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SHAMSUP.0 IQUEZ
<br />DATE (MMIDONM)
<br />... CERTIFICATE OF LIABiLITY INSURANCE 41612020
<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(% AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: if the Corti holder Is an ADDITIONAL INSURED, the poilcy(los) must have ADDITIONAL INSURED provisions or be endorsed.
<br />It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, cortain policies may require an endorsement, A statement on
<br />Services Inc.
<br />92660
<br />INSURED
<br />Shamrock Supply Company, Inc. dba Single Pointe Alliance,
<br />Inc.
<br />3366 East La Palma Avenue
<br />Anaheim, CA 02808.2814
<br />7903
<br />Pn1fFRA(OFC P.FRTIFITIATF KHIURFR- REVISIhN NHMRFR-
<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 NTH RESPECTTO 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 />IN R TYPE OF INSURANCE. ADDL SUBRJNqn I POLICY NUMBER POLICY EFp p6LIC EXP LIMITS
<br />A
<br />X
<br />CQMMERMAL GENERAL LIABILTY x
<br />E NOCCURftENCE
<br />CinIMS-MADE X OCCUR
<br />X
<br />BKW56771435
<br />1012912019
<br />1012912020
<br />GETORENHEa
<br />._ .,_1,000,000
<br />100,000
<br />1,000,000
<br />GEN4
<br />AGGREGATE UMrf APPLIES PER:
<br />,QR,NE,jjAi:,ASifaR I(t[E
<br />2,000,000
<br />POUCY L rK LOU
<br />i
<br />„P(2 TS TCCiLAeAX+AGG
<br />2,000,000
<br />OTHER
<br />B
<br />A_UTOMOBILE
<br />LIABILITY
<br />V
<br />OM INED GINGLE LIMIT
<br />41,000,000
<br />X_
<br />A14YAUTO
<br />BAA56771435
<br />10129f2019
<br />10/2912020
<br />eO.yagvinuug,Y�Perpe,son
<br />a_
<br />%YOWW -P - SCHEEDW.ED
<br />_... AUTOp$
<br />t}OO7lY tNJE1Rv iPS,r
<br />S__......_.
<br />_
<br />X
<br />p)M��pONLY
<br />JH,UTOS ONLY _x_ VTTOSO�
<br />�Oa'vER.��A6E.,.Y_,..,._
<br />.—._...__.®__.,...
<br />B
<br />UMBRELLA LIAR X OCCUR
<br />. _
<br />I
<br />P,A}j,QGGURRENCE,
<br />7,000000
<br />X
<br />EXCESSIL S CIANismAoE
<br />USA56771435
<br />11012912019
<br />1012012020
<br />V E ATE
<br />7,000,000.
<br />CEO X RETENTION$ 10,000
<br />$.
<br />C
<br />WORKERSCOMPENSATION
<br />N T
<br />.._.._._
<br />xi �uTC E'L. ��I TH•
<br />AND EMPLOYERS•LIAMUTY YIN
<br />CA10003273201
<br />414/2020
<br />4/4/2021
<br />'-
<br />1,000000
<br />ANY PROPRIETOWPARTNE'WEXECUTIVE
<br />pFFICEWMr;MBER E%CLUOE04 �,
<br />NIA
<br />FIREACH ACC!QgW,—
<br />S I
<br />(Mandatary in NH}
<br />.I. DISEASE �Eh Et,iPLO E„_.
<br />1s000,000
<br />x deacrl0a wdar
<br />oc�eRmrIONOFOPE Io w
<br />- �s E_PO IMns
<br />1,000,000
<br />_
<br />,,,,-, _.
<br />OBWMF IONOFOPERATIONStLOCATtONSt VEHICLE$ IAGOR4lei, Adda[ena3 Ran,arks evheduie,may ba anac6aa l(maaspace e o7rad)
<br />RE: Operations of the named Insured during the current policy HnTI Certificate. hollar is additional Insured YZ respect to general liability per C088100413,
<br />30 day notice of cancellation applies per policy provisions.
<br />POOTICIPATF unl n=P .. 1. Ari `....,,,1c1Os' r:AN I m I. ATInid
<br />0�x's%' i`wa�
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana �y +t
<br />RiskManagementfStADivision 1�
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 CIVIC Center Plaza, 4th Floor
<br />AUTHORIZED REPRESENTATIVE
<br />.o,IMdE�. 01--..
<br />Santa Am, CA 92701
<br />ACORD 25 (2016103) 01980.2016 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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