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OP ID: HF <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /DDIYYYY) <br />01/09/12 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 951 -676 -3365 <br />United Agencies, Inc. (M) <br />CA License #0262636 951 - 676 -3020 <br />27403 Ynez Rd., Ste. 110 <br />Temecula, CA 92691 <br />Ryan E. Hollander <br />Y <br />CONTACT <br />NAME: Held/ Farmani <br />365 _ - c N °I: 951 -676 -3020 <br />ANN ,EXn:951- 6763 a <br />- <br />- - - " -" <br />HNAa <br />ADDRESS: hfarmani @unitedagencies.com_ <br />PRODUCER #BELLB -1 <br />CUSTOMER ID : <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL_ LIABILITY <br />CLAIMS -MADE f -X� OCCUR <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED B @II BUIlding Maintenance CO. <br />INSURER A : Preserver Insurance Company <br />15586 <br />Mrs. Yang Chanhee <br />5170 Sepulveda Blvd., #180 <br />INSURER B: Century Surety Company <br />36951 <br />- -- — - - - <br />- - <br />Sherman Oaks, CA 91403 <br />INSURER C: <br />- <br />PERSONAL & ADV INJURY <br />$ 1,000,00 0 0 <br />INSURER D: <br />F43URER E. <br />INSURER F: <br />GENERAL AGGREGATE <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 />ILTR- <br />TYPE OF INSURANCE <br />L <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDDIYYYY <br />_ -- - - — _ _ -- - -- -- - -.-- _— - - — _ -- <br />LIMITS <br />B <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL_ LIABILITY <br />CLAIMS -MADE f -X� OCCUR <br />X <br />X <br />CCP742906 <br />01/10/12 <br />01/10/13 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES �a occurrenceZ <br />$ _ 100,00 <br />MED EXP (Any one person)_ <br />$ 6,00 <br />- <br />PERSONAL & ADV INJURY <br />$ 1,000,00 0 0 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />PRODUCTS - COMP /OP AGG <br />$ 1,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />X POLICY PRO- I LOC <br />$ <br />AUTOMOBILE <br />- -- <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED AUTOS <br />- - - -- ---- - - -__. <br />_.. - - -- -__ —_ <br />BODILY INJURY (Per accident) <br />-- <br />$ <br />SCHEDULED AUTOS <br />-- -. - - -- - - - - -- <br />- - <br />PROPERTY DAMAGE <br />(Per accident) <br />HIRED AUTOS <br />$ <br />NON -OWNED AUTOS <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />XCESS LIAB <br />IICLAIMS <br />-MADE <br />AGGREGATE <br />T <br />EDUCTIBLE <br />$ <br />$ <br />ETENTION $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />WCC 0004991 <br />06/02/11 <br />06/02/12 <br />WC STATU- I JOTH- <br />X TORY LIMITS 1 <br />_ _ER__. <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />- - - -- — <br />E.L. DISEASE - EA_EMPL_OYE <br />— - -- - <br />$ 1,000,000 <br />(Mandatory In NH) <br />Dyes, describe under RIPTION OF OPERATIONS below <br />DESC <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Certificate holder, its oficers, agents, and employees are named as <br />additional insured in regards to General Liability where required by <br />contract, subject to actual policy terms and conditions. <br />CITYOFS <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />M <br />©1988 -2009 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD <br />