SANTA ANA UNIDOS/YOUTH ARTS COLLABORATIVE/FACES OF SANTA ANA - 2017

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A� Q� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDOI o7ilsjzo17l7 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(les) 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 Eddie Quillares Jr, CONTACT NAME: Jasmine QU111ares State Farm Agency O415 N. Broadway Santa Ana, CA 92701 PHONE ExU 714.617. 150. ac Na: 714.6 7.7158 E-MAIL DDRE&s: 'asmine. uillares.k9bnastatefarm.com INSURER(S) AFFORDING COVERAGE NAIL GENERAL LIABILITY❑❑ INSURERA: State Farm Pre and Casualty Company 07/1712017 INSURED SANTA ANA UNIDOS INSURER U: _25143 INSURER C: 602 E 4TH ST INSURER D SANTA ANA, CA 92701 INSURER E, INSURER F: COVERAGES CERTIFICATE NUMBER: 75-0450 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 LTR TYPE OF INSURANCE ADDLE POLICY NUMBERMMIDDIYYYY POLICY EFF POLICY EXP MMIDDNYYY LIMITS A GENERAL LIABILITY❑❑ 92 -E1 -D892-1 07/1712017 07/17/2018 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A O I'_f PREMIBEB ROcccc urrence $ 300,000 CLAIMS -MADE OCCUR MED EYP (Anyone person) $ 5,000 X DEDUCTIBLE$3000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN AGGREGATE LIMIT APPLIES PER'. PRODUCTS AGO $ 2,000,000 X POLICY PRO- Loc BUSINESS PROP $ 5,000 LIABILITY S�AUTOMOBILE MBINEDSINGLE LIMIT F-1 sccident $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par eccitlent ) $ NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ S UMBRELLA LIAR OCCUR ❑ EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC BTATU- OTH- ANO EMPLOYERS' LIABILITY YIN I TORY LIMITS ANY PROPRIETORIPARTNERIEXECVTIVE OFFICEIMEMBER EXCLUDED? NIA❑ . E.LEACH ACCIDENT (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under11 loOp.111111 I.— 92 -El -D892-1 07117/2017 07/17/2018 E.L. DISEASE -POLICY LIMIT $ BUSINESS PROPERTY $ 5000 A GENERALLIABILITY 2NDLOCATION�❑ JEROME CENTER LIABILITY LIMIT $ 1,000,000 720 S CENTER ST GENERAL AGGREGATE $ 2,000,000 SANTA ANA. CA 92704 DAMAGE TO RENTEDPREM $ 300.000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Ramarks Schedule, If more space Is required) THE CITY OF SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIABILITY PER ATTACHED CG2015 11 88 ADDITIONAL INSURED FORM. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITHTHE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 � ars c cfam'-c