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54481 <br />CERTIFICATE OF LIABILITY INSURANCE <br />Acevedo <br />Date: 20. <br />COVERAGE <br />_ r r INSURER A: Sentry Select Insurance Company 21180 <br />INSURED INSURER B <br />Bragg Investment Company Inc DBA Coastline Equipment INSURER C: <br />PO Box 22732 <br />Long Beach, CA 90601-5732 INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 872689 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSVO <br />SUBRR W <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD <br />POLICY UP <br />MM/DO <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />DAMAGEToPREMISES RENTEDEaoxurrence <br />$100,000 <br />MED EXP (Any one person) <br />$ 5,00 <br />A <br />X <br />X <br />2425473004 <br />10/01/2023 <br />10/0112024 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$3.000,000 <br />GEN'L <br />X <br />POLICY JECOT LOC <br />PRODUCTS-COMP/OP AGO <br />$2.000,000 <br />$ <br />OTHER <br />I <br />I <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ 1.000.000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />°' <br />A TU OS ONLY A QSULED <br />2426473016 <br />10/0112023 <br />10/01/2024 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 10.000,000 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />2425473006 <br />10/01/2023 <br />10/012024 <br />X <br />AGGREGATE <br />$ 30,000,000 <br />OEO I <br />I RETENTION$ <br />PRODUCTS-COMP/OP AGO <br />530,000,000 <br />WORKERS COMPENSATION <br />PER <br />ANDEMPLOYERS'LIABILITY YIN <br />STATUTE <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNERIEXECUTIVE❑ <br />NIA <br />OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS be. <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />Employee Benefits Occurrence Limit <br />$ 500,000 <br />Emom& Omissions Annual Aggregate Limit <br />$1,000,000 <br />A <br />ERRORS & OMISSIONS <br />2425473008 <br />10/0112023 <br />10/01/2024 <br />Deductible <br />$ 1,000 <br />All Other Errors & Occurrence Limit <br />$ 250,000 <br />Omissions Annual Aggregate Limit <br />$ 500,000 <br />Deductible <br />1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <br />Refer to attached <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DE <br />Risk Management Division <br />THE EXPIRATION DATE THEI <br />20 Civic Center Piz Rm 429 <br />ACCORDANCE WITH THE POLIC' <br />Santa Ana, CA 92701AD58 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) Page 1 of 2 ©1988.2015 ACI <br />2425473 The ACORD name and logo are registered marks of ACORD <br />Sentry Select Insurance Company <br />1 00001 0000000000 24051 0 N b621cld5-clea4l9rr 052-glbd76c3lb9f <br />,s�yy=+� IUBAI R OY$ebern IJN9loM11 <br />H - �e REVI:wilio 1&pr.A°ppp�RCfV®Sr. <br />®' think ManagementISpectall <br />II <br />