SANTA FE BUILDING MAINTENANCE (2) - 2017

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Policy Number: Date Entered: 1/8/2009 ACC) or CERTIFICATE OF LIABILITY INSURANCE DA3/12/2019) 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 Chris D. Victoria 1740 West Ratella Ave (IH CONTACT NAME: CHRIS VICTORIA PNCN o ,,, (714) 744-4500 FAX Ne; (714) 744-2500 E-MAIL ADDRESS: -ADDRUS.victoriainsurance345@gmail.com Oran e, CA, 92867 g INSURER(S) AFFORDING COVERAGE NAICN INSURERA: TRUCK INSURANCE EXCHANGE 21709 INSURED SANTA FE BUILDING MAINTENANCE INSURER B:MID-CENTURY INSURANCE COMPANY 21687 INSURER C: GUADALUPE MEDINA INSURER D: 15644 PALOMINO 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 1NM SUER POLICY NUMBER EFF MMIDDPOLICYIYYYY DPOLICY EXP MM DIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE ®OCCUR X 60366-65-69 3/29/2019 3/29/2020 PREMSES Ea omurrAMAGE TO 0ence $ 75,000 MED EXPAny one person) $ 5,000 PERSONAL BADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY DJECT RI-❑LOC PRODUCTS - COMPIOP AGG $1,000,000 $ 11 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acdtlent g 1' 000, 000 BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS 60466-94-07 1/Ol/2019 1/Ol/2020 BODILY INJURY (Per acdtlent) $ PROPERTY DAMAGE Per acdtlent $ B HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS -MADE 60499-63-93 3/29/2019 3/29/2020 AGGREGATE $2,000,000 DEC RETENTION $ 1.0 , 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERIMEMBER EXCLUDED?ECUTVE � (Mandatory in NH) NIA B0931-60-44 2/15/2018 2/15/2019 NZ IPER OTH- STATUTE ER E.L.EACHACCIDENT $2, 000 ,-000 E.L. DISEASE-EAEMPLOYEE $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 [3/29/2019 3/29/2020 $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND REPRESENTATIVES ARE ADDITIONAL INSURED IN RESPECT TO GENERAL LIABILITY. THE CITY OF SANTA ANA / 20 CIVIC CENTER PLAZA ✓ SANTA ANA, CA 92701 42 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 ORRIS VICTORIA ��] -1 r4h, M In ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.Formseoss.com: Impressive Publishinq, LLC 800-208-1977