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ACCOMY CERTIFICATE OF LIABILITY INSURANCE <br />DADv1D MY <br />THIS CERTIFICATE IS 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ios) 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 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). <br />PRODUCER <br />StateFarm State Farm Insurance <br />V Darryl Nind 4378 Eileen St Simi Valley, CA 93063 <br />4378 Eileen St <br />Simi Valley, CA 93D63 <br />ONTACTNAME: Darryl N01d <br />FKdNE (805) 823.8373 FAX (BOS) 522-5902 <br />, xo: <br />E-MaL <br />INSURERJSIAFFOROINGCOVERAGE <br />NAICs <br />WgUPER A, Stata farm General Insurance Company <br />25151 <br />INSUREO <br />VENTURA BUSINESS SYSTEMS INC <br />C/O TREVOR YATES <br />2582 FIG ST <br />SIMIVALLEY CA 93063-2416 <br />IN a : State Farm Mutual Automobile Insurance Company <br />25178 <br />wsURFAC: <br />INsuRERD: <br />WSURER E <br />INSURERF: <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 TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />wont <br />TYPE OF INSURANCE <br />AOOI <br />U <br />POLICY NUMBER <br />POLICY EFF <br />POLICYeXPJaL <br />UNITS <br />COMMERCIAL GENERAL LIABILITY <br />CIANAS44ADE ® OCCUR <br />EACH OCCURRENCE <br />S 1.000.000 <br />2ftcw .qFS rEn ocP <br />S <br />MED EXP (" W* PN wl <br />i 5,000 <br />PERSONAL L ADV Nwm <br />E 1,000.000 <br />A <br />92-W4-OA93.7 <br />041262018 <br />D4/26/2020 <br />OENLAOGREGATE Lear APPLIES PER <br />POLICY ❑ PRLpT LOC <br />GENERAL AGGREGATE <br />S 2,000,ODO <br />PAODUCTS • CCMPAIP AGO <br />3 2.000.000 <br />S <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />294 7361-D28.75E <br />102&2018 <br />04282019 <br />E, Ii=1EO E1NClE LUpi <br />Ea MINED1 <br />i <br />BODILY INJURY (Par PPrsml <br />S 1,0000.000--- <br />S 1.000,000 <br />8 <br />ANY AUTO <br />OVNCD ' SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON-0W = <br />AUTOS ONLY AUTOS ONLY <br />04282019 <br />1012MO19 <br />BODILY INJURY iPm NKEAMI <br />PROPCRTY DAIJAGC <br />Per aavf ; <br />S 1,000.000 <br />S <br />UMBRELLA LIAB OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />E <br />EXCESS LIMIT CLAAISJMOE <br />— <br />E <br />DED RETENTIONS <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPPJETORJPPRTNCR,TXCCLRNC <br />OFFICER�MEMBEN EXCLUDED'r <br />(MAndmoryln Nllf <br />NIA <br />ELEACHACCCENT <br />S <br />ELOISEASE-EAEMPLOYE <br />S <br />N yes Oewp`nw <br />DESCRIPTION OF OPERATIONS bNo. <br />FL DIFASF - POLICY LIMIT <br />S <br />DESCRWTON OF OPERATIDNgI LOCATN7tY81 VEHIGr ee (ACORO tSt, AddXHPrI RmMrM gcMalF, BAY M anasNeO N mGP rPAeA b nqulnd7 swI�. <br />Them Is no workers Compensation policy for Ventura Business Systems as all Employees are officers of the Corporation. Offs rogthe Corporation are not <br />required to have a Work Compensation policy in the state of California. <br />Adddional Insured CITY OF SANTA ANA, ITS OFFICERS. <br />AGENTS, AND EMPLOYEES <br />20 CMC CENTER PLAZA <br />SANTA ANA. CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ITN RIPRE39HTATTVE <br />O 1988-2015 ACORD CORPORATION. All rights reserved <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />!CoIaBG 1D:649.12 0Y16Q915 <br />