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SERJ0.1 OP ID: DC
<br />'�4ccaR® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDNWY)
<br />0510212019
<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: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement($).
<br />PRODUCER
<br />DLL Insurance Agenvy
<br />1843 E Fir Ave 0102
<br />Fresno, CA 93720
<br />Joe Martinez
<br />CONTACT Diana Ramos
<br />PHONE FAX
<br />c o t • 560.721.4706 we Na : 669-4613416
<br />ADD"R'E SS; dramos@dlllnsurance.com
<br />INSURER(SI AFFORDING COVERAGE
<br />NAICp
<br />INSURER A:Phlladel hIs Indemnity Ins Cc
<br />18068
<br />INSURED SER-JOBS FOR PROGRESS, INC.
<br />265 N Fulton St 106
<br />Fresno, CA 93701.1600
<br />INSURERB.State Compensation Insurance
<br />36076
<br />INsuRERc: Philadelphia insurance Gompani
<br />18068
<br />INSURER D:
<br />INSURER E
<br />IN$URERF:
<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 W71d 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 />MSR
<br />LTR
<br />TYPE OF INSURANCE
<br />DDL
<br />UWR
<br />D
<br />POLICY NUMBER
<br />MMIDDIYYYY)
<br />MINWNYWI
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE TOCCUR
<br />X
<br />PHPKI884914
<br />09/27/20180912712019
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />PREMISESEa 0XUrrQ1Wn
<br />$ 100,000
<br />OWL
<br />MED EXP(Any one person)
<br />$ 6,00
<br />PERSONAL$ADV INJURY
<br />$ 1,000,000
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY F7 PRJECTO- ❑ LOG
<br />OTHER',
<br />GENERAL AGGREGATE
<br />$ 3,000,000
<br />PRODUCTS-COMPIOPAGG
<br />$ 3,000,000
<br />$
<br />A
<br />AUTOMOBILE LIABILITY
<br />ANVAUTO
<br />AUTOS�ED X AUTOSULED
<br />X X NON -OWNED
<br />HIRED AUTOS AUTOS
<br />PHPKI884914
<br />09/2712018
<br />09/27/2019
<br />COMBINEDSINGLF LIMIT
<br />(Ed occldent
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />BODILV INJURY (Per accltlsnt)
<br />$
<br />PROPERTY 0AMAUP
<br />er accider1U
<br />$
<br />„-,
<br />$—
<br />D
<br />)(
<br />UMBRELLA LIA9
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />clams -MADE
<br />PHUS669716
<br />03101/2019
<br />03/0112020
<br />EACHOCCURRENCE
<br />$ 1,000,000
<br />AGGREGATE
<br />$ 1,000,000
<br />DED I X I RETENTION$ 10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECU71VE YIN
<br />OFFICERIMEM9RR EXCLUDED?
<br />(Mandatory in NN)
<br />fyyes, daecllbe under
<br />IDESCRIPTIONOFOPERATIONSbelaw
<br />NIA
<br />18277412018
<br />07/01/2018
<br />07101/2019
<br />X STATUTE EOT
<br />R
<br />E.L. EACH ACCIDENT
<br />& 1,000,000
<br />E.L.OISEASE-EAEMPLOYE
<br />S 1,000,000
<br />E.L. DISEASE-POLI CY LIMIT
<br />$ 1,000,000
<br />i
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES LCORD 101, Additional Romarlm Scltadu[a, may be attached It more apace Is required)
<br />Notice of Cancellation is 30 days except in the event of cancellation due to
<br />non-payment or non -reporting which Is 10 days. City of Santa Ana, its
<br />officers, agents, employees and volunteers are named as Additional Insureds,
<br />1
<br />ULKl II'ILiAlt HULUMK WHI4 L,GLLH I IUN
<br />COMMDEV
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS.
<br />M-25
<br />City of Santa Ana AUTHORIZED REPRESENTATIVE
<br />PO Box 1988 / j'
<br />Santa Ana, CA 92702
<br />®1988.2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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