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KILEY' COMPANY A-2011-068 & A-2014-034 REVIEWED BY:/,,,"L,, EUNICE HEREDIA (PG 'I of 3) DATE (MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 03/10/2025 PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION STATE FARM INSURANCE - JOHN LUITHLY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 16277 LAGUNA CANYON RD STE F HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR IRVINE, CA 92618-4011. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER& state Farm General. Insurance Company 25151 25151 ELIZABETH M KILEY INC _INSURERB: State Farm Mutual Auto insurance Company 25178 DBA KILEY COMPANY INSURERC: State Farm Fire and Casualty Company 25143 2681 DOW AVE STE E INSURER D: TUSTIN, CA, 92780-7244 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR fAFUL .. FFE , CTYIV - POLICY EFFECTIVE POLICY EXPIRATION L L TR INSRDI TYPE OF INSURANCE POLICY NUMBER DATEMM/DDIYE DATE (Ml LIMITS A X GENERAL LIABILITY 92-YG-5250-7 G 08/25/14 08/25/15 EACH OCCURRENCE $ 2, 000, 000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED -PREMISES Ea occurrence) $ 2, 000, 000 MED EXP An one person $ 5,000 7 CLAIMS MADE E]OCCUR PERSONAL & ADV INJURY $ 2, 000, 000 • BLDG COV- $50,400 • CONT COV- $56,800 GENERAL AGGREGATE $ 4, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPiOP AGO $ PRO - 7 FTECT POLICY [] LOC B X AUTOMOBILE LIABILITY ANY AUTO 085 9537-B01-75J 2014 MERCEDES 02/01/15 08/01/15 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 1, 000, 000 X ALL OWNED AUTOS SCHEDULED AUTOS WDDLJ7DB5EA100763 BODILY INJURY (Per accident) $ 1, 000, 000 X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ 1f000,000 I X IXICOLL COMP DED $500 DED $500 GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A X EXCESS/UMBRELLA LIABILITY 75-CD-2498-7 G 08/02/14 08/02/15 EACH OCCURRENCE $ 5, 000, 000 AGGREGATE $ OCCUR = CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND 92-CG-A404-7 F 09/01/14 09/01/15 X WC STATU- OTH- EMPLOYERS' LIABILITY - TORY LIMITS FIR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1, 000, 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 If yes, describe under SPECIAL PROVISIONS below E.L.DISEASE -POLICY LIMIT $ 1, 000, 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS A-2011-068 A-2014-034 CER I IFIGA I L HOLULK CANCELLATION ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN CITY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ITS OFFICERS, EMPLOYEES & AGENTS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR C/O ROSS ANNEX REPRESENTATIVES. 20 CIVIC CENTER PLY AUTHORIZED REPRESENTATIVE SANTA ANA, CA 92701-4058 JOHN LUITHLY AUUKU Z3 (ZUU_I1U?5) I ne registration notices inaicate ownersnip Of ine rnarKS Dy tneir respective owners 132849 03-13-2007