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k. 2-0c6: pps <br />USNATIO-01 ARAMOS <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE41121DDrrVYY) <br />112I2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER License #OE83493 CONTACT <br />Nam; <br />Orr &Associates Insurance Services PHONE <br />28760 Single Oak Dr (AIC, No, Eat): (951) 506-5859 Fkc, No):(800) 474-3003 <br />Ste 255 nD BESs, service@ orrandassociates.com <br />Temecula, CA 92590 <br />_ INSURERISIAFFORDING COVERAGE NAICe <br />-- - _ _ INSURERA:InsDranDe COmpanY Of the West ICW '27847 <br />INSURED <br />_ INSURER B <br />US National Corp dba Jimenez Painting Company INSURER C: <br />10205 San Fernando Rd <br />INSURER D <br />Pacoima, CA 91331 - - - <br />INSURER E <br />INSURER F: <br />'- - KCVWIUN NUMtlCK: <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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP <br />Sp POLICY NUMBER LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE _ $ <br />CLAIMS -MADE OCCUR DAMAGE TO RENTED <br />-- PREMISES $. <br />MEO EXP (Any one personl_ $ <br />— - -- PERSONAL B ADV INJURY $ <br />GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br />POLICY JECT LOG _PRODUCTS - COMP/OP AGG $ _ <br />OTHER <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />ANY AUTO _LEd accident - $ <br />OWNED --SCHEDULED BODILY INJURY (Per erson_ $ <br />-AUTOS ONLY _ AUTOS HIRED NON-0WNEBODILY INJURY PROPERTY DAMAGE <br />Per accident) $ <br />p <br />- AUTOS ONLY AUTOS ONLY _(Peracciden0 $ - <br />- UMBRELLA LIAR _ OCCUR _EACH OCCURRENCE _ $ <br />EXCESS LIAB CLAIMS -MADE - - <br />- - - - .AGGREGATE _ $ _ <br />DED RETENTION$ -- <br />A WORKERS COMPENSATION PER OTH- <br />ANDEMPLOYERS'LIABILITY - XST TUTE ER _ <br />ANY PROPRIETORPARTNERIEXECUTIVE Y(N WTX504443000 11/14/2018 11/14/2019 E.L. EACH ACCIDENT _ $ 1AN1000 <br />(MandatoryOIFICEWMin ER EXCLUDED' NIA 1,000,000 <br />If (Mandatoryin) - - E.L. DISEASE -EA EMPLOYEE $ Dyes, describe under 1,000,000 <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 8 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana Public Works Agency Water ACORD <br />Division is named as the certificate holder. <br />r�EVIEWED BY: <br />-PAGE <br />City of Santa Ana <br />Public Works Agency <br />Water Resources Divison <br />220 S Daisy Ave <br />Santa Ana, CA 92701 <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 REPRESENTATIVE <br />v I UtR1.2U15 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />