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Insurance - Dependable Graham 2020-06-26OCAIRCO-01 LAUREN '4cvRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `- 6/26/2020 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Goodman Insurance Services, Inc. PHONE 949 769100 Fj0'X 949 769-3930 27042 Towne Centre Drive, Suite 120 (A/C, No, Ext): ( ) (Alc, No):( ) Foothill Ranch, CA 92610 ADDRESS: INSURED Dependable Graham Air Conditioning, Inc. 2952 Century Place Costa Mesa, CA 92626 INSURERA:Preferred Professional Insu INSURER B : INSURER C : _ INSURER D : INSURER E : INSURER F : CCIVFRAnPR r'_FRTIGIr_ATF AllIMRRR- 0C%11c1nk1 u111RADC0. 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [� OCCUR EACH OCCURRENCE $ _ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any oneperson) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERCOT- ( ] LOC PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) — $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY AMAGE Peraccident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATINI AND EMPLOYERS' L ABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE �Y/N OFFICER/MEMBER EXCLUDED? ' ] (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ON0999601 7/1/2020 7/1/2021 PER X STATUTE t I ERH E.L. EACH ACCIDENT 1,000,000 $ _ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ III DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of Insurance Certificate holders continued: Costa Mesa Sanitary District, their elected and appointed officials, agents, officers, volunteers, and employees r5=PTIFIf_ATF Wnl r1F12 PAKIPM 1 ATIf1A1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District ry THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 290 Paularino Avenue Costa Mesa, CA 92626 Y ✓ AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD