <br />