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WATER WISE PRO TRAINING
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Last modified
10/31/2018 3:53:34 PM
Creation date
8/13/2018 10:19:09 AM
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Contracts
Company Name
WATER WISE PRO TRAINING
Contract #
N-2018-158
Agency
Public Works
Expiration Date
6/30/2019
Insurance Exp Date
2/20/2019
Destruction Year
2024
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ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />`-"` <br />DATE Yl <br />04/18f2018 <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 poiicy(ies) must be endorsed. If 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 endorsement(s), <br />PRODUCER <br />Hiscox Inc. d/bfa/ Hiscox Insurance Agency in CA <br />520 Madison Avenue <br />32nd Floor <br />CONTACT <br />NAME: <br />PHONE(888) 202-3007 FAX <br />ADDRESS: contact@hiscox.com <br />INSURERS AFFORDING COVERAGE NAICN <br />New York, NY 10022 <br />INSURERA: Hiscox insurance Company lnc 10200 <br />_ <br />INSURED <br />INSURERS: <br />Steven Hernandez dba Water Wise. Pro <br />1521 Memorial Drive <br />_ <br />INSURER C <br />INSURER D <br />Apt. C <br />INSURER E: <br />Hollister, CA 95023 <br />N URERF: <br />l2 a'aacretal3�MRill] altlG\r Rl liaj :-f a: ^Mn@lf l\ , <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 />INSft <br />LTR <br />TYPE OF <br />A LSUBR-- <br />POLICY NUMBER <br />PO C EFF <br />DNYYY <br />POLICY EXP <br />M /DD YY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />EACH OCCURRENCE 5.2,000,000 <br />TSAXi Gkl� <br />-PREMISES occurrence) $ 100,000 <br />MED EXP An one arson) $ 5,000 <br />PERSONAL&ADV INJURY $2,000,000 <br />A <br />Y <br />Y <br />UDC -1955669 -CGL -18 <br />04/18/20113 <br />04/18/2019 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑JEC LOC <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS-COMP/OP AGO sSIT Gen. Agg <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />CO BNEO SINGLE LIMIT $ <br />Ea accitlo d <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED F7 SCHEDULED <br />AUTOS AUTOSI <br />H <br />BODILY INJURY Per.oadem S <br />( ) <br />NOUN <br />HIRED AUTO$ AUT60WNED <br />AUTOS <br />PAOPERTYDAMAGE $ <br />Per accident <br />$ <br />1 <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS-MAOE <br />AGGREGATE $ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPMETORIPARTNEMEXECUTIVE <br />OFFICEMMEMBEREXCWDED9 F <br />(Mandatary In NH) <br />0yaSs describe under <br />DESCRIPTIgN OF OPERATIONS below <br />NIA <br />I PER =0. <br />STATUTE <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE -EA EMPLOYEE S <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD tqt, Additlenal Romarke Schetlule, may be adeched lF more apace is required) <br />City of Santa Ana, its officers, employees, agents and representatives are named as additional insured, Specifically the city water division whose services will <br />.bbe�Ito. <br />g <br />7/31t1V , pfye, 1 q g - <br />City of Santa Ana its officer <br />Ves <br />220 S Daisy Ave <br />Santa Ana, CA 92703 <br />employees, agents and representati 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 />A(:OnD ZO (ZU14/Vl) The ACORD name and logo are registered marks of ACORD <br />
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