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ACORO CERTIFICATE OF LIABILITY INSURANCE <br />`� <br />DATE(MM/DDNYYY) <br />04/18/2018 <br />THIS 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(ies) 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 />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />520 Madison Avenue <br />32nd Floor <br />CONTACT <br />NAME: <br />PHONE N Ea,($$$) 202-SOOT ac No <br />E'MAIL <br />ADDRESS, contact(dJhiscox.com <br />INSURFRISI AFFORDING COVERAGE <br />NAICi1 <br />New York, NY 10022 <br />INSURERA: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />Steven Hernandez dba Water Wise Pro <br />1621 Memorial Drive <br />INSURER B <br />INSURER C: <br />Apt. C <br />INSURER D : <br />R INSUREE <br />Hollister, CA 95023 <br />NSURER F: <br />L;UVI=KAUt:b CERTIFICATE NUMBER: RFVISInM NIIMRFR- <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 />MISS <br />LTR <br />TYPE OFINSURANCE <br />AODL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/1'YYY <br />POLICYEXP <br />MMIDD/YYYYI <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I —XI OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED-- <br />PREMISES Ea umumencel <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL S ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />UDC-1955669-CGL-18 <br />04/18/2018 <br />04/18/2019 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY EPRI <br />Ea FILOC <br />GENERAL AGGREGATE <br />$ 2.000,000 <br />GEN'L <br />X <br />PRODUCTS - COMP/OP AGG <br />sSIT Gen. Agg <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Peraoddent) <br />$ <br />HIRED AUTOS AUTOSWNED <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEMBEREXCLUDEDI ❑ <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />City of Santa Ana, its officers, employees, agents and representatives are named as additional insured. Specifically the city water division whose services will be given to. <br />`i�lg118 � PePfG %aft <br />City of Santa Ana its officer <br />ves <br />220 S Daisy Ave <br />Santa Ana, CA 92703 <br />employees, agents and representati 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 />� N R 4. <br />ACORD 25 (2014/01) <br />The ACORD name and logo are registered marks of ACORD <br />All rights reserved_ <br />