VICENTE MARTINEZ DBA PREMIER PEST SERVICES WEST

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Tori Pierson5.t.,2'.2;.,1"0�;09-WO ACORD® CERTIFICATE OF LIABILITY INSURANCE L� DATE(MMMOMW) 1 11/10/2021 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 Palm Valley Insurance CONTACT NAME: Aide Nunez 45541 Oasis St Indio, CA 92201 PRGNE (750)775.7256 ac No ; (760)776-7222 E-MAIL ADDRESS: aide@palmvalleyinsumnce.com INSURERS AFFORDING COVERAGE NAIC9 License #: OF95113 INSURER A: Mesa Underwriters Specialty Ins Co INSURED Vicente Martinez INSURER B : INSURER C: DBA: Premier Pest Services West INSURERD: 713 N Hawthorn St INSURER E: Anaheim, CA 92806 INSURER F : COVERAGES CERTIFICATE NUMBER: 00064361-58742 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P4THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICCERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEREXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYNUMSER POLICY SEE MMIDO POLICYEXPLTR MMIDD/YYYY LIMITSA X COMMERCIAL GENERAL LIABILITY Y Y MP0004010006031 08/0712021 08/0512022SCOMBINEDSINULL URRENCE $ O RENTED CLAIMS -MADE OCCUR Exoccunence $Any one rson) $&ADV INJURY $ GEN'LAGGREGATE )( UMITAPPLIES PER: POLICY PRO- JECT LOD GGREGATE $ 2000000 -COMP/OP ADS $ 2 00O 000 $ OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT Ea acadent $ BODILY INJURY (Perpemon) $ ANY AUTO OWNED SCHEOULEO AUTOS ONLY AUTOS BODILY INJURY PeraccitleM ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE er accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A PER OTH- STANTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - LA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, agents,employees, and volunteers are named as additional insured on this policy pursuant to written contract, agreement, or memorandum of Understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to general liability continued on ACORD 101 Additional Remarks Schedule City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTI(•O ens ACCORDANCE WITH THE POLICY PROVI RbkMeragelndDNlien •�• REVE10®6 MPItOAD BY: 7d12 piOFfOrr AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CC1RYUtt I IUW. Ali ngnu; reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by ANN on 11/10/2021 at 08:49AM