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THRIVE (3)
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Last modified
1/23/2019 11:05:45 AM
Creation date
1/23/2019 10:35:29 AM
Metadata
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Template:
Contracts
Company Name
THRIVE
Contract #
A-2018-117-02
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/1/2018
Expiration Date
4/26/2019
Insurance Exp Date
10/27/2019
Destruction Year
2023
Notes
A-2018-117-01
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ACORO CERTIFICATE OF LIABILITY INSURANCE <br />AM <br />Dovozo s <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 endorsemen s . <br />PRODUCER <br />Baker, Romero & ASSOCIateS Insurance Brokers, Inc. <br />750 Terrado Plaza #238 <br />Covina, CA 91723 <br />License #: OG22790 <br />CONTACT <br />NAM • Emma L Becerra <br />PHONE I (626)392.2253 AaD N,. (626)339-9921 <br />wl <br />' <br />EMAIL <br />Do emma bakerromero.com <br />INSURER(Sl AFFORDING COVERAGE SAIDN <br />INSURER A i Nonprofits Ins Alliance <br />INSURED <br />INSURERS: <br />INSURERC_ <br />Thrive Santa Ana, Inc. <br />INSURER D: <br />401 East Peltason Dr., Suite 1000 <br />INSURER E: <br />Santa Ana, CA 92702 <br />INSURER P: <br />COVERAGES CERTIFICATE NUMBER- DnGnOnnn.25719 RPVICInN NIIMRFa• a <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 />INSR <br />TYPE OP INSURANCE <br />ADD <br />SUER <br />POLICY NUMBER <br />POLICOY SPP <br />POUOYFXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADEI OCCUR <br />2018-57335 <br />1012712018 <br />1012712019 <br />EACHOCCURRENCE $ 1000000 <br />T S 600,000 <br />MEDEXP one mon) S 20,000 <br />PERSONAL& AOV INJURY S 1,000,000 <br />GENT AGGREGATE LIMIT APPUES PER; <br />X POLICY ❑ O. <br />JET 11 LOC <br />00000 <br />GENERAL AGGRETpemm)$ <br />PRODUCTS - COM11100:1010 <br />OTHER: <br />AUTOMOSILELIABUJTY <br />EaM E¢D SINGLANY <br />a001LY INJURY(AUTOS <br />AUTO <br />ONLY OWNED AUTOSULED <br />BODILY INJURY(PAUTOSONLY <br />BOSS ONLYY <br />PROR jE Y DAMA <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE S <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORPARTNERMSCUTIVE <br />OFFIOERMEMBEREXCLUDED? <br />NIA <br />PER H. <br />TA <br />E.L. EACH ACCIDENT $ <br />E.L DISEASE -EA EMPLOYE S <br />(Mandatory in NH) <br />ITyea deealbe under <br />0 SGtRIPTION OF OPERATIONS belay <br />E.L. DISEASE -POLICY LIMIT S <br />A <br />Directors & Officers <br />201857335 -DO <br />1012712018 <br />1012712019 <br />$1M Each qct $1M Aggregate <br />DESCRIPTION OF OPENATONS I LOCATIONS / VEHICLES (ACORD 101, Addllontl RamaNn SohodVle, may bo.o mhad N mom apaaa Is mSVlmm <br />Certificate holder named as Additional Insured - Landlord, client working to acquire land for lancitrust. <br />�15t' <br />CERTIFICATE HOLDER neNeFl I ATInN <br />m 1988-2015 ACORD CORPORATIOW All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by ELB on January 08, 2019 at 10:56AM <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plazxa, M-25 <br />Santa Ana, CA 92701 <br />AUTHORED REPRESENTATIVE <br />ELB <br />m 1988-2015 ACORD CORPORATIOW All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by ELB on January 08, 2019 at 10:56AM <br />
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