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Digit Tori Pierson Dateazl021.1n1.1009:10:59e08'00' ACOR" CERTIFICATE OF LIABILITY INSURANCE Ill DATE(MM/DD/YYYY) 11 /10/2021 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 Palm Valley Insurance 45541 Oasis St CONTACT Aide Nunez NAME: AICNNo Ext : (760)775-7256 A/C No): (760)775-7222 E-MAIL E-MAIL ADDRESS: aide@palmvalleyinsurance.com Indio, CA 92201 License #: OF95113 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Mesa Underwriters Specialty Ins Co INSURED Vicente Martinez INSURER B : DBA: Premier Pest Services West INSURER C 7 713 N Hawthorn St INSURER D 7 Anaheim, CA 92805 INSURER E 7 INSURER F : COVERAGES CERTIFICATE NUMBER: 00064361-68742 REVISION NUMBER: 2 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 CONTRACTOR 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 OF INSURANCE ADDLSUBRTYPE INSD WVD POLICY NUMBER POLICY EFF MM DD YYYY POLICY EXP MM /DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y MP0004010006031 08/07/2021 08/06/2022 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1:1OCCUR PREM SESOEa occurDrence $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JJECT LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, agents,employees, and volunteers are named as additional insured on this policy pursuant to written contract, agreement, or memorandum of Understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and noncontributory. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to general liability continued on ACORD 101 Additional Remarks Schedule City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOT!f `""' ' oo not nt000n ini ACCORDANCE WITH THE POLICY PROVI L 6 ArpRov� Br, YyIq i l.��xL�� IQXd�GG'z�E4wC AUTHORIZED REPRESENTATIVE ��j, Risk Management Clerer Mde ACORD 25 (2016/03) O 1988-2015 ACORD CGlrch•UKA l IVIM. Hu ngnis reserves. The ACORD name and logo are registered marks of ACORD Printed by ANN on 11/10/2021 at 08:49AM