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Insurance - Dependable Graham 2021-06-22OCAIRCO-01 LAURFN CERTIFICATE OF LIABILITY INSURANCE DATE (M 6/22//20212021 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(les) 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 Goodman Insurance Services, Inc. 27042 Towne Centre Drive, Suite 120 Foothill Ranch, CA 92610 CONTACT NAME: IPHONE g49 769-3100 FAX (A/C, No, Ext): ( ) (A/C, No):(949) 769-3930 ( E-MAIL INSURERS AFFORDING COVERAGE NAIC # POLICY EFF INSURER A: Service American Indemnity CompanyV 39152 INSURED INSURER B : INSURER C : Dependable Graham Air Conditioning, Inc. 2952 Century Place Costa Mesa, CA 92626 INSURER D: INSURER E: INSURER F: COVERAGES CFRTIFIrATF KII IMRFR- 0ev1e1ns1 un inno=o. 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 LTR TYPE OF INSURANCE ADDL INSD SUBR 1 VivoMM/DD/YYYY POLICY NUMBER POLICY EFF POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L7 OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISE Ea occurrence $ MED EXP (Any oneperson) $ - PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El PE� GENERAL AGGREGATE $ LOC I PRODUCTS -COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I $ ANY AUTO Ea accident BODILY INJURY Per erson OWNED SCHEDULED AUTOS ONLYAUTOS BODILY INJURY Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY I 1 PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ EXCESS LIAB CLAIMS -MADE) AGGREGATE DED RETENTION $ _$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y/ N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N / A ( SAMTWC0072800 7/1/2021 7/1/2022 1,000,000 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEEI $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 �� i I 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Costa Mesa Sanitary District ^� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN f 290 Paularino Avenue , ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92626 AUTHORIZED REPRESENTATIVE AC:UKU Z5 (2096/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD