STEPHEN DORECK EQUIPMENT RENTALS, INC.

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A n i e Digitally signed by ACC? CERTIFICATE OF LIABILITY INCE Angie c e oyy) Ii I 2129alo THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY A CO�,E NO RIG TS f' E CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX�I[�DR �FFORDEu "v THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE C E T I�JIR�)34'ITd�i�ol REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDi I IONAL 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 riohts to the certificate holder in lieu of such endorsementlsl- PRODUCER CONTACT Anissa Geier Wright, Finnegan & Carter Insurance Associates NAME: 23001 La Palma Ave, Ste 100 PHONE (714)283-1991 Yorba Linda, CA 92887 ADDRESS: Anissag@wfr License #: Ok93616 INSURE s e INSURED INSURER B : American Casualty Company r of Readin PA 20427 Stephen Doreck Equipment Rentals, Inc. DBA Doreck Construction INSURERC: Transportation Insurance Company 20494 9075 Telegraph Road INSURERD: Travelers Property Casualty Co 25674 Pico Rivera, CA 90660 INSURER E : COVERAGES CERTIFICATE NUMBER: 00001603-6200838 REVISION NUMBER: 179 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 ADDLSUBR POLICY NUMBER POLICY EFF MMIDO POLICY EXP MMIOONYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR Y Y 7018042082 03/0112022 03/0112023 EACH OCCURRENCE S 1,000,000 PREMISES Ea occurance $ 1,000,000 MED EXP (Any one person) $ 15,000 I Pollution Liab PERSONAL&AOV INJURY $ 1.000.000 X AGGREGATE LIMIT APPLIES PER: POLICY EZ jEO LOC GENERAL AGGREGATE $ 2000000 GEN'L PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 7018042051 03101/2022 03101/2023 LIMIT Ee accident) $ 1 OOO 000 BODILY INJURY (Per person) $ X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ X Phy Damage A UMBRELLA LAB X OCCUR 7018042096 0310112022 03101/2023 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X EXCESS LAB CLAIMS- E DIED X RETENTION$ 10000 $ 1 C' WORKERS AND EMPLO ERSENSATION LABILIITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS be. NIA Y 7018042079 03/01I2022 03101/2023 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 D Install Floater QT-660-2G410825-TIL-21 08/18/2021 08118/2022 Ded 1,000 I 350,000 D Equip Rented From QT-660-2G410825-TIL-21 08/18/2021 08118/2022 ACV 130,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is required) Pollution Policy Westchester Surplus Lines Ins NAIC # 10172 Policy #G27153136009 Eff Date 03/01/2022 through 03/01/2023 $2,000,000.00. NEW RESIDENTIAL EXCLUSION FOR GENERAL LIABILITY POLICY. 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 111 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Pi IN '/•9` P `' Risk mo gUnmtD[visI. REVIEWED & APPROVED BY. A,g:A Wed M®, Risk Management Specialist 01