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PREMI-9 OP ID: DC A�Q--- CERTIFICATE OF LIABILITY INSURANCE DATE/14/2024Y) 08/14/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER 562-697-6200 CONTACT Derek Jimenez Caldwell Insurance A enc Inc. NAME: License#0664607 g y PHONE Ext:56 !-69 r,r • F • ile 6 481 E.Whittier Blvd.,Ste.0 E-MAIL I In 211E I ' La Habra,CA 90631 ADDRESS: Derek Jimenez I ISURER(S)AFFORDING COVERAGE NAIC t INSURERA:Impf�iUr�.jD@yfan 5 JimenezINsuRED Premier Post Services West �u�JJ// PO Box 1867 INSURER B: Anaheim,CA 92816 INSURER C: INS 'ERD: AD E 2024.09.05 COVERAGES AlceBYe 0 • I I I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA\ P"_EN ISSUED TO TT1E5t9REDE Ell BFO Ff£ POOVRIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 0: ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER TYPE OF INSURANCE POLICY EFF POLICYM/DOEXP LTR JNSp wYO, POLICY NUMBER fMM1DnlYYYY) fMM/DDIYYYY) LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS-MADE X OCCUR y y ,IIC-GL-08936-01 08/09/2024 08/09/2026 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 6,000 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC I 2,000 000 PRODUCTS-COMP/OPAGG $ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT fEa accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSE ONLY AUTOS y�� BODILY INJURY(Per accident) $ AUTOS ONLY AUUTNOS ONLY (Perracciident)DAMAGE $ I _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE I$ EXCESS LIAB I CLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION I STATUTE I 2P- I AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NI-I) E.L DISEASE-EA EMPLOYEE,$ If yes,describe under _DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as Additional Insured to the General Liability policy only, per written contract. Attached applicable endorsement form #: IIC GL 50 04 10 17. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division o a AUTHORIZED REPRESENTATIVE Rtsk�EDtvfslmt 20 Civic Center Plaza REVEWED&APPRovEDBr: , Santa Ana, CA 92702 _ I Jr 1 P D1 f `lI ' A.�,�4 Aezv O MEM ---- Risk Management Specialist i ACORD 26(2016/03) ©1988-2015 ACORD CCU The ACORD name and logo are registered marks of ACORD