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AR�`CC>® - �./ CERTIFICATE OF LIABILITY INSURANCE DATE iMNIDDIYYYYI 07/10n018 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 DARRYL NIND INSURANCE AGENCY 4378 EILEEN ST O SIMI VALLEY, CA 93063 CONTACT NAME: DARRYL NIND AGENT PHONN ExitE 80 8z 3 3 AC No: 805 823-8377 ADDRESS: da i.nind.rebi statefarm.com INSURERIS) AFFORDING COVERAGE NAIL q INSURER A: Stale Farm General Insurance Company 26161 INSURED VENTURA BUSINESS SYSTEMS INC INSURER 9: StateFarm Mutual Automobile Insurance Company 26178 INSURER0: C/O TREVOR YATES INSURER : N ,Q©v1_6ciq 2582 FIG ST SIMIVALLEY CA 93063-2416 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 LTR TYPEOFINSURANCE POLICY NUMBER MM MDIYYYY MMIOOME'YY LIMITS A GENERALLIASILITY x COMMERCIAL GENERAL LIABILITY CIAIMSWAOE a OCCUR ❑ ❑ 92-W4.0493-7 04/2612018 - 04/2612019 EACH OCCURRENCE $ 1,000.000 PREMISES Eaottunence S MED EXP(Any arse person) - S 5.000 PERSONAL SADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: 7X POLICY PRO - El LUC PRODUCTS-COMPIOPAGG' $- 2,000,000 - E g AUTOMOBILE LIABILITY ANY AUTO ALLOWNEA x SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS x AUTOSPer AUTOS � 0515512-A18.75N 0111812078 0711812018 0711812018 0111812019 IN SIN Eeeaaaem s BODILY INJURY IPerP) g 1,000,000 BODILY INJURY(Pera en) S 1,000,000 PROPERTY )$ DAMAGE accident) 1,000,000 $ UMBRELLA LIAB. EXCESS LIAR OCUR CLAIMS -MADE - - EACH OCCURRENCE s AGGREGATE $' - DED RETENTIONS - - $ - - WORNERSCOMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR(PARTNER/EXECUTNE OFFICEIMEMBER EXCLUDED? (Mandaloryin NH) It yes, tlesv3» under NIA ❑ WC STATU- OTH- EL EACH ACCIDENT s E.LDISEASE-EAEMPLO S EL DISEABE • POLICY LIMB $ w, DESCRIP NOFOPERANONSILOCAnONSIVEHICLES(AUaeh ACORD 101. Additional Remarks Schedule. If more space is required) •`� - - - - There is no Workers Compensation Policy for Ventura Business Systems as all employees are officers of the corpol' rL Offics Cor eeps4ln are not required to have a Work Comp Policy in the State of California. J .GSGAw,P CERTIFICATE HOLDER ADDITIONAL INSURED: CITY OF SANTA ANA, ITS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OFFICERS, AGENTS, AND EMPLOYEES ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE J �01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD - 100148E 732849.E 11-15-2010