SANTA FE BUILDING MAINTENANCE - 2016

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Policy Number: Date Entered: 1/8/2009 ACV�10® CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YWY)3/14/2017 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 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 INSURER CT `.RBIs VICTORIA VICTORIA INSURANCE AGENCY -•• Chris D. Victoria exM(714) 744-4500 A/c No) (714) 744 2500 - victoriainsurance345@gmail.com1740 West Katella Ave #H A-2016-340 ss„ """ " _. _ -,Oran e, CA, 92867INSURER(S)AFFORDINGCOVERAGE NAIC# g TRUCK INSURANCE EXCHANGE 21709 A INSURED SANTA FE BUILDING MAINTENANCE INSURER B;MID—CENTURY INSURANCE COMPANY 21687 GUADALUPE MEDINA INSURER C: ....... 15644 PALOMINO DRIVE INSURER D: CHINO HILLS, CA 91709-5510 - -._... INSURER E 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD W%D POLICY NUMBER (MMIDDIYYYYI MMIDDIYWYI LIMITS A COMMERCIALGENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE ® OCCUR X 60366-65-69 03/29/2017 03/29/2018 DAMAGE TO RtNTED —75 ,PREMISESfEaoccurrencel-w,w $ 000 " 60 MED EXP (Anemone person S 5,000 Ed PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 V PRO- POLICY PRO- JECT 71 LOC P9 .PRODUCTS -COMP/OP AGG$1,000,000 ..."- , 000 , 000 $ OTHER: AUTOMOBILE LIABILITY COMB ED SINGLE LIMIT (Ea accident)...... $ 1 OOO, 000 ANY AUTO DILY INJURY (Per person) BODILY $ OWNED SCHEDULED60486-94-07 ',01/01/2017 1/01/20111 BODILYINJURY Per accident) $ AUTOS ONLY AUTOS B -O PRPERTY " $ AUTOS ONLY AO ONEDD PeOac dd nDAMAGE A UMBRELLA LIAB OCCUR EACH OCCURRENCE $2,000,000 �EXCESSLIAB CLAIMS -MADE 60499-63-93 03/29/2017 03/29/2018 AGGREGATE $ DED RETENTION S 10, 000 $ WORKERSCOMPENSATION I PSR j OTH- AND EMPLOYERS' LIABILITY Y/N ' STATUTE I ER B ANY N/A A0931-60-44 12/15/2016 12/15/2017 OFFICERIMEMBEREXCLUDED�ECUTIVE (Mandatory in NH) E. L.DISEASECH CIDENT EAEMPLOYEE z$2,000,000 , 000 , 000 $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 3/29/2017 3/29/2018 $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) _ I' ADDITIONAL INSURED ENDORSEMENT ATTACHED CERTIFICATE HOLDER CITY OF SANTA ANA POLICE DEPARTMENT 60 CIVIC CENTER PLAZA SANTA ANA, CA 92701 CANCELLATION 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 CHRIS VICTORIA JN�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced usina Forms Boss Plus software. www.FormsBoss.com: Impressive Publishina 800-208-1977 M