|
CERTIFICATE OF LIABILITY INSURANCE
<br />THISCERTIFICATEIS 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: If the certificate holder Is an ADDITIONAL INSURED, the poiioy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION 18 WAIVED, aubject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />Lockton Insurance Brokers, LLC
<br />725 S. Figuenam Street, 35th Fl.
<br />CA License #OF 15767
<br />Los Angeles. CA 90017
<br />(213) 689.0065
<br />(4 Z2 Moketing flower Inc. DBA Energy Retrofit Co,
<br />vaiv k5iiiif
<br />27363 Via Indttstria
<br />Suite I I
<br />Temecula CA 92590
<br />COVERAGES IESER01LA .CERTIFICATE, NUMBER: 144ph10'i-- REVISION NIJMFRFR•
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE -SEEN ISSUED TO THE INSURED NAMED ASOVE'FORTHE 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 />M)AV' HAVE BEEN REP
<br />.N. REDUCED BY PAID CLAIMS..
<br />w.e,M,r����� .. �.e.w.., ...,,......
<br />1 P_.. _ LIMI
<br />R POLICY U SE
<br />NN$SRR.��, N
<br />Uy
<br />µX_
<br />A y I COMMERCIAL GENERAL LIABILITY
<br />c°T� ;
<br />' N �OLIL1543 • 3f1 (2019 } 1/I/2020
<br />) EgOH OGCURRENc E
<br />ISS
<br />�,» OW ,,_
<br />Iw�w CLAIM$ MASURANCE
<br />AGCUR
<br />i F 1
<br />2
<br />4� $U�nMAM11 RKM
<br />i SES ". ..
<br />$ j Q QQp
<br />....
<br />..
<br />1 I
<br />'IPERS�ONpL d PERSONAL INJURY
<br />I GENERAL AGGREGATE
<br />M�j, $,�"'
<br />$ Q =a
<br />i GLN'L AGGRE�G�ATE� APPLIES PER: I
<br />pLIMIT
<br />g pC
<br />POLICY L.^.13 1 ( ,pR00UCT5-COMPfbP
<br />j
<br />AGO
<br />t S G QQ Q
<br />3
<br />13 •, AUTOMOBILE
<br />LIABILBY .....
<br />i N
<br />......- .....:. _. ..
<br />'r
<br />I. N 54309403 € 3I1/2019 s 3/1/2020
<br />O I a R,L L1h11,T
<br />�aANY
<br />AUTO I
<br />f j
<br />E
<br />BODILY INJURY (Per person)$
<br />XxXXX'xX,,
<br />OWNED Y --SCHEDULED
<br />AUTOS tlNLV 1 AUTOS ill
<br />I
<br />{
<br />eODILV INJURY (P la cltlent)[$
<br />�('XX('
<br />;.
<br />HIRED NON.OWNEO
<br />AUTOS ONLY -I PUT03 ONLY
<br />) I
<br />11 " 1
<br />': fi<SFc'RYY OAMr1GE
<br />LP.eGP 'se ij-�+„R,
<br />"`�""`"""'"`""'...
<br />S XXR+�i✓{Xn:�
<br />FyWxxxx
<br />G I
<br />UMBRELLA LIAR N
<br />(
<br />��� Tr
<br />' N LI1P.31 M937a t-19-NF ; 3!i/2019 ? 3/I/2@0
<br />EACH aGGuhREncE
<br />g �Q'�
<br />pCCOEss Lw6OCCUR
<br />I c PIMap
<br />E
<br />I.
<br />A6GREtlAfE,. .._
<br />m.
<br />4$ 1 QOQ
<br />I iX R) E9€NTION9 jprpp•MAOEI
<br />1
<br />1s
<br />XR
<br />(WORKERS COMPENSATION
<br />B AND EMPLOYERS' UARarrY I
<br />I tN3 $430940$ '1/1/2019 J]/1/2D20
<br />'
<br />..h { p
<br />) •j,Wu- "' d.Lw..F ,+v—""uw....«..
<br />ic'.,,�,....':...�
<br />i OFFICE MCME RIPARTNEPIE%EGl1TIVE �VI.N
<br />ANY
<br />N(A.
<br />'(OFFIOER/MEM@F.R EXCLUDED? t `-a J
<br />.�
<br />I �I I
<br />j 1
<br />�I EACH ACCIDENT
<br />1
<br />6(A1adatory in NH) 1 I,
<br />,I
<br />EL DISEASE a EA ASIPECYI,
<br />it 4
<br />' „IrOlhNe QPmOPERPTIONS net.
<br />EL; OI@EAEE-POLICY LIMIT )'$
<br />-
<br />f.000_QOQ
<br />r7
<br />OESORIPTION OF OPERATIONS LOCATIONS (VEHICLES (ACOR0101 Addalanal Remads Schedule,may be aapched if mqm sphca is required) -
<br />theCityofSantaAna, It', officers, employees, agents, and representative are Additional fnsured(s) as per the attached endorsement or policy language.
<br />Insurance provided to Additional insured(&) is primary and non-contributory as pet' the attached endorsements or policy language•
<br />OFRTIFIr*ATF Ftrt111Fp r'AMItEl I ATrnM Cnn Alren/..nn..r�
<br />15596103
<br />City of Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Santa Ana CA 92701
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRO .....,.a.
<br />e '
<br />074p6*2p95"AGpfiU CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered rks Of ACORD
<br />
|