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Last modified
4/23/2021 3:23:09 PM
Creation date
10/17/2019 2:29:18 PM
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Contracts
Company Name
CITY NET
Contract #
N-2019-220
Agency
COMMUNITY DEVELOPMENT
Expiration Date
10/1/2020
Insurance Exp Date
1/11/2020
Destruction Year
2025
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KINGCAU-01 <br />CGARCIA <br />DATE <br />CERTIFICATE OF LIABILITY INSURANCE <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(9),.AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, ANDITHE CERTIFICATE HOLDER, _ <br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the poi cy(ies) must have ADDITIONAL INSURED provisionsor be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on <br />this certificate does not confer ri hts to the certificate holder In lieu of such ondomemont a). <br />PRODUCER. e ' <br />WBA Insurance '. <br />13304 Philadelphia St <br />Suite 200 <br />Whittier, CA90601 <br />ACT t:aaBIG Garcia <br />mom No Ext • 662 789.6704 Me 11414662) 208.4123 <br />- n .cassia wboinsurance.com <br />INSURERtSIAFFORDING COVERAGE <br />CY <br />INSURERA P ila del his Indomnity Insurande CumOany�18068. <br />INSURED <br />3 R R B OoxinsuranU`e iSOtTlDanx <br />1_02200 <br />JNAVRER *• <br />Kingdom Causes dba City Net <br />_ <br />au R D <br />4608 Atlantic Avenue, Ste 292 > <br />Long Beach,. CA 90807 ? <br />". <br />INSURER E:: <br />INSURER P: <br />R.nrtn nco•rmirA•rc hnuanco:. RFVIRInM NIIMRFRa <br />THIS IS TO CERTIFY THAT THE POLICIES. F 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 CONTRACTOR 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 PO ICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,. <br />INSR <br />TYPE OF INSURANCE <br />ADD <br />aUBR <br />POLICY NUMBER �_— POLICYEFF <br />cPOLICY EXP <br />- LIMITS _ <br />A <br />X I <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ®OCCUR <br />Xt <br />! <br />PHPKISO0296 1/19/2019 <br />I <br />I <br />IM1/2020 <br />'CH OCCURRENCE <br />5;�-,�, 2,000,000 <br />MAG oRoNTED <br />100,000 <br />MED'XP A dna r <br />•�. 5,000 <br />a AOV —NA INJURY <br />2,WO,Ot10 <br />G NLAGGR ATE LIMIT APR IESPER; <br />X POLIO LOC <br />X OTHER. <br />EN 4 GATE <br />4s000*000 <br />$ 4,000r000 <br />3EXUALABUSE <br />2,000006 <br />A <br />AUTOMOBILE <br />LIABILIN <br />ggCCryN <br />AUYOB ILE6 <br />X Np1.(pW1y p <br />OA ON YIAR <br />=RE <br />X <br />j' <br />r. <br />PHPKI906296 1111/2019 <br />.( <br />jOaRY <br />1/11/2020 <br />COMBINED SINGLE LIMIT <br />fGa arsmentl <br />S 1,000,00 <br />a0O1L i JuNY per orso <br />O I YINJURY -(per adradant <br />DAMAGE <br />S <br />OCCUR <br />CLAIMS.-MADEaa <br />EACH OCCRRENCER <br />fi <br />ggggrr��RETENTIONS <br />AN"EMPISAYGR9 lIA010 YIN <br />ANNpY PP6p0MRIEMTORRftIPPARTNEEWEEXECUTNE <br />Ap9-100%ryEIe 0,E.L. <br />If yes tlaa�hhe unasr <br />OE ORIPTI 0 OPERATONS belo <br />NIA <br />.L. EAO AC OfiNT <br />DISEASE EA EMP0 <br />E E-POLICY LIMIT <br />A <br />B <br />rofeaslanai Ltab. <br />Cyber Security Lmbl <br />X <br />X <br />P PK19116296 1t11/2019 <br />MPL1841282.18 10119/2010 <br />1/91t20 0 <br />10/1012010 <br />Claims Made/2mll Ogg <br />11000,000 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES 11A�CORD 101, AddRiCnal Romerks Schedule, may pa aBached a mare apace Is regUiredl <br />10 Days Notice of Cancellation for non-paymenU30 Days Notice other than non-payment- Coverage IS Primary & Non -Contributory <br />The City of Santa Ann, its officers, employees, agents, volunteers & representatives am named additional insured with respects to the <br />operations of the named insured per the attached CO20261186 endorsement. Such Insurance is primary and non-contributory. <br />n�cr, c,nn rc un, ncn iJML/ii-•wr"i Y l M. , •.`.-; — f ANlncI l ATlnM .... <br />City of Santa Ana <br />Risk Management Div <br />20 Civic: Center Plaza, <br />Santa Ana, CA 92701 <br />S BE CANCELLEDBEFORE <br />WILL BE DELIVERED IN <br />26 (2016103) 671988.20E ACORD CORPORATION. <br />The ACORD name and logo are registered marks of ACORD <br />
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