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.qco' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />09/27/2019
<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 INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: fi ftto celtiflcatl� }1Dldor is an m'.)nF IONAi_ INSURED, the 1501Icy(ies) must bo endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement sj.
<br />PRODUCER NAME: MIA JEON
<br />INSURANCE LAND INSURANCE SERVICES PHONE 213-388-5505 �,213-388-7148
<br />Its, ski)
<br />4032 WILSHIRE BLVD n OLRESSt INSURANCELANDOGMAIL.COM
<br />SUITE 309
<br />_ INSURE 8 AFFORMNG COVFRAGE NAIC q
<br />LOS ANGELES CA 90010 _ _!INSURER A'.EVANSTON INSURANCE COMPANY 35378
<br />INSURED IN$URFRe;UNITED FINANCIAL CASUALTY CO 11770
<br />VALLEY MAINTENANCE CORPORATION INSURERC:UNITED STATES LIABILITY INS, CO. 25895
<br />INSURER D
<br />ICW GROUP 27847
<br />10002 PIONEER BLVD. SUITE 101 INSURERB;TRAVELERS CASUALTY AND SURETY CO. 19038
<br />SANTA FE SPRINGS CA 90670 INSURERF:
<br />COVERAGES CERTIFICATE NUPABER: REVISION NUMBER,.
<br />IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />Gvrri i Iclnnl.c ANn rONnITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />IL7p
<br />TYPE OF INSURANCE
<br />INsn
<br />B
<br />WVD
<br />POLICY NUMBER
<br />r<uwc:r crr
<br />MMR7Dl1' Y
<br />0 B / 13 /2 01
<br />COMMERCIAL GENERAL LIABILITY
<br />3AA353541
<br />n
<br />CLAIMS -MADE IZI OCCUR
<br />PRIMARY NON-CONTRIBUTORY
<br />_
<br />A
<br />X
<br />X
<br />6514t
<br />AGGREGATE LIMIT APPLIES PER:
<br />POLICY � jF � Lr J LOC
<br />pTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />062921851
<br />11/02 /201
<br />ANY AUTO
<br />B
<br />ALL OWNED SCHEDULED
<br />X
<br />x
<br />_.
<br />_
<br />AUTOS AUTOS
<br />NON -OWNED
<br />HIREDAUTOS AUTOS
<br />OCCUR
<br />XL1578400B
<br />05/02/20,
<br />C
<br />CLAIMS -MADE
<br />H
<br />NTIONS
<br />w6RnERSCOMPENSATION
<br />WSA 5037498 02
<br />08/13/20
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROMIRrONPARTNEtlEXECUNVE —
<br />NIA
<br />D
<br />OFFICER7WEMBCR E><CLUDER7 Y
<br />X
<br />(Mandelnry In NH)
<br />If S. dascriba under
<br />DESCRIPTION OF OPERATIONS bale
<br />_
<br />E
<br />CRIME
<br />105620659
<br />05/24/20
<br />u r f_n_r LIMITS
<br />OfYYY EACH OCCURRENCE
<br />$ 1, 0 0 0, 0 0 0
<br />OB/13/2020 TOE-
<br />PREMISES [Ea aac� e
<br />MED EXP I one.
<br />PERSONAL III. ADVINJURY
<br />GENERAL AGGREGATE
<br />PRODUCTS-COMPlOPAUG
<br />$ 100, OQ,O
<br />$ 5,000
<br />$ 1,OD0,000
<br />$ 2,000,000
<br />$ INCLUDEIr
<br />$ $25,000
<br />MBINED,SINGLELI T
<br />0 11/02/2019 Eaagc eel
<br />$ 2,000,.000
<br />$
<br />BODILY INJURY (Per person)
<br />$
<br />BODILY INJURY (Per accident)
<br />R DAt1RAGr
<br />fFar a
<br />AGGREGATE
<br />^
<br />$cclaentl -- -
<br />$ 1,000,000
<br />.9 05/02/2020 EACFiOCCURRENCE
<br />$ 5, 000, 000
<br />AGGREGATE
<br />6 5,000,000
<br />$ 11000,000
<br />PRODUCTS-COM/OP AGO
<br />P R DTRH•
<br />L9 08/13/2020 „v ST�,jj
<br />E L. EACH ACCIDENT
<br />-
<br />$ 1,000,000
<br />E.L DISEASE - EA EMPLOY_ $ 1,000,000
<br />E-L.DISEASE -POLICY l.lIr11T S 11000,000
<br />L9I05/24/20201 THIRD PARTY $1, 000, 000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED.
<br />CERTICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF
<br />CANCELLATION.
<br />REVIEWED & APPROVED
<br />CERTIFICATE
<br />CELLATION
<br />CITY OF SANTA ANA T (�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />1 V THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />RISK MANAGEMENT DIVISION $5 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 CIVIC CENTER PLAZA, 4TH �RICINE R. VILI..ARE THORI$EDREPRESENTAnVE
<br />SANTA ANA CA 92702
<br />© 1988-204ACORD CORPORATION. )I-H hg deserved.
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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