SANTA FE BUILDING MAINTENANCE (2) - 2017

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Policy Number'. Dale Entered 1/8/2009 AFORCERTIFICATE OF LIABILITY INSURANCE OAT 3/23/2018) 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 previsions 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 Endorsements). PRODUCER VICTORIA INSURANCE AGENCY Chris D. Victoria 1740 West Ratella Ave 8H CONT cT NAME, CHRIS VICTORIA PHONECvl (/14)744-4500 nic No (714)744-2500 E.MDAIL victoriainsurance345@gmail .com Orange, CA, 92867 INSURER(S) AFFORDING COVERAGE NAIC9 INSURERA TRUCK INSURANCE EXCHANGE 21%09 INSURED SANTA FE BUILDING M ]MAINTENANCE 1/ NTURY INSURERS, MUD-CEINSURANCE COMPANY 2168'/ GUADALUPE MEDINA A-2017-240 INSURER C. INSURSRO. 15644 PALOMINO DRIVE CHINO HILLS, CA 91709-5510 INSURER E. INSURERA'. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 LT0. rypE OF ADDL SUB0. POLICY NUMBER POLICY SEA MMODRYYY POLICY EA MaDONYWC LIMITS A COMMERCIALGENEAAL LIABILITY EACHOCCURRENCE s1,000,000 CLAIMSMADE ® OCCUR X 60366-65-69 Da/E9/201 Da/E9/E019 PREMiSEs E Lo .Limnoe E 75,000 RED ExP UnV one peso) s 5, 000 PERSONAL S ADV INJURY $1,000,000 GEN L AGGREGATE LIMIT APPLE S PER GENERAL AGGREGATE 52,000 000 POLICY�jEd [::]LUC PRODUCTS-COMPIOPAGG $1,000,000 OTHER: AUTOMOBILE LIABILITY EOMBIAcctJUED nt�SINGLE LIMIT 1,000 QQQ BODILY INJU RY(Per merms) S ANYAUTO OWNED BCNEWLEO AUTOS ONLY AUTOS 6D466_g4_D% 01/01/2018 1/01/2019 BODILY INJURY(Pe[acvitlenQ 5 B HIRED NONOWNED AUTOS ONLY AUTOS ONLY PROPERTYOAMAGE Pmacv�tlenl E 5 A UMBRELLA LIAB OCCUR EACH OCCURRENCE 5 2,000,000 AGGREGATE s EXCESS LIAB CLAIMS MADE 60499-63-93 a/29/20. a/29/2019 DED RETENTION 10, 000 s B WORHERSCOMPENSATpN AND EMPLOYERS' LIABILITY YIN ANYPROPWETOwvARTNERIExEWTIVE ❑ (NUMOFFICERNEMBERExcwDEDx NX N(A B0931-60-44 1Pn5/2017 12/15/201B STATUTE FOR EL EACH ACCIDENT 52,000,000 EL DISEASE -FA EMPLOYEE E 2,000,000 9 yeMatoryin H Ves tlexnDe maer DescwmioNOwvERATONs oelow EL DisEASE-wuc LIMIT 12,000,000 A EMPDOYEE DISHONESTY 60366-65-69 as/e9/e01e Oa/e9/e019 $100,000 DESONPTIONOFOPERATIONSILOCATIONSIVEHCLES IACORD 101, Addili—RemaMs SCFetlulq maV be Rumored T more space is mquimd) ADDITIONAL INSURED ENDORSEMENT ATTACHED0`73o/V O p� 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 WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE VICTORIA vk ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced usum Forms Boss Plus software. www. FormsBess com'. Imoressive Publishim LLC WO-208-19]] All riots. reserved.