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A Rbr BHE <br />CERTIFICATE OF LIABILITY INSURANCE 8045 <br />DATE (MM/DD YYYY) <br />1/3/2018 <br />THIS CERTIFICATEIS 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 holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />STONEBROOK INSURANCE SVCS INC/PHS <br />186261 P: (866) 467-8730 F: (888) 443-6112 <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />CONTACT <br />NAME: <br />PHON(A/C,NEo,Ext): (866) 467-8730 (ac,Ne): (888) 443-6112 <br />q DRIESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURERA: Sentinel Ins CO LTD 11000 <br />INSURED <br />SLOAN VAZQUEZ, INC. DBA SLOAN VAZQUEZ <br />MCAFEE <br />3002 DOW AVE STE 116 <br />TUSTIN CA 92780 <br />INSURER B <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 <br />TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />/.NSR <br />LTR <br />TYPE OFI.NSUPINCE <br />ADDL <br />N <br />SUBR <br />POLICYNUMBER <br />POLICYEFF <br />(MM/DD/YYI`n <br />POLICYEXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $1, 000, 000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED $1, 000 000 <br />PREMISES (Ea occurrence) r <br />X <br />MED EXP (Any one person) s10, 000 <br />A <br />X General Liab <br />72 SBM AH6839 <br />01/06/2018 <br />01/06/2019 <br />PERSONAL & ADV INJURY $1, 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY [ —1 PRO [X] LOC <br />JECT <br />GENERAL AGGREGATE s2, 000, 000 <br />PRODUCTS - COMP/OP AGG $2r 000r 000 <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1, 000, 000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />A <br />OWNEDSCHEDULED <br />AUTOS ONLY AUTOS <br />72 SBM AH6839 <br />01/06/2018 <br />01/06/2019 <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE <br />(Per accident) $ <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION s <br />$ <br />WORKERS COMPENSA TION' <br />PER OTH- <br />ANDENPLOYERS'LIABILITY <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) ❑ <br />N/A <br />E.L. DISEASE- EA EMPLOYEE $ <br />If yes, describe Under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Those usual to the Insured's Operations. The City of Santa Ana, its officers, <br />agents, employees, and representatives are Additional Insured - Vendors per <br />the General Endorsement Form IH12001185 attached to this policy. Notice of <br />cancellation will be provided in accordance with Form 1223 attached to this <br />policy. a �itil� t_ c - l /O . <br />CERTIFICATE HOLDER CANCELLATION t `- C/ c <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />CITY OF SANTA ANA <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC CENTER PLZ <br />< J A'e'Gtri' <br />SANTA ANA, CA 92701 <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />