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�?Ra' CERTIFICATE OF LIABILITY INSURANCEra 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T I iVL%h �HtJNJ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAG i� Tf�l�-}L11Ct 0 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endorsement(s). CONTPRODUCER 951-656-2409 951-281-3900 NAME: Patrick McCarry McCarry Insurance Services Lic. OD20867 PH No Ext: 951-656-2409 Arc No:951-281-3900 19510 Van Buren Blvd. E-MAIL pmccarry@yahoo.com Ste. F3-142 INSURER(S) AFFORDING COVERAGE NAIC # INSURED 310-548-9292 310-548-9195 INSURERS: Security National Insurance Company 19879 Berg & Associates, Inc. INSURER C : INSURERD: StarStone National Insurance Co. 25496 302 W. 5th Street, Suite 210 INSURERE: U.S. Specialty Insurance Com an 29599 San Pedro CA 90731 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 03 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 TYPE OF INSURANCE LTR ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP LIMITS MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 A ✓ COMMERCIAL GENERAL LIABILITY DA AGE To RENTE PREMISES (E. occcur ence) $ 500 000 CLAIMS -MADE �✓ OCCUR BLW (24) 60987836 03/01/2023 03/01/2024 MED EXP (Any one person) $15 000 $ 1 000 000 PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ 2 000 000 ✓ POLICY PRO- LOC $ AUTOMOBILE LIABILITY SPP 1808450-00 03/01/2023 CMINED 03/01/2024 EaaccdentSINGLELIMIT 1 000 000 B ✓ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccident Medical $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION ✓ WC U- OT AND EMPLOYERS' LIABILITY YIN 03/01/2023 LAM ER 03/01/2024 ANY PROPRIETOPJPARTNER/ D OFFICERIMEMBER EXCLUDED? ECUTIVE � NIA T 10231022 E.L. EACH ACCIDENT $ 1 0OO OOO $ 1 000 000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 Liability each claim: $1,000,000 E Professional Liability USS 23 33614 03/01/2023 03/01/2024 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Ritchey Improvement Projects No. 19-6438, 19-6439, 19-6440 Attachments: GL Extension CG8810 0413, Primary & NIC 2001-0413 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 O 1988-2010 ACORD CO ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD REskMwwgmwrkl:'DEvIiiiIi ► REVIEWED & APPROVED Br '-2 Risk Management Analyst