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ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YWY) <br /> �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 NAME:CONTACT <br /> Fayez Kabour <br /> Prince Financial and Insurance Services INC.No.Ext): (562)473-4444 x 230 I WC No): (855)484-2020 <br /> 444 W.Ocean Blvd ADDRE FKABOUR@PrinceFinancial.net <br /> ADDRESS: (� p�� Q�� <br /> Suite 1102 Angie Acevedo nDigitally siOEFt6)AFFORDING'LVWERAGE NAIC# <br /> Long Beach CA 90802 ,NsuRE6e ' sirgnislri 1f#rtTlesqrir 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 INSURER D: <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 ADDL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE _IMO_wvo POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY). LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X OCCUR DAMAGE TO RENTED <br /> CLAIMS-MADE PREMISES(Ea occurrence) $ 100,000 <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 t <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> $ <br /> UMBRELLA LIAB X OCCUR <br /> EACH OCCURRENCE g 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 RETENTION$ $ <br /> WORKERS COMPENSATION X STATUTE I I ERH AND EMPLOYERS'LIABILITY Y/N <br /> C OFFICER/M MBEREXCL DED?ECUTIVE N/A X BNUWC0157339 06/28/2024 06/28/2025 E.L.EACH ACCIDENT $ 1,000,000 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I 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 RE DELIVERED IN <br /> CITY OF SANTA ANA ACCORDANCE WITH THE POLICY P \ / <br /> �"',' Risk Ma ugment Divisirm <br /> 20 CIVIC CENTER PLAZA-ROSS ANNEX REVIEY/ED&APPROVED BY:AUTHORIZED REPRESENTATNE t' <br /> ai y <br /> SANTA ANA CA 92701 1 A Atevdo <br /> �' Risk Management Spedalist <br /> ©1988-2015 ACORD / \ <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />