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DAVISELEN ADVERTISING, INC.
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DAVISELEN ADVERTISING, INC.
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Last modified
6/20/2022 11:12:31 AM
Creation date
9/17/2019 4:57:31 PM
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Contracts
Company Name
DAVISELEN ADVERTISING, INC.
Contract #
N-2019-175
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
9/15/2019
Destruction Year
2024
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NCOS <br />ACORO CERTIFICATE OF LIABILITY INSURANCE <br />10/31/2019 <br />DATE(MMDIYM) <br />1 9/6/2019 <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 pollcy(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 endomement(s). <br />PRODUCER Lockton Insurance Brokers, LLC <br />777 S. Figueroa Street, 52nd Fl. <br />CA License#OF15767 <br />Los Angeles CA 90017 <br />CONTACT <br />NAME: <br />PHONE _ FAX <br />AND No: <br />E-MAIL <br />ADDRESS, <br />INSURER(S)AFFORDING COVERAGE <br />N1 CY <br />(213)689-0065 <br />_ <br />INSURER A: Hartford Fire Insurance Com an <br />19682 <br />INSURED Advantage Solutions, Inc. <br />1381013 dba: Eventus Marketing, LLC <br />11980 Telegraph Rd#104 N 20`Lq'' 4� <br />Santa Fe Springs CA 90670 1V' <br />INSURERB -ACE Pro cif &Casualty Insurance Co <br />1 20699 <br />INSURER C: <br />_ <br />INSURER D: <br />- -- - -- <br />-- — <br />INSURER E <br />INSURER F : <br />COVERAGES ADVSA01 CERTIFICATE NUMBER: 1AIR7011 REVISIr1M NUMBER: vv 11 <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INRD <br />SUB <br />I VIVO <br />I POLICY NUMBER <br />POLICY EFF <br />DDIYYYY <br />POLICY EXP <br />MMIDD <br />LIMITS <br />A <br />MGENERAL !LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />N' <br />72C$ER30003 <br />10/312018 <br />10/31/2019 EACH OCCURRENCE <br />DAMAGE TO TED <br />PREMISES Eaocnarence <br />E 2,000,000 <br />�T�C�MERCIAL <br />s 1000000 <br />s X)MXXX <br />MED EXP (Anyone person) <br />s 2 000 000 <br />PERSONAL s ADV INJURY <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT Fx ILOC <br />s 4000000 <br />GENT <br />! G_ENERALAGGREGATE_ <br />PRODUCTS -COMPTOP AGG <br />s 4.000.000 <br />s <br />OTHER: <br />A <br />AUTOMOSILE <br />LIABILITY <br />N <br />N <br />72CSER30002 <br />10/3112018 <br />10/31,2019 <br />COMBINED SING IT <br />Ea accident <br />$ 2,000,000 <br />}( <br />ANYAUrO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY now Person) <br />s XXXXXXX <br />'- <br />BODILY INJURY(Peracddenn <br />$ XXXXXXX <br />HIRED NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE _ <br />IN, acaWenl <br />s XXXXXXX <br />Conw/Coll Ded. <br />s 1,000 <br />0 <br />X <br />UMBRELLA LIAR X OCCUR N N M00987566001 <br />10/31/2018 <br />1031/2019 <br />EACH OCCURRENCE <br />$5000000 <br />EXCESS LIAR_ CLAIMS-MAOEI <br />AGGREGATE <br />s 5000000 <br />s XXX)cXm <br />DIED X RETENTION$ 10.000 <br />A <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERTLIABILRY N 72VVNR3000o AOS <br />ANY PROPRIETORIPARTNERIEXECUTNE YIN 73WBRR30GOI W1 <br />(Mande%in NH)EXCLUDED' � N/A <br />Myyeers describeunder <br />0 SCRIPTIONOFOPERATIONSInd. <br />10/31/2018 <br />1031(2018 <br />10/31i2019 <br />ID/31/2GI9 <br />PER OTH- <br />X STATUTE ER <br />EL EACH ACCIDENT $ 00000 <br />E.L. DISEASE -EA - E $ `- OQQQO <br />__- <br />E.L.OISEASE-POmlrt4i- $ 00000 <br />O 'C7 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AOORO 101. Additional Remarks schedule, maybe anached if more space is required) _ <br />City of Santa Ana, officers, agents, employees, and volunteers are an Additional Insured rs to the extent provided by the policy language or endows nr�sued or? <br />approved by the insurance carrier. Insurance provided to Additional Insured(s) is primary and noncontributory as per die attached endorsement r)ffioTicL languele. <br />�C-) <br />REVI WED & APPROVED y, -- <br />By R MANAGEMENT DIVISION C <br />112019 <br />16287921 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />ACORD 25 (2016103) <br />M. LAMBERT I 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 />The ACORD name and logo are registered marks of ACORD <br />riahts reserved. <br />
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