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AC"Ra�� CERTIFICATE OF LIABILITY INSURANCE DATE {MM;DD:YYYYj
<br />`� 09/19/2024
<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.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER Auto Insurance Specialists CONTACT
<br />p NAME: Nicole Morena
<br />PO BOX 10160 PHOC.NE $� ,. Fxtlf•57 335 • FA.AX 800 9 -3293
<br />Santa Ana CA 92711-0730 E-MAIL com ner tawosWitfuADDRESS:
<br />I
<br />I N S U RER(S) AF FO RDI NG C OVE RAGE NAIC 0
<br />•
<br />INSURER A:
<br />Cali lr
<br />I 38342
<br />INSURED Vicente Martinez
<br />INSURERB:
<br />❑BA: Premier Pest Services West
<br />713 N. Hawthorn St
<br />INSURRD:
<br />,1y
<br />Date:
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<br />202
<br />1 •09.2
<br />Anaheim CA 92805AcevedQEFR
<br />E
<br />Tnn
<br />r :
<br />1-5-22-22
<br />COVERAGES
<br />CERTIFICATE NUMBER:
<br />R
<br />VISION NAIR:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOI 1 HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR - WDDCSUBR POLICY EFF POLICY EXP
<br />LTR TYPE OF INSURANCE POLICY NUMBER MM[DDIYYYY MMIDDfYYYY LIMITS
<br />COMMERCIAL GENERAL LIABILITYLi
<br />EACH OCCURRENCE
<br />$
<br />-UATAAGE TO R
<br />CLAIMS -MADE OCCUR
<br />PREMISES Ea occurrence
<br />$
<br />MED EXP (Any one n
<br />$
<br />PERSONAL R ADV INJURY
<br />$
<br />GEN'L
<br />GENERAL AGGREGATE
<br />$
<br />AGGREGATE LIMI-APPLIES PER
<br />POLICY PEo- LDC
<br />PRODUCTS-CDMPlDPAGG
<br />$
<br />$
<br />:
<br />OTHERSINULLLIMII
<br />AUTOMOBILE LIABILITY
<br />/
<br />BA040000054760 09/11/2024
<br />0911112025
<br />Ea accident
<br />$ 1,0110,0011
<br />BODILY INJURY (Per person)
<br />$
<br />ANY AUTO
<br />A
<br />OWNED f SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />Per accident
<br />$
<br />HIRED NON -OWNED
<br />.AUTOS ONLY '� AUTOS ONLY
<br />$
<br />UMBRELLA LIAB OCCUR
<br />HCLAIMS-MADE
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />$
<br />DE❑ I I RETENTION $
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y! N
<br />PLR Ulm -
<br />STATUTE ER
<br />ANYPROPRIETOR,'PARTNER,'EXECU I VE
<br />E.L. EACH ACCIDENT
<br />$
<br />OFFICER.+MEMBER EXCLUDED? ❑
<br />N I A
<br />(Mandatory in NH)
<br />E.L DISEASE - EA EMPLOYEE
<br />$
<br />Ues, describe under
<br />SCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIPolIT
<br />$
<br />0
<br />DESCRIPTION OF OPERATIONS : LOCATION S : VEHICLES IACORD 101, Additional Remarks Schedule, may he attached if more space is required)
<br />Re: Elevated Tank, Cambridge Station, East Station, J Garthe Station, South Station, West Station, Well 16, 18, 20, 21, 24, 26, 27, 281 29, 30,
<br />31, 32, 33, 34, 36, 36, 37, 38, 39, 40, 41, PRVA, PRV-2, PRV-3, PRV-4, Maxine. Segerstrom, SA-1, SA-2, SA-3, SA-4, SA-6, SA-, SA-7, Carole
<br />Station. 30 Days notice of cancellation with 10 days notice of non-payment
<br />CERTIFICATE HOLDER CANCELLATION
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92702
<br />ACORD 25 (2016/03)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF NOTInF vVII I RF nFl IVFRFn IN
<br />ACCORDANCE WITH THE POLICY PRC
<br />„oRaN Risk MwaganentDivisian
<br />AUTHORIZED REPRESENTATIVE REVIEWED&APPROVED BY.-
<br />Rfsk Management Specialist
<br />©1988-2015 ACORD
<br />The ACORD name and logo are registered marks of ACORD
<br />
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