SANTA FE BUILDING MAINTENANCE (2)

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i� Policy Number: Tnri Piarcnn Digitally signed byTon Pierson Date Entered: 1/8/2009 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/27ID2021 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(ies) must have ADDITIONAL INSURED provisions or 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 VICTORIA INSURANCE AGENCY Chris D. Victoria 1740 West Katella Ave #H CONTACT CHRIS VICTORIA NAME: A/C No Ext: (714) 744-4500 FAX No: (714) 744-2500 E-MAIL VICTORIAINSURANCE345@GMAIL.COM ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Orange, CA 92867 INSURER A: TRUCK INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURER B : MID-CENTURY INSURANCE COMPANY 21687 INSURERC: GUADALUPE MEDINA INSURERD: 15644 PALOMINO DRIVE CHINO HILLS, CA 91709-5510 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 CLAIMS -MADE ® OCCUR 60366-65-69 03/29/2021 3/29/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 75,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 JPRO- POLICY LOC PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 , 000 , 000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 60486-94-07 01/01/2021 1/01/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE 60499-63-93 03/29/2021 3/29/2022 DED X1 RETENTION $ 10 f 000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OT PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A EMPLOYEE DISHONESTY 60366-65-69 03/29/2021 3/29/2022 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 DAY NOTICE OF CANCELLATION RE: SANTA ANA POLICE DEPARTMENT - 60 CIVIC CENTER PLAZA SANTA ANA, CA 92702 CITY OF SANTA ANA, THEIR OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED PURSUANT TO WRITTEN CONTRACT, AGREEMENT, OR MEMORANDUM. INSURANCE IS PRIMARY NON-CONTRIBUTORY. CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA RISK MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 CIVIC CENTER PLAZA, 4TH FLOOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIS SANTA ANA, CA 92702 Riek hfe�vge ne DhZlnn AUTHORIZED REPRESENTATIVE j//4■* ` REAEWm & APPROVED BY.' CHRIS VICTORIA Risk Management Cl eriral Aide ©1988-2015ACORD Cl- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD