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Last modified
1/29/2020 11:28:11 AM
Creation date
1/29/2020 11:16:23 AM
Metadata
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Template:
Contracts
Company Name
DATA TICKET INC
Contract #
A-2017-026-02
Agency
POLICE
Council Approval Date
2/7/2017
Expiration Date
2/6/2021
Insurance Exp Date
7/12/2020
Destruction Year
2026
Notes
A-2017-026, A-2017-026-01
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMM/OOIYYYYI <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS V <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 endnre.menrml <br />PROouCER <br />Ashbrook•Clevidence, Inc. <br />3000 W MacArthur Blvd, Suite 320 <br />Santa Ana, CA 92704 <br />License #: 0188788 <br />NAIC a <br />INSURED NSURERB: S o %dale lnsunBnce CorngAft 41297 Data Ticket, Inc. _ <br />DBA Revenue Experts INSURER C: _ <br />2603 Main Street Suite 300 INSURER D: <br />Irvine, CA 92614 INSURERE. <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER- DnmsledLeru Rggg vcymm�u uuuvee. <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 />TYPE DFIN$DRANDE <br />�� POLICY NUMBER <br />IRSoTRR <br />POLICY EFF PDUCY"P -- - <br />MMIOOrvYYY NNIDDrrYYY LIMITS <br />' <br />COMMERCULLGENERALUABILJTY <br />!EACH OCCURRENCE S <br />CLAIMSMADE OCCUR <br />_ _ <br />DAMA 'f6R�NTE5 — '- <br />=PREMISES Ea oca?re,es�_r4 _ <br />one penani 5 <br />PERSONAL S ADV INJURY S <br />GENLAGGREGATE <br />UMIT APPLIES PER <br />GENERAL AGGREGATE S <br />POLICY ''� <br />- -�I JECT LOC <br />PRODUCTS COMPIOP AGG S <br />_ - <br />!OTHER <br />S <br />AUTOMOBILEUABIUTY <br />0MBINED SINGLE LIMIT <br />�(Ea acodenll 5 <br />ANY AUTO <br />BODILY INJURY leer peraw) <br />DAMIS SCHEDULED <br />AUTOS ONLY AUTOS <br />~y <br />BOOILY INJURYIPeramdenll S <br />HIRED NON-OMED <br />AUTOS ONLY AUTOS ONLY <br />H <br />PROPERtt DAMAGE <br />IParal'dtleMl S <br />S <br />�EACESS <br />UMBRELLA LAB _ OCCUR <br />UAB <br />EACH OCCURRENCE _ s <br />CLAIM'MADE! <br />AGGREGATE I5 <br />S <br />DIED RETENTIONS <br />WORKERS COMPENSATION <br />PER OTR- <br />AND EMPLOYERSUABNTY - <br />YIN' <br />TATUTE ER <br />EL EACH ACCIDENT <br />S <br />ANY PROPRIETORJPARTNER/ CUTNE <br />OFFICERIMEMBER E%CLUOED ❑INIA <br />IMMldatorylnNH) <br />_ - <br />s <br />EL DISEASE -E4 EMPLOY <br />E <br />desrnbe <br />99II yyees, ureter <br />6RIPTIONOFOPERATIONS belme <br />-- - - <br />EL DISEASE - POLICY LIMIT <br />S <br />A <br />Errors & Omm <br />287188360 <br />11/01/2019 11101/2020 <br />Ded. $10K <br />$2,000,000 <br />B <br />ICyberLiability <br />I <br />EKS3310469 <br />1110V2019 11/01/2020 <br />Deduct$26K <br />$1MM12MM <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may be aldched it more space is meuiradl <br />Certificate evidences Professional Liability (Errors & Omissions)& Includes Personal Injury, Cyber Liability and Crime (provided <br />by Travelers Casualty & Surety Company of America NAIC #31194) <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th I <br />Santa Ana, CA 92702 <br />0 <br />SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1 n1 •�" • """ ©1983-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACO�RdL rP rero repis+e.e. —arks of ACORD <br />SAMANTHA M. LAMBERT Pnnted by MXC on November 04. 2019 at 09 34AM <br />
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