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Last modified
4/13/2021 3:08:47 PM
Creation date
7/5/2018 11:16:18 AM
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Contracts
Company Name
MVR CONSULTING
Contract #
A-2018-150
Agency
PUBLIC WORKS
Council Approval Date
6/5/2018
Expiration Date
6/4/2020
Insurance Exp Date
2/22/2022
Destruction Year
2025
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GVPVE-1 <br />ACo/z0` CERTIFICATE OF LIABILITY INSURANCE <br />D TE (MMIDDNYYY) <br />0 811 512 8 <br />081151201 8 <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(les) 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 endorsement(s). <br />PRODUCER 916-773-3800 <br />ISU/Francis-Pinney Ins. <br />2266 Lava Ridge Court Ste 200 <br />P.O. Box 619050 <br />Roseville, CA 95661-9050 <br />CONTACT Dianne Nielsen <br />NAME: <br />PHONE 916-773-3800 FAX 916-773-4484 <br />(AIC, No, Ext): (AIC, No): <br />E-MAIL <br />ADDRESS: <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Bruce Winning <br />INSURERS AFFORDING COVERAGE <br />NAIC IN <br />INSURER A:Philadelphia lnsuranceCom pan <br />18058 <br />INSURED GVP Ventures Inc., <br />INSURER B. Hartford Insurance Group <br />22357 <br />DBA: Bob Murray&Associates <br />1544 Eureka Road, Ste. 280 <br />INSURER C. Sentinel Insurance Company Ltd <br />11000 <br />INSURER D: <br />06/16/2018 <br />Roseville, CA 95661 <br />INSURER E <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />1,000,000 <br />$ <br />INSURER F <br />MED ERR (Any one arson <br />$ 10,000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSRTYPE <br />LTR <br />OF INSURANCE <br />ADDL <br />INSD <br />SUB <br />VIVID <br />POLICY <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />MMIDDIVVVV <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS <br />LKOCCUR <br />Y <br />Y <br />57SBABG7707 <br />06/16/2018 <br />06/16/2019 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />1,000,000 <br />$ <br />X <br />MED ERR (Any one arson <br />$ 10,000 <br />C <br />Professional E&O <br />PHSD1363791 <br />07/10/2018 <br />07/10/2019 <br />Claims Made <br />PERSONAL a ADV INJURY <br />$ 2,000,000 <br />GEN <br />L AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />$ 4'000'000 <br />X <br />POLICY � JECT � LOC <br />PRODUCTS-COMOOPAGG <br />$ 4,000,000 <br />Prof Liab <br />$ 1,000,000 <br />OTHER.. <br />AUTOMOBILE LIABILITY <br />COMB NEC SINGLE LIMIT <br />(Ed accident <br />$ <br />BODILY INJURY Per arson <br />$ <br />ANY AUTO <br />Y <br />57SBABG7707 <br />06/16/2018 <br />06/16/2019 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />accident) <br />$ <br />X HIRED )( NON-OWN—D <br />AUTOS ONLY AUTOS ONLY(Per <br />A -NH <br />$ 2,000,000 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOVERS'LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE VD <br />OFFICERMEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />Y <br />57WBCGG0320 <br />06/16/2018 <br />06/16/2019 <br />X PER OTH- <br />STATUTE ER <br />EL EACH ACCIDENT <br />1,000,000 <br />$ <br />ELDISEASE-EAEMPLOYEE <br />$ 1,000,000 <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />EL.DISEASE -POLICY LIMIT <br />1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Executive Recruitment of Director of Finance & Management Services <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are included as additional insure) as required by written <br />ds <br />contract per the attached endorsement(s). Waiver ofi subrogation applies per <br />the attached endorsements <br />CERTIFICATE HOLDER CANCELLATION <br />SANT-37 <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 />City Of Santa Ana <br />Human Resources Dept <br />20 Civic Center Plaza M-24 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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