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�jI@AANCE Digital CERTIFICATE OF LI T .,, o „. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONTFYRS NO RIGHTS UPr N -HECERTIFItfATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ffJC�TTEND OR ALTER THE CkDVFAAG 9E fr BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITU'�A >(T� Tn!P5 U REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. //F--%�\� ��// �( J� �� )) �� r.� .� A IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADD;TtJNAL INSWB-0 wt ib—ng or en ed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementrsl. PRODUCER HUB International Insurance Services Inc. PO Box 255387 Sacramento CA 95865 INSURED Interior Demolition Inc 2621 Honolulu Avenue Montrose CA 91020 Risk COVERAGES CERTIFICATE NUMBER: 16724g1R RFyfCInm MIIMRCo• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCEJlmwk ADDLSUBR POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DO LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y ECP2035025-10 6/4/2D21 6/4/2022 EACHoCCUDAMAGE RRENCE ER $1,000,000 RENTED PREMISES occumencel $100,000 MED EXP (Any one arson) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOG GENERALAGGREGATE $2,000,000 PRODUCTS - COMPIOP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y BAP2035024-10 6/4/2021 6/4/2022 COMBINED SINGLE LIMIT E accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1 ( BODILY INJURY Per acddent) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per ccident $ A UMBRELLA LIAR X OCCUR FFX2035026-10 6/4/2021 6/4/2022 EACH OCCURRENCE $5,D00,000 X AGGREGATE $5,000,000 EXCESS LIAR CLAIMS -MADE DED X RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOMPARTNEWEXECUTIVE OFFICERIMEMBEREXCWDEDY NIA Y 1977624-21 9/27/2021 9/27/2022 X IPER STATUTE EOR� E.L. EACH ACCIDENT $1,000.000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A Professional Liability Contractors Pollution Liability ECP2035025-10 6/4/2021 6/4/2022 Aggregate Limit Aggregate Limit $1.000.000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: Work performed by the named insured under written contract for the certificate holder. Additional Insured: City of Santa Ana, its officers, employees, agents and representatives are named as Additional Insureds with respect to General and Auto Liability per the attached endorsements as required by Written contract. Insurance is Primary and Non -Contributory. Waiver of Subrogation applies to Workers' Compensation. Policies provide for 30 Days Notice of Cancellation, except 10 Days for Non-payment of Premium. Forms: 10217 0714, BENVCA06 0917, ECP1246 0121, ECP1248 0121 HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE eel �`s ?r Ride MwMgatent Divisipn REVIEWED & APPROVED BY: c••�'x Risk Management Specialist