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' CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDONYYY) <br /> ag1071202s <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br /> CE'RTIPICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED DY THE POLICIES <br /> BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1NSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: if the cent€ficate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provislons or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain P01101es may require an endorsement, A statement on <br /> this 0041110011e does not confer rights to the certificate holder In Ileu of such endorsement(s), <br /> PRODUC ONT 0 <br /> ARSN USq,LLC, Ms: <br /> 20 CHURCH STREET ' n <br /> 14ARTFORD,CT 05103 -ADpAIL OIIs,CerlRa uest(�marah,cam 6 <br /> INSURER 8 AFFORDING COVERAGE NAIL# <br /> CN103059660-OII0.OWP-24.26 <br /> INSURED INSURER A: AIG S I PB803 <br /> ANTECH ELEVATOR SERVICES INSURER B: <br /> 12921 106TH STREET INSURER C: <br /> GERRITOS,CA 9070S <br /> INSUM D: <br /> INSURER E; <br /> INSURER P; <br /> COVERAGES- CERTIFICATE NUMBER: NYC-01155764546 REVISION NUMBER; <br /> 7N18 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUI=D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION Op ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> t=XCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEI N REDUCED BY PAID CLAIMS, <br /> TR TYPE OF INSURANCE ADD p L Cyy Epr POLICY EXP <br /> POUCYNUMDER DDIYYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY <br /> EACHOCOURRENCE $ <br /> CLAIMS-MADE ❑OCCUR DA TEP <br /> REMISES a ccc ce $ <br /> MED FXP(Any ono arson) $ <br /> PFRSONALAKWINJURY $ <br /> OEN'L AGGREGATE LIMITAPPLrEs PER; QCNER.4LAGGREOATE $ <br /> POLICY�PRO- <br /> JECTEl LOG <br /> PROD4JGTa^CCMPH7PAC30 $ <br /> OTHER, — �rG— $ <br /> AVTOMOBI1ErJAEILITY COMBI I ISLE IT $ <br /> ANY AUTO <br /> BODILY INJURY(per person) $ <br /> OWNED SOHEDULEp <br /> AUTOSCNLY AUTOS BODILY INJURY(Per acoldnrt) $ <br /> HIRED NON-OWNED P OPERTYDAMAOE $AUTOS ONLY AUTOS ONLY <br /> UMaNH1LLALIAB OCCUR EACH OCCURRfdMOE ; <br /> EXCEB$LIAiS CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION $ <br /> WORKERSCOMPENSATION <br /> AND EMPLOYERS'LIABILITY Y J N 3H TUTF ORH <br /> OPPICERIMMB REKCLUDEE7ECUTNE [NNI NIA E,L,FACHACCIDENT $ <br /> (Mrndatory040 In NHI R.L.DISEASE-EA EMPLOYEE <br /> It ee,descdba under $ <br /> D SCRI [ON OF OPERATIONS boIW CIS!^ASE-POLICY LIMIT $ <br /> A PROFESSIONAL LIABILITY 3609401 12101024 12X112025 $2,000,000 Per Clalm <br /> $2,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VOICLES(ACORD I a1,Addtilonnl Ramarke Schedule,may be anaahsd if more space to requirad) <br /> CONTRACT NO:DVB-05111,Conlraot Effective Dale;July 1,2020-Contraol Expiration bale;June 30,2o26 <br /> CERTIFICATE HOLDER CANCELLATION <br /> City flf Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE,CANCELLED BEFORE <br /> Risk Management[)Ivlslon THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERI;11 IN <br /> 20 CNIc Cenlor Plaza,4th Floor ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Santa Ana,CA 92701 <br /> AUTHomzeD REPRESENTATIVE <br /> ' " <br /> O 1988•2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />