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AC-"J?CERTIFICATE OF LIABILITY INSURANCE 002212010120214DDmvvv <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 <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions off tge policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Sentry Customer Service <br />Sentry Insurance <br />1800 North Point Drive <br />PHONE FA% <br />A/C No E#: 800-073-fi879 AIC No: 800-514-7191 <br />EMAIL <br />ADDRESS: business mducts direct sen .mm <br />Stevens Paint, WI 54481 <br />INSURER(S) AFFORDING COVERAGE <br />NAIL # <br />INSURER A: Sentry Select Insurance Company <br />21180 <br />INSURED <br />INSURER B: <br />Pegg Investment Company Inc DBA Coastline Equipment <br />PO Box 22732 <br />INSURE0. C: <br />INSURER D: <br />Long Beach, CA 90BOI5732 <br />NSURER 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 />ADOL <br />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMDD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />CLAIM&MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGETO RENTED <br />PREMISES Ea owurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONALBADVIWURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT D LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGG <br />$ <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED r7 ASCHEDULED <br />AUTOS ONLY UTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />2425473005 <br />10/01/2023 <br />10/01/2024 <br />CEOMBINED accident SINGLE LIMB <br />a <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PPeROPERTY DAMAGE <br />race dent <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />DED I I RETENTION $ <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNER/EXECUTIVE❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory, In Ni <br />If DESCRIKION antler <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />S <br />A <br />POLLUTION LIABILITY <br />X CLAIMS -MADE OCCUR <br />NIA <br />2425473009 <br />10/01/2023 <br />10/01/2024 <br />AGGREGATE LIMIT <br />S 1,000.000 <br />POLLUTION INCIDENT DMIT <br />$1,000.000 <br />CLEANUP COSTS -COVERED <br />LOCATION LIMIT <br />$100,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center PR Rm 429 <br />Santa Ana, CA 92701AO58 <br />AUTHORIZED REPRESENTATIVE <br />f <br />ry�y+-'aide ruta[M<OO�emQ¢utYMleD <br />or. _ '.,. REVIEWED ✓S APPROVED Sr. <br />`I & <br />`® RYsk Management Specialist <br />The ACORD name and logo are registered marks of ACORD <br />Sentry Select Insurance Company <br />1 00001 0000000000 24051 0 N ecal4f2d-8e39-4001-a3f2Aa57fd431c01 <br />