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ECONOLITE SYSTEMS, INC. (2)
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ECONOLITE SYSTEMS, INC. (2)
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Last modified
11/16/2020 3:17:44 PM
Creation date
7/23/2019 4:10:20 PM
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Contracts
Company Name
ECONOLITE SYSTEMS, INC.
Contract #
A-2019-101
Agency
Public Works
Council Approval Date
7/2/2019
Expiration Date
7/1/2022
Insurance Exp Date
6/27/2021
Destruction Year
2027
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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date. 2020.09.161131.45-07'00' <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />°09//1020Zo°"YYY) <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 <br />CONTACT <br />NAME: <br />Marsh Risk & Insurance Services <br />FAX <br />17901 Von Kalman Avenue, Suite 1100 <br />AHC Ent), A/C, No): <br />E-MAIL <br />(949) 399-5800; License g0437153 <br />INlne, CA 92614 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAICN <br />INSURER A : Travelers Indemnity Co Of CT <br />25682 <br />CN119180939-Econo-GAWU: 20-21 <br />INSURED Econolite Systems, Inc. <br />INSURER B : National Union Fire <br />19445 <br />INSURER C : Travelers Property Casualty Company OfAmerica <br />25674 <br />1250 N. Tustin Avenue <br />Anaheim, CA 92807 <br />INSURER D : Endurance Risk Solutions Assurance Company <br />43630 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: LOS-002344939-19 REVISION NUMBER: 23 <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 />R <br />OF INSURANCE <br />ADDITYPE <br />INSD <br />WVDSUBR <br />POLICYNUMBER <br />POLICY <br />MMIDD"VYV <br />POLICY <br />MMDD"VYV <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />6306J492624TCT20 <br />0627/2020 <br />06/272021 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE IX I OCCUR <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY PRO ❑ <br />ECT LOG <br />X <br />PRODUCTS - COMPIOPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />C <br />AUTOMOBILE LIABILITY <br />8105P24862ATIL20 <br />0627/2020 <br />06/272021 <br />COMBINED SINGLE LIMIT <br />Ea accident' <br />$ 2,000,000 <br />BODILY INJURY (Per prson) e <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />IXX <br />BODILY INJURY (Per accident) <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PRO P E RTV DAMAGE <br />Per accident <br />$ <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />BE01 1431184 (Primary Umbrella) <br />0627/2020 <br />06/272021 <br />EACH OCCURRENCE <br />$ 10,000,000 <br />D <br />EXCESS LIAB <br />CLAIMS -MADE <br />XSC30001139401 (Xs $54 <br />0627/2020 <br />06/272021 <br />X <br />AGGREGATE <br />$ 10,000,000 <br />DED X RETENTION $ 10,000 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNER/EXECUTIVE <br />OFFIC ERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />UB11\454058201413 <br />06/272021 <br />X PER OTH- <br />STATUTE ER <br />E L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,00u <br />f yes describe under <br />DESCRIPTION OF OPERATIONS believe <br />EL DISEASE -POLICY LIMIT <br />1,OOQ000 <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEH IC LES (AC 0RD 181, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Traffic Signal Maintenance. <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured where required by written contract with respect to General Liability. This insurance is <br />primary and non contributory over any existing insurance and limited to liability arising out ofthe operations of the named insured subject to policy terms and conditions with respect to general liability. Waiver of <br />subrogation is applicable where required by written contract and subject to policy terms and conditions. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />Jessica Boswell WskMRnagenentDtwslan <br />REVIEWED & APPRDVED BV: <br />© 1988.2016 ACORD C % Fw� Z, MAI <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ;ATNTIV 1i' Risk Management analyst <br />
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