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Last modified
3/2/2020 7:55:31 AM
Creation date
1/28/2020 9:17:33 AM
Metadata
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Template:
Contracts
Company Name
CIVITAS
Contract #
N-2020-025
Agency
COMMUNITY DEVELOPMENT
Expiration Date
1/1/2021
Insurance Exp Date
8/6/2020
Destruction Year
2026
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CERTIFICATE OF LIABILITY INSURANCE I CAT EIIfQO"YYYI <br />THIS CERTIFICATE 19 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: N the certificate holder Is an ADDITIONAL INSURED, the polby(los) must have ADDITIONAL INSURED Pmvlelons or bo endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and Conditions of the POilcy, certain Policies may require an endorsement. A siatomonl on <br />tw. n.nut,.a.A.—... ._..E_.n..._._,.___.u,__._,._.J_,_...... _. . _.. <br />PROVICPA <br />Central Sequoia Insurance & Financial Services LLC <br />4142 S. Derrieres St, Ste B <br />Vlsells, CA 93277 <br />License IS: OG30675 <br />INRUREO Civttas Advtsom, Inc. <br />DBA ClvRas Advisors <br />1102 Corporate Way <br />Ste 140 <br />Sacramento, CA 96831 <br />NUMBER: neon....._. <br />_debbiav�un4akalkylne,com___ <br />-------'--'—'— - KCVIO NI.RfiBER: 10 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWiTHSTANDINO Ally REQUIREMENT. TERM OR CONUITION OF ANY CONTRACT OR OTHER DOCUMENT <br />WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE IBWIED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL NE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Tl%OP INSURANCE <br />TO <br />0912312020 <br />uNTa <br />A <br />7( coaweRlrALslxlRALUARI(m <br />cwMfatAOE Waaa <br />Y <br />6809NM482 <br />00123/2019 <br />WHp-CCEKE <br />{ _2000000 <br />-- <br />nE6— <br />BE$IE{Pnu,r..l <br />f_ 30 <br />_ <br />MEoex= NM <br />1 6.000 <br />PERSONAL a ADa INJURY <br />i 2000000 <br />APRI$e PER <br />efM ALTeIe[MlE tR& <br />MNEML MQTEaLn <br />f 4000000 <br />POLICr <br />PPOp1CT4.000GgP ADD <br />{ 00 Q00 <br />Len <br />0. <br />i <br />A <br />AOTYMOenELIAeaJTY <br />Y <br />BA9N314369 <br />0912312019 <br />0912312010 <br />t 1 <br />AINAIA0 <br />PM D <br />AUTOHirgoACAJY <br />"LYNJURYIPe,I <br />t <br />tIWLY WURY(Pw rdExp <br />f <br />yy <br />p. <br />_VqV �eCHiceEWLEO <br />AUTOS cet, <br />PNl9�Ae�4. _ <br />a _..-- <br />.q.; MWLy <br />t <br />B <br />UNeR9LAtHe <br />!ase %CLAs <br />X <br />OCCUR <br />CWMBMRCF <br />Y <br />CUPON778660 <br />0912312019 <br />aa2312e20 <br />FACNO^.OURRFNM <br />{ 1 00D 000 <br />fBE <br />ACOREpATE <br />i 1,000,000 <br />'41,001 e <br />%t L4.. <br />i <br />B <br />WOR®ILCOLMOMTrp <br />ANY EMPLOYERS` LMeam <br />UBOP6625881942GANY <br />40101/2018 <br />10N112010 <br />YIIN1 <br />WXERNN, excLTLOV) EpU1N@ <br />NIA <br />___ ____ <br />1 11000,000 <br />ELEACH ACOMW <br />tma, T1A WI <br />Ovvaa b[eee~ <br />' <br />El. g6Ew9E. EA ENROYE <br />i 1000000 <br />C <br />OFSCIu IONCF Mr tow <br />Prof Liability <br />Y <br />LHR036481 <br />lI.DISEA9E.PO.JCYUNIT <br />_ <br />f 1000000 <br />ae/oenoto <br />aaloe2020 <br />A9919111 <br />2,000,000 <br />Yy <br />E°oH Occurenca <br />1,000,000 <br />oeeoamTNN a oPEnvncNs nocanoxa Ivinattes pceRo IOI,Aamnoen Rcm.,xx au.awe. m+r Le MOM.a a nen m.�e II naM,aal <br />The City of Same Ana is named Insured with respect to General Liability. Policies shall not Cancel or coverage be reduced <br />without a 30 day written notice to the City <br />Such Insurance as is afforded by this policy shall be primary. and any insurance carried by the City shall be <br />excess and noncontributory. <br />roonelrAtz un, nen __.._ <br />City Of Santa Ana <br />20 Clvlc Center Plaza (M30) <br />SaBOX 1988 <br />nta Ana, CA 92702-1988 RpE,�VIINED & APP <br />`A/ RijklMANACiEMUNT <br />OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ON CATS THEREOF, NOTICE WILL BE DELIVERED IN <br />t WITH THE POLICY PROVISIONS. <br />kJEU <br />CORD 26 (201 &'03) Bred marks of ACORD <br />S.AMANTHA M. LAMBERT Printed by DKV on Jamarl 07. 2020 a[ 10 24AM <br />
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