PACIFIC COAST SHUTTLES DBA FUTURA BUS NET, INC. (5)

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AiC RD " CERTIFICATE OF LIABILITY INSURANCE DAre(MMrDDmyv) •r/ 03/2D12025 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(les)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 CONTACT Leticia Davalos NAME: Davalos Insurance Agency,LLC PHONE 323-7$0-0$61 A!c No; 323-7$0 9435 745 South Atlantic Blvd, AIL ADDRess: davalosinsurance@aol.com INSURERS AFFORDING COVERAGE NAIC# Las Angeles CA 90022 INSURER A: Prime Insurance Company 12588 INSURED INSURERB; The Pielnsurance 21857 Ohana Shuttles LLC INSURER C: 5645 Shull St, INSURER D: Bell Gardens,CA90201 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. 1NSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER fMMIDDNYYYI tMM1DD1YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ DAMAGE TO RENT CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one parson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES FIER: GENERAL AGGREGATE $ JECT POLICY PRO ❑ LOG PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 Ea aooldenl ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED SC24110389 11/04/2024 11/04/2026 BODILY INJURY Per accident) $ AUTOS ONLY AUTOS HIRED NDN•OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBI $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR(PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICERIMEMBEREXCLUDED? II NIA WC-PI-1916438-300 12/10/2024 1211012025 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ilyes,describe under 1 D00,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES tACORD 101,Add hLlonal Remarks Schedule,maybe attached if more space Is requlred) COVERAGE IS ONLY PROVIDED TO THE ADDITIONAL INSURED WITH RESPECT TO ACCIDENTS OTHERWISE COVERED UNDER THE POLICYICOVERAGE WHERE THE INSURED IS FOUND DIRECTLY LIABLE AND NOT WHERE THE ADDITIONAL INSURED IS FOUND INDEPENDENTLY NEGLIGENT OF THE INSURED. APPROVED 0y Tu Tran.Nguyen$f 10,319 am Apr'09..2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS, ATTN:PWA FACILITIES-SARTC 1000 E SANTA ANA BLVD, AUTHORIZED REPRESENTATIVE LETICIA DAVAL05 SANAT ANA, CA 92701 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD