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SURETECK INDUSTRIAL & COMMERCIAL SERVICES, INC.
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Last modified
3/25/2020 12:20:23 PM
Creation date
10/11/2019 10:05:09 AM
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Contracts
Company Name
SURETECK INDUSTRIAL & COMMERCIAL SERVICES, INC.
Contract #
N-2019-197
Agency
PUBLIC WORKS
Expiration Date
9/1/2020
Insurance Exp Date
11/22/2019
Destruction Year
2025
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7 SUHET-1 <br />ACOR <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />03/11/2020 <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(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 endorsements . <br />PRODUCER 951-680-9600 <br />Daisy Trudeau Ins. Services <br />CA Lic. #0L52222 <br />�ADJACT Diana Castanon <br />PHONE 951-680-9600 FAX 888-261-9654 <br />AIC, No, Ext: AIC, No: <br />5015 Canyon Crest Dr. Ste. 207 <br />Riverside, CA 92507 <br />AOmAiL , diana@daisytrudeauins.com <br />Daisy Trudeau <br />INSURER 5 AFFORDING COVERAGE <br />NAIC It <br />INSURER A, AmGUARD Insurance Co. <br />42390 <br />INSURED Sureteck Industrial <br />INSURER 5: Ohio Security Insurance Co <br />24082 <br />& Commercial Services, Inc <br />860 E Cottonwood St. <br />INSURER C:Oak River Insurance Company <br />34630 <br />Ontario, CA 91761 <br />INSURER D <br />INSURERE: <br />INSURER F : <br />COVERAGES CFRTIFICATF NIIMRFR- RcvtmnM Antkae5R. <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 />LTRIMM <br />TYPE OF INSURANCE <br />ADDLSUBR <br />WenDD <br />POLICY NUMBER <br />POLICY SEE <br />POLICY EXP <br />M 00L <br />LIMITS <br />B <br />X <br />COMMERCMLGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X <br />BLS56935915 <br />03/0112020 <br />03101/2021 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />S (Ea occurrence) <br />500,00PREMIS0 <br />• 15,000 <br />MED EXP An ane arson <br />PERSONAL B ADV INJURY <br />li 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />POLICY jE LOG <br />OTHER: <br />GENERAL AGGREGATE <br />21000,000 <br />PRODUCTS - COMP/OP AGG <br />21000,000 <br />A <br />AUTOMOBILE <br />LIABILITY <br />AUTO <br />OWNED <br />AU�gTEO�S ONLY X AU�T�OSU� <br />AUTOS ONLY X AUTO50NLB <br />SUAU014314 <br />06119/2019 <br />06119/2020 <br />COMBINED SINGLELIMIT <br />BODILY INJURY Per arson <br />1,000,000 <br />JxANY <br />BO�DILY INJURY Per accident <br />PeOracciRtlent AMAGE <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />DEC) RETENTIONS <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY y�x <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />(MandatoryOFFICERUMIn EIR H)EXCLUDED? LJ <br />(Mandatory d ory in NH) <br />E yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />SUWC036591 <br />11/2212019 <br />11122/2029 <br />X PER —FEOTH- <br />EL EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />16 11000,000 <br />CRI N OF O ERATIO I LOCATIONS I EHICLES ACORD 10 Addi one Remarks Schedul , m attached if more space is required) <br />I y o ante na, o icers, agen s employees, �. voYLin ears are inciutl9clas <br />additional insured as respects to General Liability per form CG8810 0413, <br />where required by written contract. Primary wording/ Non-contributory REVIEWED &APPROVED <br />applies perform G8810 0413. By Risk MANAGEMENTDIVISION <br />A 1 10 <br />CITYSA1 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />4th floor <br />Santa Ana, CA 92702 <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 />ACORD 25 (2016103) @ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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