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AR14RF-1 rip in, WT <br />AGORv CERTIFICATE OF LIABILITY INSURANCE <br />D03,ZATE u,10011, <br />03/21/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsoment s . <br />PRODUCER 916.436-2600 <br />W!! Sean Telford <br />Coastal Valley insurance Serv. <br />Lie. 4884546 <br />2440 Gold River Rd. Ste. 290 <br />PRONE 916Ji36-2600 PAX 916 436-2fi10 <br />VV No Ext: {AAI No: <br />•„ <br />AD ILea; <br />Gold River, CA 95670 <br />Sean Telford <br />_ <br />•'""" <br />s AFFORDING COVERAGE <br />INSURER ' U.S Specialty Insurance Co <br />_ <br />DAMAGE TO RENTED _- 100,000 <br />1Eawrurren4gf„ <br />INSURED <br />A& H Refrigeration, Inc. <br />INSURER : <br />PERSONAL B AQV INJURY S 1,000,000 <br />geyLe <br />95�1vSo mAve <br />Gardsn' rova: CA 92844 <br />INSURERO <br />INSURE D • <br />...�. <br />SiSU EE: <br />INBURHRRF: <br />rnviceemoe rt=OTICIP.ATC NI IMRCR• RFVIRION NI HVI <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADD <br />I.A <br />SU <br />POLICY NUMBER <br />POLICY EFr' <br />POLICY EXPLIMITS <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />X Owner/Cont Prot <br />X <br />U19AC95620.02 <br />01/07/2019 <br />01/0712020 <br />C OCCURRENCE 1x000,000 <br />_ <br />DAMAGE TO RENTED _- 100,000 <br />1Eawrurren4gf„ <br />,• <br />MEDEXP lAny.n.PersoD s •5,000 <br />PERSONAL B AQV INJURY S 1,000,000 <br />NL AGGREGATE UNIT APPLIES PER: <br />X POLICY F-1 j ❑ LOC <br />OTHER <br />GENERAL AGGREGATE2,000,000 <br />P CDUCTS-C 2,000,000 <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY ANUpTyOpBWN <br />AUKS ONLY AUTOS ONELDY <br />COMBINED SINGLE LIMIT <br />BODILY INJURY n <br />ODILY INJURY Para 1 <br />OPER OE <br />UMBRELLA UAB <br />EXCESS LIA13 <br />HOCCUR <br />CLAIMS -WOE <br />E69H OCCURRENCE <br />AGGREGATE <br />DED RETENTION$ <br />WORKERS CpMPENSA190N <br />AND EMPLTA <br />OYERS' UASIUT/ <br />ANY PREROPFFRETOMPXCLUDEEXECUTNE YI } <br />BER E <br />iA7and-M, NH) L—{ <br />n QB, ECStlIF,8 Y3(4CC( <br />TION OFbelow <br />ERATIONS <br />N/A <br />PER OTN• <br />U <br />.I. EACH ACCIDE <br />E.L. DISEASE -EA EMPLOYE <br />DISEASE - POLICY LIMIT S <br />�a <br />DESCRIPTION OP OPERATIONS ILOCAMONSI VEMCLEE (ACORD IDI.AdtgU=PJ RWAUka Schodolq may W allochod it=M apaco Io Inqulmdi <br />30 days notice of cancellation.Cancellation excsption:10 days notice of <br />cancellation for non payment of premiums. Certificate holder Is listed as <br />additional insured. <br />Cr=RTiPiCATF Frnl nPR CANCELLATION <br />v City Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />of <br />Its Officers, Employees, , A ents <br />9 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Volunteers, and Representatives <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 26 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />W <br />