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Last modified
7/10/2018 1:25:59 PM
Creation date
7/10/2018 10:41:09 AM
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Contracts
Company Name
CITYNET
Contract #
A-2018-133-03
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/15/2018
Expiration Date
6/30/2019
Insurance Exp Date
1/11/2019
Destruction Year
2024
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIDDII'YYn <br />F <br />101/1112016 <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 be endorsed. It 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 endorsament(a). <br />PRODUCER <br />WEA Insurance <br />13304 Philadelphia Street <br />Ste 200 <br />Whittier CA 90601 <br />COMTAOT Marla Fredandall <br />PHONE .662 769-6704 FAx • 682 769.5604 <br />'MAIL License #OD79617 <br />INSURER(S) AFFORDING COVERAGE <br />INSu ERA; Philadelphia Indemnity Ins Company <br />INSURED <br />Kingdom Causes dba: City Net <br />PO Box 90243 <br />Long Beach CA 90609 <br />INSURER B: Hircox Insurance Company Inc. <br />INSURER O: <br />INSURER D <br />RE E <br />rl <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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />/NSRTYPE <br />OF INSURANCE <br />ADDL <br />SUB <br />NUMBER <br />POLICY EFF <br />(MMMDD�l <br />POLICYEXPPOLICY <br />fvwobdyyw� <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />2 000 000 <br />DAMAGE TO RENTEDPREMISES (Ea ocourranon) <br />$100000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FXIOCOUR <br />Y <br />PHPK1763587 <br />01/11/2018 <br />01/11/2019 <br />MEDEXP An ane arson <br />$5,000 <br />PERSONAL&ADV INJURY <br />2,000,000 <br />X Sexual Abuse• 2mil/2mil <br />GENERAL AGGREGATE <br />A000,000 <br />000 <br />GEN'LAGGREGATE <br />LIMIT APPLIES <br />PERS, <br />PRODUCTS - COMP/OP AGG <br />$4,000,000 <br />X POLICY <br />F7 <br />PRO <br />LOC <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT(Ea accident) <br />1 000000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANY AUTO <br />AUTO&NEtl SCHEDULED <br />AUTOS <br />Y <br />PHPK1763587 <br />01111/2018 <br />01/19/2019 <br />BODILY INJURY (Per acoldont) <br />$ <br />PROPERTY DAMAGE <br />X HIRED AUTOS X ANONUOSWNED <br />$ <br />UMRRELLALKS <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAR <br />CLAIMS -MADE <br />O <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTFI- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORPARTNERIEXECUTIVl7� <br />OFFICER/MEMBER EXCLUDED? LJ <br />NIA <br />E.L. EACH ACCIDENT <br />E.L. DISEASE . EA EMPLOYEE <br />(Mandatory In NH) <br />Il yea deaooe andel <br />DESL IP /ONO PE <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Directors& Officers Liability <br />Y <br />PHSD1299228 <br />01/1112018 <br />01/11/2019 <br />$1Mill$1Mil $2,500, dad. <br />B <br />Privacy Liability <br />Y <br />MPL1841282.17 <br />10/1912017 <br />10119/2018 <br />$1,000,000 Limit <br />DESCRIPTION W OPERATIONS I LOCATIONS I VEHICLES IAnmh ACORD 101, Additional Remarks SChadule, It more space Io roqulrod) <br />The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional Insured with respects to the <br />operations of the named Insured per the attached CG20261185 endorsement. Such Insurance is primary and non-contributory. <br />1 <br />10 Das Notice of Cancellation for non-payment' 30 Das Notice other than non- a ment- Coverage Is Primary & Non -Contributory <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />©1969.2010 ACORD <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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