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,ACOREl CERTIFICATE OF LIABILITY INSURANCE DATE(MM:OD.YYYY)
<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 /> NAME: Nicole Moreno
<br /> PO BOX 10160 PHONE
<br /> O No.Fxtl: 86 i-57 335 ••{' I c FAX 800 9 3293
<br /> Santa Ana CA 92711-0730 ADMDRIESS: corn ner (�J81�p�i G CQp' �V
<br /> j e INSU ER(_5)✓AFFOiRDING C VVERAGE NNAIC#
<br /> INSURER A:Cali lr l 't 1 38342
<br /> INSURED Vicente Martinez INSURER B: •
<br /> /�v /'�
<br /> DBA: Premier Pest Services West INSURER D: Date: 2 O 2 1 .O/ r 2 O
<br /> 713 N.Hawthorn St
<br /> Anaheim CA 92805Aceved •
<br /> RF. 1
<br /> r2Er F: 15.22.22 -0/7
<br /> '00'
<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 ADDCSUBRI
<br /> LTR TYPE OF INSURANCE �NCr� POLICY NUMBER POLICY YFF POLICY EXP `
<br /> ("u_� tMM+DDrYYYY) lMM!DDIYYYYI LIMITS
<br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
<br /> DAMAGETO RENTED
<br /> CLAIMS-MADE El OCCUR ;PREMISES(Ea occurrence) S
<br /> MED EXP(Any one Peron) S
<br /> - PERSONAL&ADV INJURY $
<br /> GEM_AGGREGATE LIMIT APPLIES PER
<br /> GENERAL AGGREGATE S
<br /> POLICY n PE2,, LOC PRODUCTS COMP/OP AGG $
<br /> OTHER 5
<br /> AUTOMOBILE LIABILITY u I I BA040000054760 09/11/2024 09/11/2025 L acINEU SINGLL LIMIT 5 1 OOO OOO
<br /> �Ea accident , ,
<br /> -ANY AUTO BODILY INJURY(Per person) 5
<br /> A OVrNED SCHEDULED BODILY INJURY(Per accident) S
<br /> AUTOS ONLY _ NON-O 'PROPERTY DAMAGE
<br /> HIRED NNON-OWNED5
<br /> AUTOS ONLY `� AUTOS ONLY (Per accident)
<br /> 5
<br /> UMBRELLA LIAB _ OCCUR u u EACH OCCURRENCE S
<br /> EXCESS LIAB _CLAIMS-MADE I AGGREGATE S
<br /> DED n RETENTIONS I I S
<br /> WORKERS
<br /> AND EMPLOYOENRS'PENSATION LIABILITY YIN TA
<br /> AND ORH-
<br /> ANYPROFRI ETOE'P„RTNER:EXECUTIVE
<br /> OFFICERIMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT S
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes describe under -- - -
<br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S
<br /> uu
<br /> 00
<br /> DESCRIPTION OF OPERATIONS:LOCATIONS.VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached if more space is required)
<br /> Re: Elevated Tank,Cambridge Station,East Station,J Garthe Station,South Station,West Station,Well 16,18,20,21,24,26,27,28,29,30,
<br /> 31,32,33,34,35,36,37,38,39,40,41,PRV-1,PRV-2,PRV-3,PRV-4,Maxine,Segerstrom, SA-1, SA-2,SA-3,SA-4, SA-5, 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF N( TICF wll I RF OFl IVFPFr IN
<br /> Risk Management Division ACCORDANCE WITH THE POLICY PRC\ /
<br /> 20 Civic Center Plaza =`.-r�ortg'T Risk Management Division
<br /> y REVIEWED&APPROVED BY:
<br /> Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE 3: �i
<br /> °I'1I1 Ili ' A Aczvar>Co
<br /> �, 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 />
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