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Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIVYYY) <br /> Ikkr..i- 08/15/2024 <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 CONTACT <br /> Fayez Kabour <br /> NAMEPrince Financial and Insurance Services PHONE 562 473-4444 x 230 FAX (855)484-2020 <br /> IA/C.No.EXu: ( ) (A/C,No): <br /> 444 W.Ocean Blvd E-MAIL FKABOUR@PrinceFinancial,net <br /> ADDRESS: h ��� p�� <br /> Suite 1102 A n g i e Acevedo (�Digitally si-INSOREFfrSI1iFFalArGeGWERAGE NAIL# <br /> Long Beach CA 90802 iNSuftERAe''i(flIMIAnlsiIrii nOZrt90 38920 <br /> INSURED INSURER B: Infinity Commercial Select Insurance Co 20260 <br /> Armstrong Cal Builders, Inc INSURER C: Midwest Employers Casualty Co 0098 <br /> PO BOX 249 <br /> INSURER D <br /> - <br /> INSURER E: <br /> Stanton CA 90680 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 LTR IANSD DDLBR <br /> POLICY NUMBER POLICY EFF POLICY EXP <br /> TYPE OF INSURANCE <br /> X (MM/DD/WYV) (MM/DDmmL LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X OCCUR DAMAGE TO RENTED 100,000 <br /> CLAIMS-MADE PREMISES(Ea occurrence) $ <br /> MED EXP(Any one person) $ 5,000 <br /> A X X 0100196860-02 06/30/2024 06/30/2025 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> PRO- <br /> POLICY JECT X LOC _PRODUCTS-COMP/OP AGG _$ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED X X 50011012101 06/28/2024 06/28/2025 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> $ <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE X X 0100209238-02 06/30/2024 06/30/2025 AGGREGATE $ 5,000,000 <br /> DED I I RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE I I W- <br /> AND <br /> EMPLOYERS'LIABILITY Y/N <br /> ANYPROPRIETOR/PARTNERIEXECUTIVE N!A X BNUWC0157339 06/28/2024 06/28/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> C OFFICER/MEMBEREXCLUDED, <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below 1,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> -General Contractor-CA License No.990992 <br /> -The City of Santa Ana is listed as an Additional Insured on the above referenced Policy. <br /> -PROJ NO.20-2731 <br /> -All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the Insured,and are subject to policy terms and <br /> conditions.Should any of the above described policies be canceled before the expiration date thereof,the issuing company will mail a 30 day(s)written notice <br /> to the certificate holder. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY P <br /> 20 CIVIC CENTER PLAZA-ROSS ANNEX <br /> o,;9rt,r,,.c Risk Managcmtent0[vision <br /> AUTHORIZED REPRESENTATIVE :' °� REVIEWED&APPROVED BY <br /> `) `i A Ac¢vdo <br /> SANTA ANA CA 92701 `I ''' Risk Management Specialist <br /> I <br /> ©1988-2015 ACORD / <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />