BELL BUILDING MAINTENANCE COMPANY 1A - 2008

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OP ID: HIF A`C^ fO� RO CERTIFI�►TE OF LIABILITY INSL*PtANCE DATE 9 / 111YYJ 01109112 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 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 951- 676 -3365 CONTACT NAME: Heidi Farmani United Agencies, Inc. ( M ) FA% CA License 40252636 951-676-3020 PHONE tAtP, NQ -951- 676 -3365 �X_k.Z._951- 676 -3020 _ 27403 Ynez Rd., Ste. 110 E -MAIL hfarmani uniteda encies.cam Temecula, CA 92591 PRODUCER O: _9._ __- Ryan E. Hollander .(D :BELLB -1 INSURERS AFFORDING COVERAGE I NAIC Y INSURED Bell Building Maintenance Co. INSURER A: Preserver Insurance Company 15586 Mrs. Yang Chanhee INSURERB:Centu Sure Com an 136951 ._.._.P y- - - 5170 Sepulveda Blvd., #f180 wsuRERC: Sherman Oaks, CA 91403 __ __ - -- - — - -- INSURER D : INSURER E : ? INSURER F : COVFRAGFS CERTIFICATP NIINIRGR• Dcvtclnu \u IaaDCD. THIS IS TC CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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. City of Santa Ana INSR i ADDLSUSFT---- - - - - -_ POLL EF LTR TYPE OF INSURANCE POLICY NUMBER MM1DD/YYYY P TL`i'ERP MM /DDlYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE ; S 1,000,00 B X CORnbtERCIAL GENERAL LIABILITY X X CCP742906 i 011110112 01110!13 PREMISE SLEa clew range ' S 100,00 i C_AIMS -WADE X OCCUR ! MED EXP (Anyone person) I $ 5,00 PERSONAL S ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: ..: PRODUCT$ - COMP/OP AGG $ 1,000,00 PRO- X POLICY LOG _... _ -- S AUTOMOBILE LIA131LITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO ' _....... ... —. BODILY INJURY (Per person) S ALL OWNED AUTOS - --- - - - -- - - -- S BODILY INJURY (Per accident) SCHEDULED AUTOS I HIRED - PROPERTY DAMAGE $ AUTOS I (Per accident) — -4- -' 1 NON- OV.NEO AUTOS S - - -- — $ UMBRELLA LIAR OCCUR . EACH OCCURRENCE § j EXCESS LIAB CLAIMS -MADE AGGREGATE S DEDUCTIBLE I - - -- § - .._..---- RETENTION $ § WORKERSCOMPENSATION I VVC STATl1_ OTH- X AND EMPLOYERS' LIABILITY I $ 1,000,00 A A.NY PRO- RIE- CR %PAR'NER/EXE�CUTIVE Y� WCC 0004991 � 05/02/11 �, 05/02/12 E.LEACHACCIDENT ^FFICERrMEMBER EXCLUDECI 1 N/A .. —_ - (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 1,000,00 .yes cescr, be uncle, -- - _ DESCRIPTION OF OPERA.TaONS below ( E.L DISEASE - POLICY LIMIT S 1,000,00 i DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder, its oficers, agents, and employees are named as additional insured in regards to General Liability where required by contract, subject to actual policy terms and conditions. 1 :F•K 1 IF 11_Y 1 F Nr 11 IIFA - I^ A, CITYOFS 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. 20 Civic Center Plaza Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE V 19ss -2009 ACURD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD