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A RO CERTIFICATE OF LIP <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITL <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: 11 the certificate holder is an ADDITIONAL INSURED, the <br />the terms and conditions of the policy, certain policies may require an E <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />HANSOL FINANCIAL & MARKETING INSURANCE <br />3598 BEVERLY BLVD <br />LOS ANGELES CA 90004 <br />INSURED <br />CHAN H YANG <br />dba: Bell Building Maintenance, co <br />5170 Sepuveda blvd, suite 180. <br />Sherman Oaks, CA 91403 <br />POLICY EFF POLICY EXP <br />MMlDD MMI DIYYYY LIMITS <br />EACH <br />UVERAGES CERTIFICATE NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED E AIM D ABO EBFOR 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 />R ADDL SUB <br />R TYPE OF INSURANCE R <br />GENERAL LIABILITY POLICY NUMBER <br />1:7 MERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F__1 OCCUR <br />Fl <br />LIMIT APPLIES PER <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />INSURER D <br />INSURER E <br />INSURER F <br />UVERAGES CERTIFICATE NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED E AIM D ABO EBFOR 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 />R ADDL SUB <br />R TYPE OF INSURANCE R <br />GENERAL LIABILITY POLICY NUMBER <br />1:7 MERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F__1 OCCUR <br />Fl <br />LIMIT APPLIES PER <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />A <br />[04317391-8 <br />HIREDAUTOS <br />I V <br />SCHEDULED <br />AUTOS <br />NON -OWNED <br />AUTOS <br />DATE L 0 BILITY INSURANCE oQ <br />Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />ndorsement. A statement on this certificate does not confer rights to the <br />CONTACT <br />NAME: <br />PHONE .2l3- 487 -4900 FAX 213 -487 -6589 <br />E -MAIL A/C No <br />A R <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A <br />INSURER 8: PROGRESSIVE CASUALTY COMPANY <br />INSURER C: <br />UMBRELLA LIAB OCCUR <br />EXCESS LIAB HCLAIMS-MAOE <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR /PARTNER /EXECUTIVE Y / N <br />OFFICER /MEMBER EXCLUDED? N f A <br />(Mandatory In NH) F7 <br />If yyes, describe under <br />DESCRIPTION OF OPFRnTnniC k.i .... <br />OCCURRENCE $ <br />DAMAGE � RENTED <br />PREMI S Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP /OP AGG $ <br />04 -14 -12 04 -14 -13 OaacBoi"deDISINGLELIMIT <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Par accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />8 <br />EACH OCCURRENCE $ <br />AGGREGATE g <br />$ <br />WC STATU- OTH- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />E.L.DISEASE - POLICY LIMIT. $ <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required), <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />P.O. BOX 1988 <br />SANTA ANA, <br />ACORD 25 (2010/05) <br />CANCEL <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 />IAUTHORIZED REPRESENTATIVF/j a- <br />@ _ <br />CA 92702 ,,/��! // / <br />1988 -2010 ACORD CORPORATION. All rights reserv <br />ed. <br />The ACORD name and logo are registered marks of ACORD <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required), <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA <br />P.O. BOX 1988 <br />SANTA ANA, <br />ACORD 25 (2010/05) <br />CANCEL <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 />IAUTHORIZED REPRESENTATIVF/j a- <br />@ _ <br />CA 92702 ,,/��! // / <br />1988 -2010 ACORD CORPORATION. All rights reserv <br />ed. <br />The ACORD name and logo are registered marks of ACORD <br />