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,acoRV CERTIFICATE OF LIABILITY INSURANCE OP ID <br />DATE (MM/DD/YYYY) <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />BgLLB -1 <br />04/23/10) <br />4 23 lU <br />PRODUCER <br />TYPE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />United Agencies, Inc. (M) <br />POLICY <br />DATE MWDDm N <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />CA License #0252636 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />27403 Ynez Rd., Ste. 110 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Temecula CA 92591 <br />$ <br />DA ENIE:D-' <br />PREMISES Ea occurence <br />Phone: 951- 676 -3365 Fax:951- 676 -3020 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A: Tower Select Insurance Company <br />INSURER B: <br />Bell Building Maintenance Co.* <br />Mrs. Yang Chanhee <br />INSURERC: <br />_ <br />5170 Sepulveda Blvd. #180 <br />$ <br />INSURER D: <br />Sherman Oaks CA 91405 <br />- <br />- - -- - - - -- <br />INSURER E: <br />$ <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDD <br />POLICY <br />DATE MWDDm N <br />LIMITS <br />AUTHORIZED REPRESENTATIVE <br />[Ryan <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DA ENIE:D-' <br />PREMISES Ea occurence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ',� OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY 'i , PRO- LOC <br />JECT <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) <br />BODILY INJURY <br />$ <br />_ HIRED AUTOS <br />NON -OWNED AUTOS <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />- <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />f OCCUR F—I CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />$ I TORY L 'IM 'IT I ER <br />A <br />EMPLOYERS'LIABILITY <br />WCC 0004991 01 <br />05/02/10 <br />05/02/11 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Insured Bell Building Maintenance Co.'(Janitorial Contractor) holds the <br />required state statutory limits for workers compensation as required by the <br />certificate holder. <br />laK 111'IGAl C MULUtK CANCELLATION <br />CITYOFS <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City of Santa Ana <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />REPRESENTATIVES. <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />[Ryan <br />8. Hollander <br />A%,VKU Zo tZVUUUGj 0 ACORD CORPORATION 1988 <br />