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Dlgaally signed by Francine R,
<br />Francine R. Villareal Villareal
<br />Data:2021.o1.zno66N3 Nor
<br />ACC712L�® CERTIFICATE OF LIABILITY INSURANCE
<br />�,,,",--�
<br />DAT1/13/2021 "'
<br />01/13/2021
<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 terms 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
<br />CONTACT Cassaundra Evans
<br />NAME:
<br />Elite Commercial Insurance Services, Inc.
<br />P.O. Box 116
<br />PHONo Exu- NE (805)889-7768 FAX Not-
<br />EMAIL , cassaundraevansins@gmail.com
<br />INSUl AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: AMGUARD INS CO
<br />42390
<br />SOmis CA 93066-9702
<br />INSURED
<br />INSURER B : GUIDEONE NATIONAL INSURANCE CO
<br />14167
<br />INSURER C
<br />B&D Towing Inc.
<br />INSURER D :
<br />DBA: Balcaceres&Davalos Towing
<br />INSURER E:
<br />1502 N. Susan Street.
<br />INSURER F:
<br />Santa Ana CA 92703-1458
<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 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />Man
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />NBC
<br />SUBR
<br />WVD
<br />POLICYNUMBER
<br />POLICY EFF
<br />fMMIDDIYYYYI
<br />POLICY EXP
<br />MMIDDVVYY
<br />LIMITS
<br />MMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />OCCUR
<br />T
<br />DAMACLAIMS-MADE
<br />PREMISES Ea occurrence
<br />PREMISES Ea occurrence)
<br />$ 100,000
<br />MED EXP(Any one person)
<br />$ 5,000
<br />I
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />X
<br />X
<br />K2GP111428
<br />09/16/2020
<br />09/16/2021
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L
<br />X
<br />POLICY D PRO-
<br />JECT E LOG
<br />PRODUCTS- COMP/OP AGO
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILELIABILITV
<br />COMBINED SINGLE LIMIT Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />•
<br />AOWNED UTOS ONLY X AUTOSULED
<br />K2GPi 11428
<br />09/16/2020
<br />09/16/2021
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />t gesc
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACHOCCURRENCE
<br />$ 4,000,000
<br />AGGREGATE
<br />$ 4,000,000
<br />B
<br />X
<br />EXCESSLIAB
<br />CLAIMS MADE
<br />560001620-01
<br />09/16/2020
<br />09/16/2021
<br />DED RETENTION
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOVERE'LIABILITY YIN
<br />ANYPROPRIETORIPARTNEWEXECUTIVE
<br />PER on
<br />BTATUTE ER
<br />E.L. EACH ACCIDENT
<br />$
<br />OFFICER/MEM BER EXCLUDEDP ❑
<br />NIA
<br />E.L. DISEASE EA EMPLOYEE
<br />$
<br />(Mandatory in NH)
<br />It yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LI MIT
<br />$
<br />A
<br />GARAGE KEEPERS LEGAL LIABILITY
<br />ON HOOK/CARGO
<br />K2GP111428
<br />09/16/2020
<br />09/16/2021
<br />,000,000 JM1l5
<br />$300,000 LIMIT
<br />0 2,500 DED
<br />$1,000 DED
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required)
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or memorandum
<br />of understanding. Such Insurance as is afforded by this policy shall be primary, and any Insurance carried by City shall be excess and noncontributory.(30) day written
<br />notice of cancellation Is required.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />Santa Ana
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />CA 92701 AU HORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />lEWED ll APPROVEDrlp'
<br />REVIELGED &pAP'PrR,OyVjm BVe:
<br />Ar ' I' ��d hFrvi+2 h. K�CSAFlFI+k
<br />Risk Management Analyst
<br />'iraid -, n„i•-..*:,._- W£;,..
<br />
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