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CERTIFICATE OF LIABILITY INSURANCE
<br />DATE
<br />TYPE OF INSURANCE
<br />GENaRAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />08/16/2016'
<br />O8/i8/2018
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: it the certificate hofl�er Is an ADDITIONAL 1 G $jJR [?; 6110? 3II0yA(ieS)MU4jbe endorsed. If SUBROGATION IS WAIVED, subject to the
<br />terms and conditions of the policy, car olicies ma - } }rr44;lLLire -an Grshmerii: Acdtatement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s),
<br />PRODUCER Eddie QUftare$ Jr. ?'
<br />t,,{{ rrIy (]f- ,
<br />State Farm Agency L 3 t s 1
<br />415 N. Broadway
<br />- T
<br />r �''`( Eddie ulilares
<br />R " 7 6 7.7150. uc No: 714.8 7 15$
<br />DRES : eddie eddietlinsurance.corn
<br />INSURER ($) AFFORDING COVERAGE
<br />NAIC M
<br />Santa Ana, CA 92701
<br />INSURED DOWNTOWN INC
<br />ZOO N MAIN ST Ft, 2
<br />MSURERq;S IQ arm Ganaral Insurance Coln
<br />INSURER 9; State F.Em Fire an noggually Com It
<br />2
<br />43
<br />INSURERC:
<br />SANTA ANA CA 92701
<br />WSUAER D:
<br />INSURERS:
<br />ff 5,000
<br />PERSONAL S ADV INJURY
<br />INSURER F:
<br />CC)VFRAfoFS ncarm,n w- ..- ... ,...,,..... _
<br />- KCVISIVN NUMBER:
<br />THIS IS ED CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NO MAY BE ISSUED ANY REQUIREMENT, TERM RA CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYO ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IN,Smft
<br />A
<br />TYPE OF INSURANCE
<br />GENaRAL LIABILITY
<br />X COMMERCIAL GENERAL LIABILITY
<br />Y
<br />POLICY NUMBER
<br />92-CE -0933.0
<br />POLICY DO E P
<br />06106/2015
<br />P0410E XP
<br />a 512017
<br />LIMITS
<br />EACH OCCURRENCE
<br />E L000,000
<br />Y
<br />PREMISES Ea ocw ce
<br />MED EXP(Any ona person)
<br />—'
<br />$ $04,000
<br />OLAIMR -MADE OCCUR
<br />ff 5,000
<br />PERSONAL S ADV INJURY
<br />_
<br />$ 1,000,000
<br />GENERALAGGREGATE
<br />s 2,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY tEO LOC
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWN SCHEDULEb
<br />AUTOS NON�OWNED
<br />HIREDAUTD8 AUYOS
<br />PRODUCTS- o—,.—
<br />$ 2,000,000
<br />EaeaciNEDt SINGL IT
<br />a 1
<br />$
<br />BODILY INJURY (Per W NM
<br />$
<br />BODILY INJURY (Pere dmN)
<br />$
<br />RCPERTYDAV
<br />er accident )
<br />$
<br />EACH OCCURRENCE
<br />_
<br />$
<br />$ 1,000,000
<br />A
<br />X UMBRELLA LUIS X occuR
<br />EXCESS LIAe CLAIMS -MADE
<br />Y
<br />Y
<br />92- CE- Q781.7
<br />06/05/2016
<br />05105/2017
<br />AGGREGATE
<br />$ 2,000,Q04
<br />DIED X RETENTION6 10000
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIEfOR1PARTNERIFXECUTIVE YIN
<br />OFFICE/MEM&ER"GLUGED? Q
<br />ayes,dtoryin NH)
<br />yes,
<br />tl eecrloe antler
<br />NIA
<br />92- CP- X530 -9
<br />66/05!2616
<br />06!05/2617
<br />WC SLIM -TN-
<br />0 LIMCT6, -X ER
<br />$
<br />7,004,000
<br />Y
<br />E.L. EACH AGGfbENT
<br />$ 7,400,004
<br />E.L DISEASE- EA EMPLOYE
<br />$ 1,004,000
<br />I I
<br />Y
<br />92- WV-60445 -F
<br />16/02/2016
<br />10!03/2017
<br />E4. 016£AS£- POLIOY LIMIT
<br />BOND- AMOUNT
<br />$ 1,000,000
<br />$ SC0,000
<br />A
<br />FIDELITYBOND
<br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Attach ACORD 101, Additfonal Remad(a Schedule, if mere apace is regWred)
<br />Location: 2nd Street Promenade, 200 E. Alley, 100 E, Alley, East End Promenade, Plaza Calls Cuntro
<br />City of Santa Ana Its officers, agents, employees and volunteers are named as additional insured.
<br />Additional Insured endorsement Issued far certificate holder with Wavier of Subrogation
<br />f:FrtTlnlr:ATF Mni ncla
<br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED
<br />THE EXPIRATION DATE THEREOF, IN
<br />20 CIVIC CENTER PLAZA SANT ANA, CA 92702 cD ANrE I I THE OL .Y , I
<br />ATTENTION RISK MANAGEMENT
<br />BRIZA MORALEryJ, AUT40RU'DR""SENTATIVE e'V eA�4
<br />©1988.2010 ACORD CDR'.
<br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
<br />BE CANCELLED BEFORE
<br />LL,AE,J-DEL1VeRED IN
<br />ATION. All rights reserved.
<br />1001486 132849.7 03 -01 -2012
<br />
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