SANTA FE BUILDING MAINTENANCE - 2016

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Policy Number: Date Entered: 1/8/2009 11I.i CERTIFICATE OF LIABILITY INSURANCE `.� OAT/15/2016 12/15/2016 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 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 Ileu of such endorsement(s). PRODUCER VICTORIA INSURANCE AGENCY Chris D. Victoria 1740 West Katella Ave #H CONTACT NAME: CHRIS VICTORIA AIDDNNo Exf: (714) 744-4500 PAX No: (714) 744-2500 nooRlLss:victoriainsurance345@gmail.com INSURERS AFFORDING COVERAGE NAIC# Orange, CA, 92867 INSUREl INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURER B: MID-CENTURY INSURANCE COMPANY 21687 GUADALUPE MEDINA INSURER C: 15644 PALOMINO DRIVE INSURERD: CHINO HILLS, CA 91709-5510 INSURER E INSURER P: BNON-OWNED 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 Si POLICY NUMBER POLICY EFF MMIDDIYYVY POLICY EXP MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMSMADE®OCCUR X 60366-65-69 03/29/2016 03/29/2017 EACH OCCURRENCE $1,000,000 DRE SES OEa occurrence $ 75,000 MED EXP (Any one person) $ 5,000 PERSONAL B Al INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑JEOT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPIOPAIG $1,000,000 $ BNON-OWNED AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTO$ AUTOS 60486-94-07 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT $1,000,000 Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Peraccident A UMBRELLA LIAB EXCESSLIAB OCCUR CLAIMS -MADE 60499-63-93 03/29/2016 03/29/2017 EACH OCCURRENCE $2,000,000 AGGREGATE $ DED RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y ANY OFFICEOPRIETOEREXCLUDED7ECUTIVE ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A0931-60-44 12/15/2016 12/15/2017 PER OTH- STATUTE ER E.L. EACH ACCIDENT $2,000,000 E.L. DISEASE - EA EMPLOYEE $2,000,000 E.L. DISEASE - POLICY LIMIT $2,000,000 A EMPLOYEE DISHONESTY I Ti 60366-65-69 771 3/29/2017 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aftached if mare space is required) �r/µ✓t-'IQ ADDITIONAL INSURED ENDORSEMENT ATTACHED CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA POLICE DEPARTMENT 60 CIVIC CENTER PLAZA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SANTA ANA, CA 92701 THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. WILL BE DELIVERED IN AUTHORIZED REPRESENTATIVE CHRIS VICTORIA V% ACORD 25 (2014/01) © 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www. FcrmsBoss.cam; Impressive Publishing 800-208-1977