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MARTIN TORRES (2)
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Last modified
10/5/2021 5:24:50 PM
Creation date
10/5/2021 5:21:37 PM
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Contracts
Company Name
MARTIN TORRES
Contract #
N-2021-194
Agency
Parks, Recreation, & Community Services
Expiration Date
9/30/2022
Insurance Exp Date
9/9/2022
Destruction Year
2028
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Francine R. DsunIN•m,zdI,F—zRYsessi <br />Villareal Ent, nzlxu"1B19J3° <br />AC6,1tl" CERTIFICATE OF LIABILITY INSURANCE I 09/08/2021 <br />PRODUCER I THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Maguire Insurancet,, AgenInc. FWI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1 Bala Piz Ste 100 HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />Bale Cynwyd, PA 1900A-3001 <br />610yn"d, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />mtories alvamz <br />22225 Mohawk Ave <br />Sand Ana, CA 92704- <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADD'L <br />INSRD <br />TYPE OFINSUUBNCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE JMM/DO/YVYY) <br />POLICY EXPIRATION <br />Ban(MM/DD/YYYV) <br />LIMITS <br />A <br />X <br />GENERALUMIUW <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE F—xl OCCUR <br />% PRO FESSIONALUABILITY <br />CENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY Ll PROJECT LOC <br />PHPK2324258-000 <br />D9/09/2021 <br />09/09/2022 <br />EACHOCCURENCE <br />$1,000,000 <br />PREMISST Ea occurrence <br />$100,000 <br />MEDEXP(AnVonepedun) <br />$2,500 <br />PERSONAL&ADV INJURY <br />$1,M0,000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS—COMP/OPAGG <br />$3,030,00D <br />AUTOMOBILE <br />UABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EAaaidem) <br />BODILY INJURY <br />(Per person) <br />BODILY INJURY <br />(Peraccdent) <br />PROPERTY DAMAGE <br />(Peracddent) <br />GARAGE UABIUTY <br />ANYAUTO <br />AUTO ONLY —EA ACCIDENT <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />EXCESS/ UMBRIFUAUABILITY <br />OCCUR ❑ CIAIMSMADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYER9'LIABILITY YN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />I ieCsldepcdbe under <br />SPEIAL PROVISIONSbelow <br />I TORYUMITS I I ER <br />E.L. EACH ACCIDENT <br />E.L. DISEASE —CA AMPLOYEE <br />E.L. 0ISEASE—POLICY LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />It is undemitted and agreed that He following entity Is added as an adIII itionaI insured but only with respect(s) to the operahens of the named Insured except that Babillty resulting Fmm the additional invured 's sole <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />CU,of Santa Ana <br />20 Civic Center Plaza <br />Sand Ana, CA 92702- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR <br />UABILJTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AU�}THH�OORRIIIZEEDD'/^/IRE/P1RNE1SSEENTATW <br />Y <br />r°25xa,cO R�N Division <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATIO jq REVIEWED&APPROVEDBY: <br />The ACORD name and logo are registered marks of ACORD FLBFv,;n.e �, �:U.Tnuf <br />Hof, Management Analyst <br />
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