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Last modified
4/9/2021 11:51:29 AM
Creation date
1/7/2020 4:28:15 PM
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Contracts
Company Name
CITY NET
Contract #
A-2019-239
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
12/17/2019
Expiration Date
12/16/2020
Insurance Exp Date
10/19/2021
Destruction Year
0
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AR o CERTIFICATE OF LIABILITY INSURANCE DA8i2/P4 1YI <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 ism ADDITIONAL INSURED, the pohcy(ies) must be endorsed. N SUB ROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement ort this certificate does not confer rights to the <br />certificate holder in lieu of such endorsemenl(s). <br />PRODUCER <br />NAME. Patricia Buchanan <br />t(in ter -Buchanan Insurance Agency <br />phone (310) 795 -6100 F^� Ne, uunu.n9r <br />License Number: OE40872 <br />Nq�ADOREss:Certs@KBlnsurance.com <br />111 Plot Ave., Suite 100 <br />INSMtPIj% AFFOROMO COVERAGE <br />MCI <br />INSURERA: Technology Insurance Company <br />42376 <br />Hermosa Beach CA 90254 <br />INSURED <br />INSURERS: <br />kingdom Causes, DBA: City Net <br />INSURER[. <br />P.O. Box 90243 <br />INSURER D'. <br />NSURER e <br />Long Beach CA 90809 <br />INSURENF: <br />COVFRAGFS rFRTIFICATF NIIMRFR CL1422108691 <br />IsmAcInu unma.. <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 CONTRACTOR OTHER DOCUMENTWITH RESPECT TOW41CH 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 />NSR <br />LTR <br />TYPE OF INSURANCE <br />IDOL <br />INSD <br />5 <br />me <br />POUCYNUMBER <br />POLICY EFF <br />NmnnYYT <br />POLICY ENP <br />MMOOnYYY <br />LIMTS <br />CONMEROAL GENERAL LmBLJ1Y <br />EACH OCCURRENCE <br />S <br />U <br />PK%GT7 a RTE9 <br />S <br />CINISMACE OCOUR <br />NED EXP IA Qe De".) <br />S <br />PERSONAL E ADJ INJURY <br />S <br />DEW AGGREGATE I]" I APP_IESPEA <br />GENERAi AoGREGAIE <br />S <br />POLICY R LOC <br />PHdoJCTS. COATIOF AGG <br />S <br />S <br />Oi EA <br />AUIOMOPoLE <br />LNeRITY <br />a 9Wdnl 1A <br />i <br />BODILY INut/ into pe �stnl <br />S <br />ANY AUTO <br />ALL GAINED SoffD <br />AUTOS AUTOS <br />BODILY INJURY Yretimrtl <br />$ <br />ODAMAGE <br />HREIAUTC9q-AX0S"tD <br />ACIE <br />Pe 9[tNMI <br />i <br />UMBRELLA LAD <br />« <br />EACH OCY HRDWCE <br />S <br />Ar{aREGAIE <br />S <br />"Cass LAB <br />=WA E <br />;JPD <br />R ' off S <br />S <br />NORaERSCWIPFISAPON <br />ANDENPLOYERTL Et9 Y YIN <br />Y SIAn VI <br />EL EA0H ACODSdr <br />S 1.000,000 <br />A <br />Aur PPOIFIETOPoYARiaE3EAEClIT:VE <br />OFFldnIrtEA EA:IJ'_FO) y❑ µ] <br />(N9nUlaagy yl <br />NIA <br />M1GC3TT]9'll <br />1/1/2019 <br />]/1/]019 <br />EL OSE SEEA.0 Y-�T_ <br />$ 1.000,D00 <br />I YYeess Opg't uw. <br />E L DISEASE- PX 71 LIM- <br />S 1,000,000 <br />LvSobPnFlN OF CFERAnb.SlNb,+ <br />DESCWTION OT OPEMTIDNS I LOCAnONS I YPHICLES ACORD tet, Additional Remub ScheCda mry be xiul,vd omen epee a npubedl <br />The City of Santa Ana, Its officers, employees, agents, volunteers and representatives are named as <br />additional insured with respect to the operations of the insured. <br />Coverage is primary and non-contributory. <br />J <br />APPROVED <br />City Of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />O 2U�9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATETHEREOF, NOTICE WILL BE OELIVSREO IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />IM <br />ACORD 25 (2014101) The ACORD na an and logo ale registered marks of ACORD <br />INS025 60uoC <br />
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