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vo,, No S�, CC So✓ J CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder MENTE INC Address of policyholder 6543 E VIA FRESCO, ANAHEIM CA 92807 Location of operations SAME AS ABOVE Description of operations BUS -MISC The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State ADDITIONAL INSURED: Farm or its agents or representatives. THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 A- _?114- �5b Signature of Authorized Representative Agent,Rcsene, Dennis 05/22/2015 Title Date Agent's Code Stamp ADD Code 8976 558 -994 a.3 04 -1999 Printed In U.S.A. V POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date 11 Expiration Date (at beginning of policy period) 92- CP- W817 -7 Comprehensive 05/16/2015 1 05/16/2016 BODILY INJURY AND Lia_b_ilitY----------- PROPERTY DAMAGE This insurance includes: _Bu_siness ----- ------------------------------------ ------------------------------- ® Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ 1,000,000 ❑ Personal Injury ❑ Advertising Injury General Aggregate $ 2,000, 000 ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ 2,000, 000 v ❑ Operations Aggregate POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration! Date (at beginning of policy period) 92- CP- W817 -7 BUSINESS- OFFICE 05/16/2015 05/16f/�016 i BUSINESS PROPERTY:11,000 DEDUCTIBLE:$500 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 30 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State ADDITIONAL INSURED: Farm or its agents or representatives. THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 A- _?114- �5b Signature of Authorized Representative Agent,Rcsene, Dennis 05/22/2015 Title Date Agent's Code Stamp ADD Code 8976 558 -994 a.3 04 -1999 Printed In U.S.A. V