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Francine R. Villareal Dtgnally signed by Francine R. Villareal <br />Date: 202JQa1412 44t081" <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />DAM(MM/DO/VYYY) <br />`.'..� <br />03/08/2021 <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 />Willie Towers Watson Southeast, Inc. <br />c/o 2fi Century Blvd <br />P.O. B. 305191 <br />CONTACT Willi. Towers Watson Certificate Centel <br />NAME: <br />PHONE 1-877-945-7378 FAX 1-088-467-2378 <br />AIC No : <br />E-MAIL cextificatea@willis.com <br />ADDRESS: <br />Nashville, IN 372305191 USA <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: ACE American Insurance Company <br />22667 <br />INSURED <br />ASK Building Solutions, LLC <br />INSURER B: ACE Property 6 Casualty Insurance Company <br />20699 <br />INSURER C: <br />an ARM Industries Incorporated Company <br />4151 Ashford Dunrroody Road, Suite 600 <br />Atlanta, GA 30319 <br />INSURER D: <br />NSURER E <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER: W20292320 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 />INSR <br />LTR <br />I TYPE OF INSURANCE <br />ADOL <br />SUBR <br />POLICY NUMBER <br />POLICYEFF <br />MM/DD/YYYY <br />POLICYEXP <br />MMIDDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />CLAIMS -MADE Z OCCUR <br />PREMISES Ea occurrence <br />8 2,000,000 <br />X <br />A <br />$1,000,000 SIR <br />MED EXP(My one person) <br />$ Excluded <br />X <br />XCU <br />PERSONAL AAOV INJURY <br />$ 2,000,000 <br />XSL G71451239 <br />11/01/2020 <br />11/01/2021 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 61000,000 <br />POLICY <br />JECOT LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 5,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />X <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ISA H25300797 <br />11/01/2020 <br />11/01/2021 <br />BODILY INJURY Per accident <br />( ) <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />PROPERTY DAMAGE <br />JPsr accident <br />$ <br />$ <br />B <br />X <br />UMBRELLAU <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />%EUG2]910865 006 <br />11/Ol/2020 <br />il/OS/2021 <br />DED I X RETENTION$ 10,000 <br />WORKERS COMPENSATION <br />X PER OTH- <br />ANDEMPLOYERS'LIABILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />A <br />ANYPROPRIETOWPARTNER/EXECUTIVE <br />No <br />NIA <br />OFFICERIMEMBEREXCLUDEO? <br />WCU C67454856 <br />11/01/2020 <br />11/01/2021 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,0001000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />This Voids and Replaces Previously Issued Certificate Dated 12/01/2020 WITH ID: W18851605. <br />Proof of Insurance <br />SIR - Excess Workers Compensation: <br />CA-$1,000,000 SIR <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana. CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />DRQQ <br />©1988-201 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SR 1-: 20819690 FATcH: 2011305 <br />Risk Mamgm ridDrvvion <br />REVIEWED & APPROVED BY: <br />F� LH� H4 R. V'CL4-IrkQ <br />Risk Manageorenl Analyst <br />