SANTA FE BUILDING MAINTENANCE (2) - 2017

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Policy Number: Date Entered: 1/8/2009 A� �� CERTIFICATE OF LIABILITY INSURANCE 12�M5/z 8' 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 VICTORIA INSURANCE AGENCY D. Victoria 1740 West Katella Ave #8 CONTACT NAME: CHRIS VICTORIA N-9500 C (714) 794-2500AFAX No):Ctr1S Ix(719) 744E-MA ADDRESS: v1CtorlalnsuranCe345@gmall.COR Orange, CA, 92867 INSURER(S)RAGE NI INSURER A : TRUCK INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURER B oPffD-CENTURY INSURANCE COMPANY 21687 INSURER C: GUADALUPE MEDINA INSURER D: 15644 PAL0141NO DRIVE 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY MMIDD/YYYY MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE ®OCCUR X 60366-65-69 3/29/2013 3/29/2019 MAGE TO R-ENTE137— PREMSES IEa occurmce $ 75,000 MED EXP(Any acre person) $ 5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY E JECTPRO- ❑ LOC PRODUCTS - COMP/OPAGG S 1,000, 000 $ 11 OTHER 1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT acemenl $ 1, 000, Too BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS 60486-94-07 1/01/2019 1/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accide t $ B HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE 52,000,000 EXCESS LIAR CLAIMS -MADE 60499-63-93 3/29/2018 3/29/2019 DELI RETENTION $ 1C, 000 $ B WORKERS COMPENSATION AND EMPLOYER$' LIABILITY YIN ANY OFFICERIMEMBEER EXCLUDED?ECUTIVE � (Manclaloryin NH) NIA B0931-60-44 2/15/2018 2/15/2019 XI 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 LINT $2,000,000 A EMPLOYEE DISHONESTY 60366-65-69 3/29/27 9/zols $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addi lonal Remarks Schedule, maybe attached it more space Isrequired) d ADDITIONAL INSURED ENDORSEMENT ATTACHED 60 CIVIC CENTER PLAZA SANTA ANA, CA 92701 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 oy"MI -VN ©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: Imoressive Publishina. LLC 800-208-1977