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Jose Gasteluri-1 State Farm 7143270198 p.2 CERTIFICATE OF LIABILITY INSURANCE DATEIMLVOD/YYYYj 03/0312015 THIS CERTIF[q�TC A-$ ATTEFi 'OF INFWWATIDN DNI Y AW1 r'inNFFRfi tin RiISIHTfi I.IP0N THE CERTIWICATIr WCL.OFLA. TKIR OERTIFICATF DOES NOT AFFIRMATWELY OR- NEGATIVELY AMEND* EXTEND OR ALTER THE COVERAGE AFFORDED UY THE POLICIES SELO'W. THIS CERTIFICATa OF INSLTRI=F DOES NOT CONCTITUTC A CONTRACT DETWEEN THE ISSUIhI� I14�LIRMKJ -S), t�VTHOF�i�Eb REPRESENTATIVE OR PRODUCER, AID THE CERTIFICATE HOLIDER. IMPORTANT: If the certiflcate holder Is tin ADDITIONAL INSURED, the policy(fes) Faust be endorsed. If SURROGATION IS WAIVED slubject to the terms and conditions of the o i cy certain r ] � policies may require an endorsern.ent. � s#�atelTlent on f�Is certificate does not confer rights to the cerd5Gate holder In IIeu of such endorserrlerrtts). �natICFG - cGNTACT - Jose Gastelum, Agent 5�.��.�� LAG. No. Q1D'I 0779 • 17�30 E. McFadden Ave., ;Ste 114 �. SdIIbd AIM CA .92705 4 INSURED ROSALIa ARAN NIETO DBA ICE CREAM NIETO 959 W STATE ST STE H ONTARIO CA 917621-4102 tjai, a JOSI~ GASTELUM PHONE .714- 557 -33 #4 -{8`C, Ido, I W); E-MAIL asteltlm.com ADORMs: ic)se@io.segasteltim.com 1MU RE t(S5 Arrartail�a aaw�A ►� INSURER A :State Farm General lnsurance Company INSURER B: ]hISU#�R G INSURER ❑ INSURER E: INSMER P FAX [A1'C, No 1. , 714-327-0198 MKK; V COVERAGES CERTIRICATE NUMBER: REVISION NUMBER: THIS IS TO CE�RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD JNDIC41ED. NOWATHSTAN DING ANY RE CQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEQT TO WHICH THIS CERTI'FICATC MAV DC 1f,=CD OIL MA%f KrITARI, TI IC INGURANCE A5w, ,1kGCb BIT' THE PoLlc`.IE6 ucaGnttstu HCICtI I 6Ut3jE.V I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. 10 ALL THE TERMS, NSR TB TYPE P Itt$1i1R,q�rE POLICY EFF POLICY NUNRER 1 mmtdDl'!`fvy POLICY EXP fAM/Dwyyyyj LIMITS A X QQrAN ERC;IAL -0Er1ff CAI. [ IARII ITY 92 C7,J202 09Ff -1: 2 (3 DL 1MS -MADE E OCCUR � �b•� -�Zfi 1 r�c;h ut:�:uK�t�[vt:t s 1,� , PREN11SES E oocurrence 3041 D00 MFD EXP (Any One person) 5,400 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIWTAPPLtES PER: JET Q GENERAL AGGREGATE 2,000,000 ?4LIt'Y Loy_ rrcOuuuI� - t;t,�r►+�rrt�r Au OTHER Busn Property: 201400 AUTWAGBILE LIABILITY Cflr e�t SIN E LU IT ANY AUTO BODILY WJtsRY tPer persarnj s ALL OM. ED SCHEDULED AUTOS FIAUTOS AUTOS BODILY INJURY [Per accident} HIRED AUTOS MaII -OWNII3 IR � E RTY 0NAAGE S UMBRELLA LIA>3 OGCUR EACH OCCURRENCE EXCESS LIAS CLAIMS -MADE AGGREGATE � DED RETENTION 3 S VVOP-KERS COMPENSATI N AND EMPLOYER.? LIABILITY YIN ISTATUTE EER ANY PROPRIET:bPARTNr=MXECUTIVE L E.L. EACH ACCIDENT � OFFIC ER/MEhM ER EXCLUDED? N t A , (Nandatoryy In KH) If E.L. DISEASE - EA Ft 1.Ck]CF yes. describe under ❑ SCRIP1TIOIJ ❑F OPERATfONS balcov E.L. DISEASE - POLICY LIMIT s I i DESCM PTION OF OPERATIONS I LOCATIONS t VEHTCLES (AP4RD 101, A•ddlConat Remarks Sthodule, may be atta -shed IF more spaoo 13 requlred) Sale of Frozen Ice Cream CERTIFICATE HOLDER CITY OF RWERSIDE 3900 MAIN ST., 3RD FL R IVE RS IC)F= CA 92522 AGO FZD 25 (2014101) The ACORD name and leg CANCELLATION SHOULD ANY OF THE ABQVj; DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISl0NS, AUTHCPJZED REPRESSNTAME 0 1988 -2014 ACORD GORPORATION- All rights MS -e rved. r 21ste d marks of �1CO RD 1001486 13284S,9 02.04 -2414