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sac.wr" CERTIFICATE OF LIABILITY INSURANCE <br />1o/2e/ao19 <br />14OT/28/2019 <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), <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the torms and conditions of the policy, Certain PONCles may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such andorsdment(s). <br />PRODUCER <br />NAME: MIA JEON <br />INSURANCE LAND INSURANCE SERVICES <br />PHONE .213-388-5505 qI% p; 213 -388-714.8 <br />SUIT WILSHIRE SLVD <br />npeEs3: INSURANCELANDOGMAIL. COX - <br />SUITE <br />INSURERSAFFORDING COVERAGE <br />NAICB <br />Los ANGELHLHS CA 90010 <br />INSURER A I EVANSTON INSURANCE COMPANY <br />35378 <br />INSURED <br />INSURERBt UNITED FINANCIAL CASUALTY CO <br />11770 <br />VALLEY MAINTENANCE CORPORATION <br />NSURERC: UNITED STATES LIABILITY INS. CO. <br />25895 <br />INSURERD:ICN GROUP <br />27847 <br />10002 PIONEER BLVD. SUITE 101 <br />INSURERS: TRAVELER? CASUALTY AND SURETY CO. <br />19038 <br />SANTA FE SPRINGS CA 90670 <br />INSURER F: <br />n-YNIVIY VIVMtlCN: <br />THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING UI <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />CERTIFICATE MAY BEISSUED TO WHICH THIS <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />O <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPEOFINSURANCE <br />Ariff <br />POLICYNUMB¢q <br />POL EFF <br />MMIODIY <br />P LI0 %P <br />M O <br />- <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />3AA353541 <br />00/13/2019 <br />08/13/2020 <br />EACH OCCURRENCE <br />_3 11000,000 <br />CLAIMS -MADE OCCUR <br />Faiaili�".rcm)— <br />3 100,000 <br />PRIMARY NON-CONTRIBUTORY <br />MEDEXP(An onepermn) <br />3 5,000 <br />A <br />X <br />X <br />PERSONAL a ADVINJURY <br />3 11000,000 <br />AGGREGATE LIMIT APPLIES PER <br />POLICY PEP <br />OWL <br />GENERALAGGREGATE <br />3 2,000,000 <br />PRODUCTS -COMPIOP ADO <br />$ INCLUDED <br />LCC <br />OTHER: <br />f $25, 000 <br />AUTOMOBILE <br />LIABILITY <br />06292185-2 <br />11/02/201911/0212020 <br />EaM Nd.11 GLE IT <br />S 2,000,000 <br />ANY AUTO <br />BODILY INJURY (Par Persona <br />3 <br />B <br />ALL OANED SCHEDULED <br />AUTOS AUTOS <br />X <br />X <br />BODILY INJURY (ParaWtlanO <br />f <br />HIREOAUTOS CD <br />AUTOS <br />PRO ERT�IDAI A . <br />5- <br />AGGREGATE <br />s 1,000, 000 <br />UMBRELLA LIAR <br />OCCUR <br />XL15784008 <br />05/02/2019 05/02/202 0 <br />EACH OCCURRENCE <br />1 51000,000 <br />G <br />E%CF.3$LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />f 5, 000, 000 <br />DED RETENTIONSPRODUCTS-COM/OP <br />WORKERS COMPENSATION ON <br />Aga <br />j 11000,000 <br />AND EMPLOYERS' LIABILITY YIN <br />WSA 503749B 02 <br />08/13/2019 00/13/7020 <br />STAT TH <br />EL EACH ACCIDENT <br />j I, OOU, 000 <br />D <br />ANY PNOPHIF IOWPARTNER/ERECUnYENIER <br />OFFIMEMBER EXCLUDED? <br />MIA <br />X <br />(Montlalcryin NH) <br />(M <br />)an tleecnbe NH) <br />0 SdRIPTION OF OPERATIONStarem <br />EL DISEASE - EA EMPLOY <br />S 11000,000 <br />E.L DISEASE -POLICY LIMIT S 11000,000 <br />E <br />CRIME <br />105620659 <br />05/24/2019 Ds/2f/2oa0 <br />THIRD PARTY $1,000, 000 <br />DESCRIPTION OF OPERATION$ I LOCATIONS I VEHICLES IACORD IUI. AOmBenal Remark SahetlWo, may be nuchetl B mom apace Is requiretll <br />CERTIFICATE HOLDER IS AS AN ADDITIO AL INSURED. <br />CERTIFICATE OF INSURANCE SHALL PROVIDE THIRTY(30) DAY PRIOR WRITTEN NOTICE OF <br />CANCELLATION REVIEWED & APPROVED <br />By RISK MANAGEMENT DiVIStON <br />CITY OF SANTA ANA"-Jyj SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />RISX MANAGEMENT DIVISION FRANCINE R. VILLARE LAGcoa^D'ANicEE vaNH DATE THEREOF, HE POLICY PROVISIONS. WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA, 4TH FLOOR AUTHORIZED REPRESENTATNE <br />SANTA ANA CA 92702 <br />©1988-2014 ACORD CORPORATI . rights reserved. <br />ACORD 25 (2014f01) The ACORD name and logo are registered marks of ACORD <br />