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DATE (MMIDDYYY) <br />ACCWV� lYCERTIFICATE OF LIABILITY INSURANCE <br />�■�.� 09/16/2024 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />Newtown Insurance Agency 1 NAMEACT SI7 V.I C H A <br />1458 S San Pedro St #212AIL <br />� �1 . PHONE 1-i_ AX a <br />Los Angeles, CA 90D15 ♦y �, ADDRESS: 5'V ch <br />INSURED <br />VALLEY MAINTENANCE CORPORATION <br />11759 TELEGRAPH ROAA <br />SANTA FE SPRINGS 0 <br />COVERAGES TIFIC M FI <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />A: EV; JS ILTDIS 5 <br />B:DF_ t T A C <br />c: U .TT� SfATES LTAB TY INS CO 25895 <br />D: CW GrV. A. A7 <br />F SURE E T CE <br />1LTLUS INb ,-'11NCR COMPANY <br />aFVK;0A6NLE61RFR• _ _ ■ ■ <br />THIS IS TO CERTIFY THAT E POL IE E L ED H N IftAff TD OP FCC H LI I D <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIOr. OF ANY CONTRACT O OT Bit I RESP O W IS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO',DE' BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HhV-- BEEN REDUCED BY PAID CLAIMS. <br />I <br />yN,TR <br />TYPE OF INSURANCE <br />INSO ADDL <br />WVDSIUB <br />POLICYNUMBER <br />MMI��fYYYY <br />EXP <br />MMIDDYIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2, 000, O O 0 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 100, 000 <br />CLAIMS -MADE � OCCUR <br />3AA699179 <br />08/13/2024 <br />08/13/2025 <br />Y <br />PRIMARY NON—CONTRIBUTORY <br />MED EXP (Any one person) <br />$ 5,00() <br />ONGOING AND COMPLETED OPS END <br />PERSONAL & ADV INJURY <br />$ 2, 000, 000 <br />A <br />X <br />X <br />AGGREGATE LIMIT APPLIES PER, <br />GENERAL AGGREGATE <br />$ 2, 000, 000 <br />GENT <br />PRO- <br />PRO- LOC <br />POLICY <br />PRODUCTS - COMPIOPAGG <br />$ INCLUDED <br />$ 25, 000 <br />OTHER, <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ T, coo, 000 <br />03370309 <br />09/12/2024 <br />03/12/2025 <br />{� <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />B <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />X <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />]&/ <br />PROPERTY DAMAGEHIRED <br />AUTOS AUTOS <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />XL157840OF <br />0S/02/2024 <br />05/02/2025 <br />EACHOCCURRENCE <br />$ 5, 000, 000 <br />AGGREGATE <br />S 5, Q 0 0, 0 0 0 <br />C <br />EXCESS LIA9 <br />CLAIMS -MADE <br />DER I I RETENTIONS <br />PRODUCTS—COM/OP AGG <br />S 11 ()CC, 000 <br />WORKERS COMPENSATION <br />08/13/2024 <br />08/13/2025 <br />PER OTH- <br />STATUTE I I ER <br />AND EMPLOYERS' LIABILITY YJN <br />WSA5037498 <br />EL. EACH ACCIDENT <br />5 1,000, 000 <br />ANY PROPRIETORIPARTN{wR/FXECUTIVE <br />D <br />OFFIGERIMEMBER EXCLUDED? Y� <br />N f A <br />X <br />E.L. DISEASE - EA EMPLOYEE <br />S 1,000, 000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />I 5 1,000, 000 <br />E <br />BUSINESS SERVICE DISHONESTY BEND <br />LIMIT OF LIABILITY <br />5329363 <br />C8/11/2024 <br />08/11/2C25 <br />25,000 <br />F <br />PROPERTY <br />NN1613994 <br />10/29/2024 <br />10/28/2025 <br />20,000 <br />DESCAIPrION OF OPERATIONS' LOCAl1ONS I `J�HICL ES fACCRD 101. Adaltlenal Remarks Schedule, maybe atGa: bed IF more space is ray uirsNl Agreement Number : A-2021-043 <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, <br />agreement, or memorandum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City <br />shall be excess and noncontributory," <br />This Policy may be canceled by the Company by giving to the Insured and to the additional insureds Indic ated on the certificates of insurance <br />issued during the term of this policy, at least Thirty (30) days written notice of cancellation or in the case of non-payment of premium, at least <br />ten (10) days' written notice of cancellation." <br />CANCELLATION <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF- NOTICE WILL RE DELIVERED IN <br />RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PRC <br />Risk MoragtrtentDi a t <br />20 CIVIC CENTER PLAZA, 47H FLOOR AUTHORIZED REPRESENTATIVE i _ f�EVIEV7E0&APPROVED 13Y: <br />SANTA ANA, CA 92702 axNo—I.�}- Fl �4c¢t/F <br />Risk Management Specialist <br />© 1988-2014 ACORD IV <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />C <br />