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,/,0� AI °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 07/02/20 3 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies 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 Willis Management (Bermuda) Limited 59 Par -la -Ville Road PHONE FAX 877 - 945 -7376 888- 467 -2378 E -MAIL certificates @willis.com P. o. Box 1998 Hamilton LIABILITY y Bermuda, HM HX INSURER(S)AFFORDING COVERAGE NAIC4 INSURERA: American Unity Group Limited C0929 -001 $ 2,000,000 INSURED Taller San Jose INSURERS INSURERC: COMMERCIAL GENERAL LIABILITY 801 N. Broadway Santa Ana, CA 92307 INSURER D: NSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 20071842 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 4DD'L INRR SUBIR Me POLICY NUMBER POLICY EFF POUCYEXP LIMITS Attn: Lucy Flores Santa Ana, CA 92702 A GENERAL LIABILITY y UNICGL1301029 6/3 0 /2 013 6/30/2014 EACHOCCURRENCE $ 2,000,000 pREMISESOEeaccwence $ X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(Anyone person) $ PERSONAL &ADVINJURY $ 2,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 51000,000 IS X POLICY PRO- FrI LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Es acoldent) $ BODILY INJURY(Pe,persan) $ ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS r j`f t't° _.. BODILY INJURY(Per accident) $ HIREDAUTOS NON -OWNED AUTOS 951 }y[ �Rq',aii V -) k'..- '(✓ PROPERTY DAMAGE (Per accident) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE `''lu {C�Y�PY ✓ f. G +Y� DED RETENTION$ ,.• H_ni $ WORKERS COMPENSATION j\5` -`t'' WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN s'� ANY PROPRIETOWPARTNERIEXECUTIVE❑ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? Ff Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ yes, describe under DESCRIPTION OF OPERATIONS below EL .DISEASE - POLICY LIMIT Is DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) Certificate Holder added as Additional Insured by endorsement to policy subject to the terms set forth in the endorsement. Taller San Jose, Block Grant, 810 N. Poinsetta, Santa Ana, CA 92701 CERTIFICATE HOLDER CANCELLATION Coll:4144832 Tpl:1664688 Cert:20671842 © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EXHIBIT I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, its officers, agents ACCORDANCE WITH THE POLICY PROVISIONS. and Employee Community Development Agency AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza No. M25 - P.O. Box 1980 Attn: Lucy Flores Santa Ana, CA 92702 i Coll:4144832 Tpl:1664688 Cert:20671842 © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EXHIBIT I