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Home My WebLink AboutCOI_ Jermy Harris Construction Inc _12-12-25The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/12/2025 SIP Insurance Services -Orange 790 The City Drive South,Suite 210 Orange CA 92868 Brigitte Leber 626-214-7919 626-564-6565 brigitte@sipbrokers.com License#:0M93299 Gemini Insurance Company 10833 JEREHAR-02 Navigators Specialty Insurance Company 36056JeremyHarrisConstructionInc. PO Box 668 Riverside CA 92502 State Compensation Insurance Fund (CA)35076 Republic-Vanguard Insurance Company 40479 361656936 A X 1,000,000 X 100,000 5,000 1,000,000 2,000,000 X Y Y VCGP034799 10/24/2025 10/24/2026 2,000,000 D 1,000,000 X XX RVA107885900 12/9/2025 12/9/2026 B X 4,000,000 X AZ25EXCZ0JG13IC 4,000,000 10/24/2025 10/24/2026 C Y 9390598 12/1/2025 12/1/2026 X 1,000,000 1,000,000 1,000,000 Subject to all policy terms,exclusions and conditions. San Bernardino County Flood Control District and County of San Bernardino and its officers,employees,and volunteers are an Additional Insured with respects to attached General Liability endorsement if required by written contract.General Liability Primary and Non-Contributory endorsement attached.General Liability Waiver of Subrogation endorsement attached.Attached Workers Compensation Waiver of Subrogation endorsement applies if required by written contract. San Bernardino County and San Bernardino County Flood Control District Flood Control Permit Section 825 E.Third St.,Room 108 San Bernardino CA 92415 Endorsement Agreement Nothing in this endorsement shall be held to vary, alter, waive or extend any of the terms, conditions, agreements, or limitations of this policy other than as above stated. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, agreements or limitations in this endorsement. Countersigned and Issued at San Francisco November 26, 2025 2572 Authorized Representative President and CEO SF – END Rev. 2/2025 OLD DP 217 Waiver of Subrogation Blanket Basis 9390598-2025 Home Office Renewal San Francisco SC All Effective Dates are 5-19-66-10 at 12:01 AM Pacific Page 1 of 1 Standard Time or the Time Indicated at Effective December 1, 2025 at 12:01 AM Pacific Standard Time and Expiring December 1, 2026 at 12:01 AM JEREMY HARRIS CONSTRUCTION PO BOX 668 RIVERSIDE, CA 92502 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. The additional premium for this endorsement shall be 2.00% of the total policy premium. Schedule Person or Organization Any person or organization for whom the named Insured has agreed by written contract to furnish this waiver Job Description Blanket Waiver of Subrogation