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ACC)RV® CERTIFICATE OF LIABILITY INSURANCE <br />km�THIS <br />DA3E(MMIDO 5 NWY) <br />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(les) 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 <br />CONTACT NAME: Ken Palk <br />KP Insurance Services <br />1331 5th Street Ste 12 <br />QPHONE . 213)820-3943 ac No: <br />R-MAIL ADDRESS: kGn.paik@yahoo.com <br />ken. ahoo.com <br />INSURERS AFFORDING COVERAGE <br />NAICR <br />Glendale, Ca 91201 <br />INSURER A: Infinity Insurance Company <br />INSURED <br />INSURER a: <br />Bell Building Maintenance <br />INSURERC: <br />-INSURER 0: <br />5170 Sepulveda Blvd. <br />INSURER E: <br />Sherman Oaks, Ca 91403 <br />INSURER F <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 />INSR <br />LTR <br />TYPE OF <br />A <br />BR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDO <br />POLICY EXP <br />IDO <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO ENTEO <br />PREMISES E pccurre ce <br />$ <br />MED ExP LAny one person) <br />$ <br />_ <br />OR <br />PERSONAL &ADV INJURY <br />$ <br />I_ AGGREGATE LIMIT APPLIES PER: <br />POLICY JECOT LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - GOMP/OP AGG <br />$ <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL UTOS ANED f( gUTOSULED <br />HIRED AUTOS NON -OWNED <br />�Ir <br />- <br />$045129902 <br />04/14/201404114E2015 <br />COMBINEDSINGLE LIMIT <br />Es accident <br />$ <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />.$ <br />PROPERTY <br />accident DAMAGE <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />wed <br />Rev(ewed <br />- <br />y. <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORIPARTNERIE%ECUTNE <br />OFRCERIMEMBER EXCLUDEDT <br />(Myyandatory in NH) <br />0ES RIPTION OF OPERATIONS below der <br />N/A <br />Gm <br />f <br />STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />Silvia Cuevas <br />E. L. DISEASE -POLICY LIMIT I <br />$ <br />PRCSA/Ad <br />in. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Romarks Schedule, may be aaacnad if more space is requirod) <br />Insured is a janitorial service contractor. <br />The certificate holder is named as an additional insured of the policy. <br />City of Santa Ana <br />Purchasing Department <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 REPRESENTATIVES <br />01988-2014 ACORD CORPORATION. All rolvIR renamed. <br />ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD <br />