BELL BUILDING MAINTENANCE INC. 3-2014

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BELLB-1 OP ID: SO ally RCERTIFICATE OF LIABILITY INSURANCE DAT02/12/15Yv) 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 TH�C€I��Ft/CC TCE H F g IMPORTANT: If the certificate holder is an NAL-I SU D; the"policy(ies) must 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 endorsementfal,v nr- ry A NI T A ? pJ " (M) 10 Ortiz 376-3365 FAX, me)! 951-297.2415 _ 415 Ed Hollander INSURER(S) AFFORDING COVERAGE NAIC# INSURER A; AmTrust International INSURED Bell Building Maintenance Co. w$URERB:Cak River Insurance Company 34630 Mrs. Yang Chanhee __------__- - _- - - -- -- 5170 Sepulveda Blvd., #180 INSURERC Sherman Oaks, CA 91403 INSURER D r 1..r I' INSURER E: �+V 1�+�s INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HISS ADDL UDR POI.ICY EFF POLIO! EXP- TYPE OF INSURANCE POLICY NUMBER MMIOOIYYYY) (MMIDOMY,n LIMITS GENERAL LIABILITY EACH OCCURRENCE '_$ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X ' X EN102474100 01,10/15 01NO/16 DAMAGES�aoo EDn -$ 100,000 CLAIMS -MADE X OCCUR MED EXP(Any one person) __$ 6,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ - 2,000,000 GENt AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 1,000,000 X POLICY E T LOC by: $ AUTOMOBILE LIABILITY Reviewed COMBINEO SINGLE LIMIT ANY AUTO t(l BODILY INJURY (Per person); $ - --AOSCHEDULED 1 AUTOS AUTOS BODILY INJURY (Par eocitlenp - $ ' NON -OWNED NON -OWNED PROPERTY fIAMAGE - $ /^ HIRED AUTOS _ -;AUTOS Silvia Cuevas jPereccideng $ UMBRELLA LIAR OCCURpRCSA/Admin.EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH-' AND EMPLOYERS' LIABILITY YINTORY LIMITS — ER B ANY PROPRIETOR/PARTNERIEXECUTIVE '2200060789-141 05/02/14 05/02/16 EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED9 n NIA (MandateryInNH) '— ------------ E,L, DISEASE-E_A EMPLOYEE -------- $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT .$ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder, its officers, employees, agents, and representatives are named as Additional Insured in regards to the general liability where required by written contract, with primary and non-contributory wording in respects to the operations of the Name Insured. CITYOFS City of Santa Ana Parks, Recreation and Community Services 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 ikIabb1ULCK,101.4 1fHaWAlII7f:LTrT7-1r-rdirdS1 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD