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<br />ACORp® CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />1 09/20/2021
<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(les) 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 />NAMCONTACTE: Cassaundra Evans
<br />PHONE (805) 889-7768 p/C .No-
<br />Elite Commercial Insurance Services, Inc.
<br />P.O. Box 118
<br />AE-MADDflE IL S: cevans@elitecommercialinsurance.com
<br />INSURERS AFFORDING COVERAGE
<br />NAICR
<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 9270211458
<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 />INSR
<br />LT
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUER
<br />POLICY NUMBER
<br />MMDDMVF
<br />MOLICYEXP
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />UU
<br />CMS -MADE � OCCUR
<br />DAMAGE EMISES R occurrence)
<br />PREMIEa ED
<br />$ 100,000
<br />MED EXP(Any one person)
<br />$ 5,000
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />A
<br />X
<br />X
<br />K2GP215719
<br />09/16/2021
<br />09/16/2022
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />X POLICY jEC LOC
<br />PRODUCTS - COMP/OP AGO
<br />$ 2,000,000
<br />It
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />a accident
<br />$ 1,000,000
<br />BODILY INJURY (Par person)
<br />$
<br />ANY AUTO
<br />A
<br />AUTOS ONLY OWNED X SCHEDULED
<br />AUTOS
<br />K2GP215719
<br />09/16/2021
<br />09/16/2022
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />(Per acddentl
<br />$
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 4,000,000
<br />X
<br />AGGREGATE
<br />$ 4,000,000
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />560001620-02
<br />09/16/2021
<br />09/16/2022
<br />DED RETENTION$
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS'LIABILITY Y/N
<br />OFFICEOR,MEMBEREXC UDEEO? ECUTNE ❑
<br />N/A
<br />I PER OTH-
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE - EA EMPLOYE
<br />$
<br />(Mandatary In NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT
<br />$
<br />A
<br />GARAGE KEEPERS LEGAL LIABILITY
<br />ON HOOKICARGO
<br />K2GP215719
<br />09/16/2021
<br />09/16/2022
<br />=_ 0 LIMIT
<br />$300,000 LIMIT
<br />$5 0 2,5 0 DED
<br />$1,000 DED
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
<br />Garage Keepers Legal Liability -Location 1)1502 N. Susan St., Santa Ana, CA 92703 Location 2)1424 N. Susan St., Santa Ana, CA 92703
<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 Police Department
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th Floor
<br />Santa Ana
<br />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 />A HORREDREPRESENTATIVE
<br />4al Sol
<br />© 1988.2015 ACI
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />+ lUakMolaganad DMaiatL
<br />A£g REVIEWED&APPROVEOBY:
<br />g Sa+1w.iF.,c (�L.A�anX
<br />Risk Management Supervisor
<br />If
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