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(MMrDp <br /> .. CERTIFICATE OF LIABILITY INSURANCE DATE CE o4(MMIDIIYYYv1 <br /> 126 <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(ias) 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 Irvin P Collins <br /> NAME: <br /> Kevin P Collins Insurance Agency Inc AfcoNN Est: T�$-7� `i337' A Not; <br /> tt�.. 6743 West Pershing Rd. -MIe <br /> Stickney,IL.60402 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURER A:: State Farm Mutual Automobile Insurance Company 25178 <br /> INSURED INSURER a: <br /> Today's Business Solutions Inc INSURER C; <br /> 7820 S Quincy St INSURER D: <br /> Willowbrook, IL 60527 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 /> ILTR TYPE OF INSURANCE, NSD > POLICY NUMBER MMtDDIYYYY rANIdDDV'fYYY LIMITS. <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE j <br /> CLAIMS-MADE OGGUR DAMAGE TO EN <br /> PREMISES EaR cccunTEDence $ <br /> MED EXP(,Any one persona $ <br /> PERSONAL 8 ADV INJURY S <br /> GENT AGGREGATE LIMIT APPLIES PER.: GENERAL AGGREGATE <br /> PR <br /> POLICY[::]JE O �,LOG PRODUCTS-COM'PIOP AGG. I.S <br /> OTHER. S <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> 1533074-SF'P-13 01/01/2026 C 07/01f2026 iF...i'i M s <br /> ANY AUTO BODILY INJURY(Per person) $ 1,000,000 <br /> A �,,o OWNED SCHEDULE[? <br /> *^� AUTOS ONLY AUTOS Y Y BODILY INJURY(Per accldenl),g 1,000,000 <br /> TO <br /> RED S o LDY PROPERTY DAMAGE <br /> AUTOS ONLY AUTOSPer accident s 1,000,000 <br /> A <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE g <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> Di=n RETENTION $ S <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY � <br /> ANY PROPRIET3RIPAR7NERIEXECU7IVE YIN E.L.EACH ACCIDENT $. <br /> OFFICERIMEMBER EXCLUDED? ❑ N l A <br /> (Mandatory in NH) F.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT g <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is regwimd) <br /> Additional insured on primary and non-contributory basis with respect to the auto liability coverage only when required by written contract Waivers-of <br /> subrogation apply to the auto liability in favor of the stated additional insureds only when required by written contract.Thirty(30)days prior written notice shall <br /> be provided to the City for policy cancellation or non-renewal due to non-payment of premium. <br /> Additional insured:City of Santa Ana <br /> Attention: Library Services,Dylan Dario <br /> 20 Civic Center Plaza,M-42,Santa Ana,CA 92701 <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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention:Library Services,Dylan Dario AUTHORIZE R RESENTATI'VE <br /> 20 Civic Center Plaza,M-42 <br /> Santa Ana,CAA 92701 <br /> a 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> 1001486 132849.14 04-13-2022 <br /> a <br />