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A� D� CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD[YYYY) D07/1712017 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 QUIIlares Jr. CONTACT NAME: Jasmine QUlllare5 State Farm Agency ac°NIu E.m 714.617.7150.ja Nol: 714 617 7158 a415 N. Broadway Santa Ana, CA 92701 E-MAIL ADDRESS: las mine.gull Isres. k9bn(dstatefarm.cont _ INSURERS AFFORDING COVERAGE NAICIf 92-El-DO92.1 07/17/2017 INSURER A: State Farm Fire and Casualty Comp nv 25143 INSURED SANTA ANA UNIDOS INSURER B: INSURERC: 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 ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIYYYV) POLICY EXP (MMIDDANYY LIMITS A BENERALLIABILITY ❑❑ 92-El-DO92.1 07/17/2017 07/17/2018 EACH OCCURRENCE S 1,000,000 COMMERCIAL GENERAL LIABILITY PAMA REMISES Eacccurrence S 300,000 TX CLAIMS -MADE 171OCCURMED EXP (Any one person) $ 5,000 PERSONAL It ADV INJURY S 1,000,000 X DEDUCTIBLE$3000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOP AGS $ 2,000,000 X Poucv PE° LocBUSINESS PROP $ 5,000 AUTOMOBILE LIABILITY ❑ ❑ Ea eoclde0 SINGLE M t $ BODILY INJURY (Per person) $ ___1ANYAUTO AALL OOWNED X SCHEDULED BODILY INJURY (Par accident)AUTOS $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY OAMAGE Pm cccldent $ $ UMBRELLA LIAR OCCUR ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE I DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTU - AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN O FFICEIMEMBER EXCLUDED? NIA❑ TORY LIMITS E6_ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) E.L. DISEASE -P OLICY LIMIT $ If yes, desunbe under A GENERAL LIABILITY -2ND LOCATION JEROME CENTER Y 92-El-DB92-1 07/17/2017 07/17/2018 BUSINESS PROPERTY $ 5,000 LIABILITY LIMIT $ 1,000,000 726 S CENTER ST GENERAL AGGREGATE $ 2.000,000 SANTA ANA, CA 92704 DAMAGE TO RENTED PREM $ 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) lG]p VYY `"'YAYA _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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