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DA TE IMmrs.DD YYYY) <br />C CERTIFICATE OF LIABILITY INSURANCE 10172/202I <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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL. INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED„ subject to the terns and conditions of the policy„ certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER Auto Insurance Specialists COANTACT_NME. <br />...... ........ <br />17785 Center Court Drive PHONE <br />. 866-570ti-7335 � 00-496 3293 <br />Suite600AM <br />" Commercial(c aisinsurance.corn <br />Cerritos CA 90703 <br />IN5gRER,i*S)AFFORPINGCOVERAGE_..... ............... NA9C <br />,,,,,,,,,,California Automobile insurance Company {38342 <br />INSURED Vicente Martinez INSURER B ; <br />DBA: Premier Pest Services West RED fiNSU I <br />713 N. Hawthorn St INSURER u <br />_ _.._. !.... . <br />Anaheim CA 92805 ._.._ ....... - ._ <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS 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 WTH 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 />EXCLUSIONS AND CONMTIOINS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />,.._,_,. <br />� POLIC _I <br />ILTR. � <br />OLV X E POLPC(yYYY <br />YEFF M9mPDD_ ...... <br />TYPE 6F INSURANCE POUCYNUIIBER I <br />COMMERCIAL GENERAL LIABILITYLi <br />1-i <br />EACH OCCURRENCE <br />S <br />® <br />CLAMS -MADE OCCUR <br />PRFM ISES,.i a oec,� ,etNe <br />? ... <br />ItEO FXP An aswe atr oaa <br />S <br />PERSCbNAL S, AD INJURY <br />S <br />GEtTL <br />AGGREGATE L1441T APPLIES PER <br />GENERAL AGGRE GATE <br />5 <br />PRO - <br />POLICY JECT LOC <br />' <br />PRCiUUCTS-COPPC&Pp,GC <br />S <br />w <br />AUTOMOBILE LIABILITY <br />AUTOMOBILE <br />BA040000064760 <br />0911112021 <br />09111t2022ac- <br />IEa P wryt w _ <br />s 1,000,000 <br />_ ............ <br />ANY AUTO <br />BODILY INJURY` (Per e <br />r person) <br />S <br />A <br />SSCHOEDULED <br />AIJ'P�gESDONLY' <br />BODILY INJURY (Per ' accident) <br />SHIRECIDs <br />NEB <br />N <br />OhdLYNO"IN-O5 <br />Per i1CLi e ,tj <br />1 YJ <br />s <br />UMBRELLALIAB OCCUR <br />EACH OCCURRENCE <br />wa _ <br />RE <br />XCESS LI'AO CLAIMS -MADE <br />AGGREGATE <br />S <br />D RETENTIONS <br />S <br />WORKERS COMPENSATION <br />STAR�ITE EFt... <br />ANDE1mIPLOYERS"LIABILITY YIN <br />ANYPROPP ETOPIPARTNERIEXEC'UTIVE <br />OFRCERICuEM?BEREXCLUDE <br />NtA <br />E L EACH AqCIDEPLj <br />S <br />(Mandatary in NMI <br />L 6 ASE EA EP M1PLOYE <br />S <br />Ues desaibe under <br />SC RIPTION OF OPERATIONS b0omw <br />E L DISEASE - POLICY UNIT <br />S <br />��r'''^^ �� <br />t�.1 <br />0.0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS d VEHICLES (ACORD 101, Additional Remarks Schedule, maybe, attached it more space is required) <br />Re: Elevated Tank, Cambridge Station, East Station, J Garthe Station, South Station, West Station, Well 16, 18, 20„ 21, 24, 26, 27, 28, 29, 30, <br />31, 32, 33, 34, 36, 36, 37, 38, 39, 40, 41, PRV-1, PRV-2, PRV-3, PRV-4, Maxine, S®gerstrom, SA-1, SA-2, SA-3, SA-4, SA-5, SA-, SA-7, Carole <br />Station. 30 Days notice of cancellation with 10 days notice of non-payment. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana <br />Risk, Management Division <br />SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTIiORIZED REPRESENTATIVE <br />.. �...__. <br />Apr <br />�'e Af'PRCri4Ei5�a"rr <br />C71988-20 15 ACORD CDR( <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />R,sknn.,,,agemmitan,�lAide <br />