TALLER SAN JOSE HOPE BUILDERS (3)

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Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE D10/24ATE I/2018YI 10/29/2018 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 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 Willis Insurance Services of California, Inc. c/o 26 Century Blvd P.O. Box 305191 CONTACT NAME: PHONE 1-877-945-7378 FAX 1-SSS-467-2378 All No: EMAIL certi£icatea@willia.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC R Nashville, TN 372305191 USA INSURER A: United Financial Casualty Company 11770 INSURED Taller San Jose Rope Builders INSURER B : 801 N. Broadway INSURER C: INSURER D: Santa Ana, CA 92701 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: W8611977 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 OFINSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY UP (MMIDDIYYYYJ LIMITS COMMERCIAL GENERAL ABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occumenoe $ MED UP (Any one person) $ PERSONAL S AOV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 PDILY INJURY (Per person) $ ANY AUTO A OWNED X SCHEDULED t9 AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY y y 08219302-0 10/01/2018 10/01/2019 BODILVINJURV (Perawitlent) $ PROPERTY DAMAGE Par accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOWPARTNERIEXECUTIVE ❑ OFFICERIMEMBEREXCLUDEDV NIA E.L. DISEASE -EA EMPLOYEE $ (Mandatory In NH) If yes, descdhe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Solder, its elected or appointed officials, officers, employees, agents, representatives and volunteers are named as Additional Insureds when required by written contract. n A Y p 2'( \Lb Waiver of Subrogation applies in favor of Additional Insureds with respects to Auto Liability. 2 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Attn: Muriel Ullman 20 Civic Center Plaaa M-25 0 Santa Ana, CA 92701 ©1988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD -- x0: 16945132 —n CF; 924350