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0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYM <br /> Acct t: 2525572 8126/2024 <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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If <br /> SUBROGATION IS WAIVED, subject to the terms and conditions of the;policy, certain policies may require an endorsement. A statement on this <br /> certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> Ll Insurance Services, LLC NAME: <br /> PHONE 844-290 4948 FAX <br /> 2502 N Rocky Point Drive Arc No eY Arc No: <br /> E-MAIL locktanafnit Tampa, FL 336D7 ADDRESS: BBSlcerts @ y.com <br /> INSURERJSJ AFFORDING COVERAGE NAIC# <br /> INSURER A: Ace American Insurance Company 22667 <br /> INSURED INSURER B <br /> MEHTA MECHANICAL COMPANY,INC.DBA:MMC INC <br /> 5901 FRESCA DRIVE, INSURER C: <br /> LA PALMA,CA 90623 <br /> INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 TYPE OF INSURANCE ADDL 5UBR POLICY EFF POLICY EXP <br /> LTR POLICY NUMBER MMIDDIYYYY1 (MMIDDIYYYYI LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> DAMAGE TO RENTED <br /> CLAPMS-MADE OCCUR PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY EIJECT PRO LOC PRODUCTS-COMP/OP AGG $ <br /> Pi <br /> OTHER: <br /> $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO Ea accident <br /> OWNED SCHEDULED BODILY INJURY(Per person) $ <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRER NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Pet accident $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS MADE <br /> AGGREGATE <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN X STATUTE ER <br /> A ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 <br /> OFFICERfMEMBER EXCLUDEW ❑ NIA X C58832674 10/1/2024 10/1/2025 <br /> ( and <br /> F yes,describe under <br /> Mandatory in E.L.DISEASE-EA EMPLOYE $ 2.000,000 <br /> I - <br /> DESCRIPTION OF:OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2.000.000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Policy State=CA <br /> Waiver of Subrogation in favor of certificate holder when required by written.contract <br /> RFP 22-147A-New Prefabricated Restroom Installation at four(4)City Parks APPROVED <br /> By Cynthia MOM at 11;13 am, Jan 06, 2025 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City Of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br /> Risk Management Division IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92701 <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />