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`­-MaN a Policy Number: TOrI Pierson Date Entered: 1/8/2009 <br />CERTIFICATE OF LIABILITY INSURANCE <br />DA8/27/20M0O21 <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 policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: CHRIS VICTORIA <br />VICTORIA INSURANCE AGENCY <br />ALONE., Eat: (719)794-4500 aC. No(714)744-2500 <br />Chris D. V1CtOi1a <br />E-MAIL VICTORIAINSURANCE395@GMAIL. COM <br />ADDRESS: <br />1740 West Katella Ave #H <br />INSURERS) AFFORDING COVERAGE <br />NAIC9 <br />Orange, CA 92867 <br />INSURER A: TRUCK INSURANCE EXCHANGE <br />21709 <br />INSURED SANTA FE BUILDING MAINTENANCE <br />INSURERS: MID-CENTURY INSURANCE COMPANY <br />21687 <br />INSURER C: <br />GUADALUPE MEDINA <br />15644 PALOMINO DRIVE <br />INSURER D: <br />CHINO HILLS, CA 91709-5510 <br />INSURERE: <br />INSURER F: <br />CDVFRAGFS CFRTIFICATF NIIMRFR' RFVISVIN NI IMRFR. <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 WITH 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 />INSR <br />LTR <br />rypE OFADDL <br />N D <br />SUER <br />WV) <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYVYY <br />POLICY EXP <br />MMOUICI YYY <br />LIMITS <br />A <br />COMMERCIAL GENERALLIABILITY <br />CI -AIMS -MADE ®OCCUR <br />X <br />60366-65-69 <br />3/29/2021 <br />3/29/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occu enm <br />$ 75,000 <br />MED EXP (Any oneperson) <br />$ 5, 000 <br />PERSONAL a ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER. <br />Poucv ❑ PRo ❑ <br />JECT LOG <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMPIOP All <br />$ 1,000,000 <br />$ <br />OTHER'. <br />AUTOMOBILE <br />IJABILITY <br />COMBINED SINGLE LIMIT <br />Ea acddent <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANVAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />60486-94-07 <br />01/01/2021 <br />1/01/2022 <br />BODILY INJURY (Per acadenl) <br />$ <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />B <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />8 <br />A <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$2,000,000 <br />EXCESSLIAB <br />CLAIMS -MADE <br />60499-63-93 <br />03/29/2021 <br />3/29/2022 <br />DED RETENTION $ 10, 000 <br />$ <br />WORKERS COMPENSATION <br />MDEMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERNEMBER EXCLUDED? ❑ <br />NIA <br />PER OTH- <br />STAT TE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS be <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />EMPLOYEE DISHONESTY <br />T <br />60366-65-69 <br />03/29/2021 <br />3/29/2022 <br />$100,000 <br />DESCRIPTION OFOPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe aMached if mare space Is required) <br />30 DAY NOTICE OF CANCELLATION <br />BE: SANTA ANA POLICE DEPARTMENT - 60 CIVIC CENTER PLAZA SANTA ANA, CA 92702 <br />CITY OF SANTA ANA, THEIR OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED <br />PURSUANT TO WRITTEN CONTRACT, AGREEMENT, OR MEMORANDUM. INSURANCE IS PRIMARY NON-CONTRIBUTORY. <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA, 4TH FLOOR <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVIS <br />R41 Mvugcmm( Uwrlon - <br />AUTHORIZED REPRESENTATIVE Ihi E 6APPgWm ST. <br />w %0u f�iC:Jost <br />CHAMS VICTORIA Uy --a" Riek Ma„age„n,r Oeficalaae <br />©1988-2015 ACORD CI___ <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />