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OP ID: FAST <br />'? RO CERTIFICATE OF LIABILITY INSURANCE DATE(M06/1 YYY) <br />06/06/11 <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 AIIQEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSU ANCE"Wa N07 CQW3T(TUTE 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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy; petaln policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />CONTACT <br />PRODUCER 323-869-0780 NA <br />ME: Steve Falcon <br />Falcon & Associates <br />Insurance Services, Inc. 323-869-0785 (A/CC, PHONE E# :323-869-0780 <br />2615 Senta Avenue E-MAIL Ac No :323-869-0785 <br />Commerce, CA 90040 ADDRESS: steve@faisinc.com <br />Steve Falcon PRODUCER <br />cUSTOMFa Inn• TRESE-1 <br /> <br />INSURED Tres EStreIlaS de Oro Inc INSURER(S) AFFORDING COVERAGE NAIL # <br />. <br />Jose Guzman/Ana Casarez INSURER A : Colony Insurance Company 39993 <br />1000 E. Santa Ana Blvd <br />#10 INSURER B <br />, <br />Santa Ana, CA 92701 _ <br />?I INSURER C : <br />l INSURER D: <br /> INSURER E: <br /> INSURER F : <br />COVERAGES CERTIFICATE NUMBER-t <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHE <br />R DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN <br />THE INSURANCE AFFORDED BY THE POLICI <br />, <br />ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />LIMITS SHOWN MAY HAVE BEEN RED <br />. <br />UCED BY PAID CLAIMS. <br />NSR <br />LTR TYPE OF INSURANCE POLICY NUMBER MPOLIICY EFF MbVDD EXP LIMIT S <br /> GENERAL LIABILITY <br /> <br />A <br />X <br />CO EACH OCCURRENCE $ 3,000,0 <br /> MMERCIAL GENERAL LIABILITY X GL3929274 06/04/11 06/04/12 <br /> <br />F7 <br />X7 PREMISES Ea occurrence $ 100,0 <br /> CLAIMS-MADE I <br />A <br />1 OCCUR MED EXP (Any one person) $ 5,0 <br /> <br /> PERSONAL & ADV INJURY $ 3,000,0 <br /> <br /> <br />GE <br />N' GENERAL AGGREGATE $ 4,000,01 <br /> L AGGREGATE LIMIT APPLIES PER <br /> <br />PRO <br />X POLIC <br />PRODUCTS - COMP/OP AGG <br />$ 3,000,01 <br /> Y <br />LOC <br />JECT <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY (Per person) $ <br /> SCHEDULEDAUTOS BODILY INJURY (Per accident) $ <br /> HIRED AUTOS PROPERTY DAMAGE $ <br /> <br />NON <br />OWNED (Per accident) <br /> - <br />AUTOS <br /> UMBRELLA LIAB <br /> <br /> <br />EXCESS LAB OCCUR <br />EACH OCCURRENCE <br />$ <br /> CLAIMS-MADE <br /> <br />DE AGGREGATE $ <br /> DUCTIBLE <br /> RE <br /> TENTION $ <br /> WOR KERS COMPENSATION $ <br /> AND EMPLOYERS' LIABILITY <br />YIN <br />ANY PROPRIETOR/PARTNER WC STATU- OTH- <br />TORY LIMITS ER <br /> /EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ? <br />(Mandatory In NH) <br />NIA <br />E.L. EACH ACCIDENT <br />$ <br /> If yes, describe under <br />DESCRIPTIO E.L. DISEASE - EA EMPLOYE $ <br /> N OF OPERATIONS below <br />E. L. DISEASE-POLICY LIMIT <br />$ <br /> T O FORM <br />ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ,t <br />artificate holder is added as ADDITIONAL INSURED as res <br />ects to l <br />d <br />p <br />ease <br />i <br />'emises located at the: Santa Ana Regional Transportation Center <br />/ <br />1000 E <br />, <br />. <br />anta Ana Blvd., Santa Ana, CA 92701. It is also agreed that this insurance - _70 <br />call be Primary & Non-Contributory. <br />_aura SL <br />AssiStdirli <br />ERTIFICATE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana, It's THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Officers, employees & agents ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Christy Kindig <br />22 Civic Center Plaza (M21) AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD