SANTA FE BUILDING MAINTENANCE SERVICES 1 - 2014

Home Browse Search

Policy Number: Date Entered: 1/8/2009 A� ® CERTIFICATE OF LIABILITY INSURANCE 12/ 1/2015 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(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 ondorsement(s). PRODUCER VICTORIA INSURANCE AGENCY Chris D. Victoria CONTACT CHRIS VICTORIA NAME: PH FAX Ezt: (714) 744 -4500 ac No: (714) 744 -2500 E-MAIL ADDRESS. COM ADDRESS: 1740 West Katella Ave #H C Only ERCIAL GEN ERAL LIABILITY JN Orange, CA, 92867 NGAGE CHRIS VICTORIA 1 INSURER A : TRUCK INSURANCE EXCHANGE 2170 09 9 INSURED SANTA FE BUILDING MAINTENANCE INSURER MID- CENTURY INSURANCE COMPANY 21687 INSURERC: X GUADALUPE MEDINA INSURERD: 3/29 /2015 15644 PALOMINO DRIVE CHINO HILLS, CA 91709 -5510 � [ �'Z�l'Y a IMSURERE: INSURER F: $ 5,000 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. INSR LTR TYPE OF INSURANCE ADDL SUBR D POLICY NUMBER POLICY SEE NMIDDIYYYY POLICY E %P MMIDOIYYYY LIMITS A C Only ERCIAL GEN ERAL LIABILITY JN CHRIS VICTORIA 1 ERRENCE CLAIMS -MADE ®OCCUR X 60366 -65 -69 3/29 /2015 3/29/2016 RENTED a occurs Ys _$1,000,000 $ 75,000 ny one person) $ 5,000 &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GGREGATE $2,000,000 POLICYD jECT [ - COMP /OP AGG $1,000,000 $ OTHER: AUTOMOBILE LIABILITY BINED SINGLE LIMIT (Ea accident $1,000,000 BODILY INJU BY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 60486 -94 -07 1/01/2015 1/01/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccidenl $ H NON-OWNED HIRED AUTOS AUTOS A UMBRELLA LIAB OCCUR EACH OCCURRENCE $2,000,000 AGGREGATE $ EXCESS LIAB CLAIMS -MADE 60499 -63 -93 3/29/2015 3/29/2016 DED JA RETENTIC V $ 10 ) ODD I $ B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE F7 OFFICERNEMBER EXCLUDED? (Mandatory lnNH) NIA A0931 -60 -44 2/15/2015 2/15/2016 PER OTH- STATUTE ER E.L. EACH ACCIDENT $2,000,000 E.L. DISEASE - EA EMPLOYEE - $2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $2,000,000 A EMPLOYEE DISHONESTY 60366 -65 -69 /29/2015 /29/2016 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ACORO 101, Additional Remarks Schedule, may be allached If more a ace is re ulretl11 30 DAYS NOTICE OF CANCELLATION �XCEPT FOR NON PAYMENT OF PREMIUM WHI�H REMFIINS AT 10 DAYS ADDITIONAL INSURED ENDORSEMENT ATTACHED CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA POLICE DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE JN CHRIS VICTORIA 1 ACORD 25 (2014101) © 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormaBoss.com; Impressive Publishing 800 -205 -1977 M