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AC RO©��-- CERTIFICATE OF LIABILITY INSURANCE °A1210612©2�""' THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND;EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR ENS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain poRcies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Gabriel Diaz(976132M) PHONE FAX 2706 Harbor Blvd Ste 201 (A/C,NO,ExT):714-434-7600 (A/C,NO): 714-434-6163 E-MAIL Costa Mesa CA 92626-5119 ADDRESS: gdiaz@farmersagent-corn INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Truck Insurance Exchange 21709 INSURER B: Farmers Insurance Exchange 21652 PO BOX 3158AGO DEL CIELQ, INC. INSURER c: Mid Century Insurance Company 21687 PO 60X 3158 INSURER D: SANTA ANA CA 92703 ENSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS iS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUFDTO THE INSURED NAME ABOVE FORTHE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPEOFINSURANCE ADDTL SUER POLICYNUMBER P4/ LTA CYEFF POLICYEXP LIMITS INSD WVD (MMDD/YYYY) (MM/DD/YYYY) COMMERCIAL GEN ERAL LIABILITY EACHOCCURRENCE $ 2,000,000 $ CLAIMS-MADE OCCUR DAMAGETORENTED PREMISES(Ea Occurmnce) 75,Q00 M ED EXP(Any one person) $ 5,000 A Y Y 604334609 03/07/2024 03/07/2025 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAI.AGGREGATE $ 4,000,00 POLICY n PROJECT ❑ LCC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOSILELIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 2,000.00 ANY AUTO BODILY INJURY(Per person) $ OWN � AIJ O EDAUTOS SCHEDULED BODILY INJURY(Par accident)$ Y Y 604334509 03107/2024 03/07/2025 HIRED AUTOS X NON-OWNED ONLY AUTOSONLY PROPERTY DAMAGE .$ (Per accident) UMBRELLAUAB OCCUR EACH OCCURRENCE $ EXCESS HAD CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE OTHER ANY PROPRIETUR/PARTNER/ Y/N E.L.EACH ACCIDENT $ EXECUTIVE OFFICER/MEMBER N/A EXCLUDED?(Mandatory in NH) E.L.DISEASE-FA EMPLOYEE if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCYLIMIT $ VESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 191,Additional Remarks Schedule,may be attached if more space is required) 00 W SANTA ANA BLVD,SANTA ANA,CA 92701;City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are to be covered s additional insureds with respect to liability arising out of work or operations performed by or on behalf of the instructor including materials,parts,equipment, and personnel furnished in connection with such work or operations. nigitAlysigned TLl Tran by Tu Tran lguyen"9°ye" APPROVED i L:os:i o-oT oo B Tu Tran Nguyen en at 11':04 am,Oct 07,2025 CERTIFICATE HOLDER CANCELLATION Y 9 Y City of Santa Ana, ATTN:Library Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CIO Patty Lopez DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Drive M-42 AUTHO Gabriel A.Diaz SANTA ANA CA 92701 ACORD 25(2016/03) 01 9 88-201 5 ACORD �TION.All�RightR�..,,v�,d 31-1769 1 1-15 The ACORD name and logo are registered marks of ACORD