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Tori Pierson =, .2,0s 9 17�ierson <br />HL.VKIJ CERTIFICATE OF LIABILITY INSURANCE sate lMlAaDnvvY) <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 polley(les) must have ADDITIONAL INSURED Provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain pollcles may require an endorsement. A statement on <br />this Certificate does not confer rinhte to the .eaHr..........,.__ r_ .._.. _. - <br />Edward Taber Insurance <br />1312 CHALK LN <br />C®ARPAFK <br />INSURED <br />aSProperty Management Polutions Inc. <br />1776 Park Ave as, 4-271 <br />TX 78613-1429 <br />Ir= <br />REVISION B <br />THIS i5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE <br />BEEN ISSUED TO THE INSURE NAMED ABOVE OR. THE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS ANDND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />ILTNR BEEN REDUCED BY PAID CLAIMS. <br />R TYPE OF INSURANCE INSOI UBR TPO Y T <br />POJJCYRUMSER. -�r�YE%P <br />L#NM <br />R' COMMERCIAL GENERAL LIABILITY <br />i.. ---- - -1 EACH OLCURFiENCE § 1,000.000 <br />CLAIMSS-MADE XI OCCUR -- <br />_ <br />x V40S PREMW^ S En ocwrrerea $ 100,000 <br />MED EXP (Any crre Person) ' E 5.000 <br />RVCWEGAiE V Y 3AA491490 <br />07/25/2021 07/25/2022 PERSONAL$ ADV INJURY $ 1,000,000 - - <br />GE <br />AGGREGATE LIMIT APPLIES PER. <br />�GEN'L <br />I PRO- GENERALAGGREGATE $ 2.000,OW <br />: POIICY� JECT ,_ -. LOC PRODUCTS - COMPIOP AGO $ 2.ODOr000 <br />OTHER. $ <br />_AUTOMOSILELa1Barry <br />D INOLE LI I3 <br />M ANY AUTO E. accMattl _ <br />! <br />~ OWNED SOHED LED <br />— BODILY INJURY IP> persm�:,— <br />AUTOS ONLY AUTOS BODILY IINURYIPeraccde <br />HIRED <br />NON-OWNEDAUTOS <br />ONLY AUTOS ONLY PROPERTY DAMAGElPw <br />acadenr) <br />$ <br />UMBRELLA LIAR OCCUR <br />EXCESS LIAB EACNOCCURRENCE <br />�5 <br />GLAIMaAMDE <br />""'-- AGGREGATE <br />g <br />r utf RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />P ER <br />AND EMPLOYER5LIABIERs <br />YIN STATUTE ER <br />ANYrCERVM <br />g <br />NEREXCLLOEO' ❑ N/A <br />MBRIPARTNERIEXECIRIVE EL EACH ACCIDENT <br />Man"IM In <br />IlMeneemryln NH) <br />$ <br />If yyes, deSIXrEe urger E L DISEASE - EA EMPLOYE <br />DESCRIPTION OF OPERAPONS CPIN4 <br />$ <br />EL DISEASE -POLICY LIMIT <br />null. <br />DESCRIPTION OF OPEMTIONS / LOCATIONS Y VEHICLES (ACORD 101, A4didanel Remarks, Schedule,.BY ee aMoched If <br />man s,ps,ee b "tared) <br />sty of Ponta Ana RSk Management Divison. itso8icers Employeesagentsand represantalive5 are named as additional insured <br />as respectsgeneral liability for sarvices <br />proved by the named insured Coverage is Pommy and IVon-Cbntnbutory. Certificate holder will be 30 day <br />given calcellation notice in writing if the above policy is <br />changed and cancelled. <br />CERTIFICATE HOLnFR_- <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana <br />Ca 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />9 1988.2015 ACI <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />REVIEWED & 1,11PPROve, sr. <br />?disc Prb.JON <br />aBkm,,.,gm�,.Omr.IA;ar <br />