BELL BUILDING MAINTENANCE COMPANY 2C - 2012

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OP ID: HF ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 04/27/12 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 United Agencies, Inc. (M) CA License #0252636 951-676-3020 27403 Ynez Rd., Ste. 110 Temecula, CA 92591 Ryan E. Hollander Y CONTACT Heidi Farmani PH ONE FAX A/C No Ext : 951 - 676 -3365 (AIC No): 951 - 676 -3020 E -MAIL ADDRESS: hfarmani@unitedagencies.com PRODUCER BELLE -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Bell Building Maintenance Co. Mrs. Yang Chanhee 5170 Sepulveda Blvd., #180 Sherman Oaks, CA 91403 INSURER A: Preserver Insurance Company 15586 INSURER B: Century Surety Company 36951 INSURER c -- INSURER D; EACH OCCURRENCE INSURER E: B INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO 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. INSR LTR I TYPE OF INSURANCE DDL UBR V POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL X X CCP742906 01110/12 01/10113 PREMISES Ea occurrence $ 100,000 ,�LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP /OP AGG $ 1,000,000 X POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) -- $ ALL OWNED AUTOS - - BODILY INJURY (Per accident) $ SCHEDULED AU TOS HIRED AUTOS? - d PROPERTY DAMAGE (Per accident) -- $ NON- OWNEDAUTOS .. r ! "- yJ��F.� `�,.° ,. - --- -- __... $ $ UMBRELLA LIAB OCCUR i'; EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ NIA WCC 0004991 05/02/12 05/02/13 WC STATU- OTH- X T RY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 - -- E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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. LuII CITYOFS City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .l ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD