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Tori Pierson o;'.a:'z' d �asr <br />At l, CERTIFICATE OF LIABILITY INSURANCE <br />DATE (M1/202YY) <br />11/1/2021 <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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsements). <br />PRODUCER 951-656-2409 951-281-3900 <br />McCarty Insurance Services Lic. OD20867 <br />19510 Van Buren Blvd. <br />Ste. F3-142 <br />Riverside CA 92508 <br />CGAMNTEA`T Patrick McCarr <br />(AllPHGNE951-656-2409 FAX <br />No)- 951-281-3900 <br />ADDRESS: pmccany@yahoo.com <br />INSUR S AFFORDING COVERAGE <br />NAICN <br />INSURERA: West American Insurance Company <br />44393 <br />INSURED 310-548-9292 310-548-9195 <br />Berg & Associates, Inc. <br />302 W. 5th Street, Suite 210 <br />San Pedro. CA 90731 1 <br />INSURERB: Wesco Insurance Company <br />25011 <br />INSURERC: Nat'l Union Fire Ins.Co.of Pittsbur <br />19445 <br />INSURER D: StarStone National Insurance Co. <br />25496 <br />INSURERE: U.S. S ecial Insurance Com an <br />29599 <br />INSURERF: <br />COVERAGES L:CKI I -il Numml REVICInM Mrrsaoce. nn <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 LTR <br />TYPE OF INSURANCE <br />R <br />POLICYNUMBER <br />MMIDDNYY <br />MAGVLIDOT EXP <br />OMITS <br />A <br />GENERAL LIABILITY <br />✓ COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE OCCUR <br />BLW (22) 60987836 <br />03/01/2021 <br />03/01/2022 <br />EACH OCCURRENCE <br />$ 1 OOO OOO <br />1AMAIETOKPREMSESEaoccuurrrence <br />MED EXP (Any one person)$15000 <br />s5000OO <br />PERSONAL& ADV INJURY <br />$1 000 000 <br />GENERALAGGREGATE <br />$2 QQQ OOO <br />GEN'L AGGREGATE <br />✓ POLICY <br />LIMIT APPLIES PER: <br />JE PR0. LOC <br />PRODUCTS-COMPIOPAGG <br />$2000000 <br />$ <br />B <br />AUTOMOBILE <br />✓ <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />WPP1611478 03 <br />03/01/2021 <br />03/01/2022 <br />COMBINED ISINGL LLIMIT <br />111,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(Per mcidenl) <br />$ <br />PROPEfiTYDAMAGE <br />Per accident <br />$ <br />Medical <br />$ 5 000 <br />C <br />✓ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />✓ <br />OCCUR <br />CLAIMS -MADE <br />EBU016860383 <br />03/01/2021 <br />03/01/2022 <br />EACH OCCURRENCE <br />$9,000,000 <br />AGGREGATE <br />$9,000,000 <br />DED I ✓ I RETENTION$ 0 <br />Prod/C.O. A re <br />s 9,000,000 <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFICER! ANY PROPRIMBER EXCLUDED? ECUTNE ❑ <br />E <br />(Mandatory in NH) <br />Il SCRIPs. cdbeunderTION OF OPERATIONS below <br />DESCRIP <br />NIA <br />T10211022 <br />03/01/2021 <br />03/01/2022 <br />WC STATU- OTH- <br />✓LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1 OOO OOO <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 000 000 <br />E.L. DISEASE -POLICY LIMIT <br />$1 000000 <br />E <br />Professional Liability <br />USS 21 31673 <br />03/01/2021 <br />03/01/2022 <br />Liability each claim: $1,000,000 <br />Aggregate: $2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Re: Ritchey Improvement Projects No. 19-6438, 19-6439, 19-6440 <br />Attachments: GL Extension CG8810 0413, Primary & N/C 2001-0413 <br />k Management Division <br />Civic Center Plaza <br />Tta Ana, CA 92702 <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 />AUTHORIEDREPRESENTARVE <br />©1 <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Rl& Muagene,d DlM•'a <br />Ih+nEv/m i Mraw®Bv: <br />" Rex Ma,x,ae„mr am�ai ane <br />