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Digitally signed by To Pierson
<br />Tori Pierson
<br />Date: 2021.12.21 11:50:41-08'00'
<br />Page 1 of 2
<br />AC & CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(M12/15/2021
<br />/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 />Willis Towers Watson Southeast, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />CONTACT Willis Towers Watson Certificate Center
<br />NAME:
<br />PHONE 1-877-945-7378 FAX 1-888-467-2378
<br />AIC No Ext : AIC, No):
<br />E-MAIL certificates@willis.com
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />Nashville, TN 372305191 USA
<br />INSURER A: ACE American Insurance Company
<br />22667
<br />INSURED
<br />ABM Building Solutions, LLC
<br />an ABM Industries Incorporated Company
<br />INSURER B : ACE Property & Casualty Insurance Company
<br />20699
<br />INSURER C : Berkley Assurance Company
<br />39462
<br />INSURER D
<br />4151 Ashford Dunwoody Road, Suite 600
<br />Atlanta, GA 30319
<br />INSURER E
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: W23122079 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 />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />MM DDPOLICY
<br />IYYYY1
<br />fMM/DDrYYYY1
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />FN17]
<br />CLAIMS -MADE OCCUR
<br />DAMAGE
<br />PREM SESOEa occurrDence
<br />$ 2,000,000
<br />X
<br />MED EXP (Any one person)
<br />$ Excluded
<br />A
<br />$1 , 000 , 000 SIR
<br />X
<br />XCU
<br />PERSONAL & ADV INJURY
<br />$ 2,000,000
<br />XSL G72478605
<br />11/01/2021
<br />11/01/2022
<br />GEN'L
<br />AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 6,000,000
<br />POLICY ❑ PRO ❑ LOC
<br />JECT
<br />X
<br />PRODUCTS-COMP/OPAGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 5,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />A
<br />X OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />ISA H25540529
<br />11/01/2021
<br />11/01/2022
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />NON -OWNED
<br />X HIRED IX
<br />AUTOS ONLY AUTOS ONLY
<br />B
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,000
<br />AGGREGATE
<br />$ 10,000,000
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />XEU G27910865 007
<br />11/01/2021
<br />11/01/2022
<br />DED X RETENTION $ 10,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y I N
<br />ANYPROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? No
<br />(Mandatory in NH)
<br />NIA
<br />WCU C68912064
<br />11/01/2021
<br />11/01/2022
<br />X PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />1,000,000
<br />$
<br />C
<br />Errors & Omission
<br />PCAB-5015664-0721
<br />07/01/2021
<br />07/01/2022
<br />Per Claim
<br />$5,000,000
<br />Aggregate
<br />$5,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />This Voids and Replaces Previously Issued Certificate Dated 12/13/2021 WITH ID: W23064567.
<br />Proof of Insurance
<br />SIR - Excess Workers Compensation:
<br />CA-$1,000,000 SIR
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<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 />�..RweAmD
<br />!¢F Y"'tka2dtG By:
<br />i,.
<br />© 1988-2016 ACORD C( ms"genwnrumialou=
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />SR ID: 21945823 BATCH: 2341729
<br />
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