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AC"RL> CERTIFICATE OF LIABILITY INSURANCI <br />DATE (MMIDD(MY) <br />12/2012016 <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 holderis an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain 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 />PRODUCER I C2NTACT3OEY MONTGOMERY <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 />STATE FARM MUTUAL INSURANCE COMPANY <br />-(PAHONE <br />.Ext1„.714-526-7001 ialC. No):714-526-0348 <br />Sti1Jc3Fa1yI1 <br />1370 BREA ELVC? STE. 150 <br />E-MAIL JO YMONTGOMERY.COM <br />w <br />FULLERTON, CA 92835 <br />9 <br />INSURERLS) AFFOROIMG COVERAGE ,_.... MAIC it <br />NA <br />W <br />IMSURER a tate Farm Mutual Automobile Insurance Company 25178 <br />INSURED <br />SERVICE FIRST CONTRACTOR'S NETWORK <br />INSURER B: <br />: SERVICE FIRST � � <br />INSURER <br />__ ..,___ <br />DAMAi RENTED <br />2510 N. GRAND AVENUE SUITE A 1I u� <br />SANTA ANA 92705 LI <br />D <br />INSURER O : _ ...._ ..._ _. ...._..� .. <br />INSURER E- <br />CLAIMS -MADE OCCUR <br />SCA <br />I J+ <br />INSURER P s <br />COVERAGES CERTIFICATE NUMBER: <br />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. NOTVWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WWITH 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 NINE BEEN REDUCED BY PAID CLAIMS. <br />_ TYPE OF ...................____ .-.. . ... ,....._ .__..._. _... ....,,._.. .-..__.. _._ ......._....... ........._...-.__..._......... <br />_ . _...,.._ ............. . ROLICY EPF POLICY EXP LIMITS <br />ILTR AIN D ,l POLICY NUMBER IMMID MMIDW(YYY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />.m_. <br />_........ <br />17 <br />__ ..,___ <br />DAMAi RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES,(,Eaoacurrer„bcla. <br />ff <br />44 <br />MED E7tP la+iy orrye pecsonl-..._...... . .------..--------- <br />I <br />.... .. <br />_ .._ ._.r - ... .. <br />PERSONAL & ADV INJURY S <br />_.—_.... ... _ .... „ .._ .. .._-.. <br />GEN'L <br />PER: <br />AGGREGATE LIMIT APPLIES P <br />a <br />GENERALAGGREGATC $ <br />.._..., <br />Pot.1CY I 1PERcoiLOC <br />_ <br />PRODUCTS COMPIOP AGG <br />OTHER: <br />S <br />A <br />AUTOMOBILE LIABILITY <br />� 133 3423-F09-76 _ 015107=16U015107=16iI <br />061071201770610712017COMBINED <br />SINGLE LIMITEaacudemmi} � I000;000 <br />ANY AUTOi <br />._ .....� ALL OWNED SCHEDULED <br />BODILY INJURY (Per person) S <br />BODILY INJURY (Per accident) $ <br />AUTOS __.. AUTOS <br />NON-O%NED <br />.�. _..._ <br />'ROPER7Y DAMAGE <br />X ! HIRF0 AUTOS % AUTOS <br />Il <br />$ <br />(Peracriaenl) _. .. _,_..............._ <br />$ <br />UMBRELLA LIAR I, � OCCUR <br />--ill <br />G <br />EACH OCCURRENCE, S <br />.W......,,._._ ..._.___...._......_�.�_ -- <br />EXCESS CLAIMS-MADEV <br />E1} <br />y� <br />AGGREGATES <br />DED RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />WORKERS <br />� <br />AND EMPLOYERS' LIABILITY <br />Y� <br />� <br />� ^� � � "'` <br />�IN <br />PER <br />_ ER <br />ANY PROPRIETORIPARTN ERIEKECUTlVE <br />NIA <br />E L EP.C)H ACCIDENT $ <br />.__ ..... - _-_---____-. ......... <br />OFFICERIMEMBER EXCLUDER? <br />(Mandatory In NH) <br />,»,.,. e <br />11 L, DISEASE : EA. EMPLOYE=E S <br />If yyes, dascdba tender <br />It,� <br />_._._. <br />' DE5CRIPTION OF OPERATIONS below <br />�t^” <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedules, may be attathed it more space is rettuiredl <br />CERTIFICATE HOLDER, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO AUTO LIABILITY <br />30 Day Notice of Cancellation (10 day notice for nen-payment of premium) <br />UIcK I P,I^Ir.rA I t HULUEK t..AFMWsMILL A I Ivey <br />CITY OF SANTA ANA <br />ATTN: PRCSA <br />20 CIVIC CENTER PLAZA -M-23 <br />SANTA ANA, CA 92701' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />(0 1986-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (201'4101) The ACORD name and logo are registered' marks of ACORD 1001'486 132849.9 02-04-2014 <br />