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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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I DATE(/MIDa/Y <br />Av a CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />Maguire Imenamee A,m,, Inc. FWI <br />1 Bala Piz She 10D <br />Bala Cynwyd, PA 19004-1401 <br />610.617.7900 <br />INSURED <br />mterresahurez <br />2222SMahawk Ave <br />5aMa Ana,CA927P1 <br />COVERAGES <br />THIS CERTIFICATION 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <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 15 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 />INSRO <br />TYPEOFINSURANCE <br />POLICYNUMBEN <br />POLICY EFFECTIVE <br />DATENW110/119Y) <br />POLICY EXPIRATION <br />DATE(MM/DD/YYYY) <br />LIMITS <br />A <br />% <br />GENERALUABIOTY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE ExI OCCUR <br />X PROFESSIONAL LIABILITY <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X POLICY PROJECT LOC <br />PHPK2324258-000 <br />03/09/2021 <br />09/09/2D32 <br />EACIOCCURENCE <br />$1,000,000 <br />PREMISES EaOmuearre <br />00 $100,0 <br />MED EXP(A. one Parson) <br />$2,500 <br />PERSONAL R AD Y INIUflV <br />$Lotho'000 <br />GENERAL AGGREGATE <br />$3,000,000 <br />PRODUCTS—COMP/OPAGG <br />$3,M0,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALLOWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNEDAUTOS <br />COMBINED SINGLE LIMIT <br />(EAaccldent) <br />BODILY INJURY <br />IPerpenon) <br />BODILY INJURY <br />(Per accident) <br />PROPERTYDAMAGE <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY —EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTO ONLY, AGG <br />EXCESS / UMBRELLA UABIUTY <br />OCCUR ❑ CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />EMPLOYERS' LWBIL/IITY YN <br />AOFFKE%MEMBER E%CLUOEUiE%ECUTIVE <br />(Mandatary IR NH) <br />If Ves, describe under <br />SPECIAL PROVISIONS below <br />TLIRYLIMITS ER <br />E.L. EACH ACCIDENT <br />E.L DISEASE—EAAMPWYEE <br />E.E DISEASE —POLICY UNIT <br />OTHER <br />DESCRIPTIONOFOPERATIONS/MOE ONS/VEHICLES/E%CWSIONSADOEDWENDORSEMENT/SPECIALPROVISIONS <br />It] . understood and agreed that the fellowme enntV is added as an additional Insured but Only with resperrys) to the operations of the named Insured except that liability resulting from the additional Insured's sale <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTCE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE INSURER, HB AGENTS OR REPRESENTATWES. <br />AUTHOMMO REPRESENTATIVE <br />a9ax�n RkII Mologawd IXV(E1on <br />ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATIO Revii & APPROVED BY: <br />The ACORD name and logo are registered marks of ACORD <br />Risk Management Analyst <br />
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