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Last modified
3/2/2022 12:44:34 PM
Creation date
2/26/2020 11:55:52 AM
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Contracts
Company Name
MIG
Contract #
A-2017-359-01
Agency
PLANNING & BUILDING
Council Approval Date
12/19/2017
Expiration Date
6/30/2020
Destruction Year
2025
Document Relationships
MIG INC. - 2018
(Amends)
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />ffa./ <br />DATE(MMIDD/Yl-Y1r) <br />I 11 /25/2019 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsement(s). <br />PRODUCER <br />Dealey, Renton & Associates <br />P. O. Box 12675 <br />Oakland CA 94604-2675 <br />CG A <br />NAME <br />_ <br />P"CNHu,.Eatf 510465-3090 _ F No • 510-452-2193 <br />E'mLaomliss, certificates deale renton.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC9 <br />INSURER A: Berkley Insurance Company <br />32603 <br />_ <br />INSURED MOOREMCO <br />Inc 800 Hearst Ave. <br />800 <br />iNsusea B : Travelers Property Casualty Company of America <br />25674 <br />INSURER c: The Charter Oak Fire Insurance Company <br />25615 <br />INSURER D: <br />Berkeley CA 94710 <br />INSURER E: <br />R1SUIIERF: <br />COVERAGES CERTIFICATE NUMBER: 1952401546 REVISION NUMBER: <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 />INS"R <br />LT <br />TYPE OF <br />A <br />POLICYNUMBER <br />yPjr0,9plp <br />MWOU� <br />LIMITS <br />B <br />X <br />COMMEROIALGENERALUABILITY <br />CIAIMSH.fADE T OCCUR <br />Y Y liBO1H899998 <br />8/31/2019 BC31/2D20 <br />EACH OCCURRENCE <br />S1,000,000 <br />PRErISESEa Door renw <br />$1,000,000 <br />MEO EXP IAny ono Perron) <br />$ 5,000 <br />PERSONALS AOV INJURY <br />E1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />O. <br />POLICY JE"CTT E Lee <br />GENERALAGGREGATE <br />52.000.000 <br />OENL <br />PRODUCTS -COMPIOP AGO <br />$2,000.000 <br />s <br />OTHER <br />C <br />AUTOMOBILELIABILITY <br />X <br />v v BAGK931299 <br />ANY AUTO <br />8131/2019 8/31/2020 <br />Ea aWdeeDSINGLE LIMIT <br />$1.000.000 <br />BODILY INJURY Per peudn) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY aoddenq <br />$ <br />X <br />HIRED X AUTOSNONONLY i <br />AUTOS ONLY AUTOS ONLY � <br />I, <br />I <br />AG <br />Par Rogw Y�AMADE <br />Per enl <br />$ <br />$ <br />8 <br />X <br />UMBRELLA LIAR X OC R v r CUPOH75a762 <br />8/31/2019 <br />8/31=20 <br />EACH OCCURRENCE <br />sIo000,000 <br />—TOED <br />EXCESS LIAR CLAIMS-MAOEI <br />— _.._ ... 1 <br />AGGREGATE <br />$10,000,000 <br />$ <br />RETENTION$ <br />B <br />WORNFRSCOMPENSATION / UB21-553909 <br />AND EMPLOYERS' LMBILIfY YIN <br />ANYPROPRIETORIPARTNETOE(ECUTIVE a <br />OFFICERIMEMBEREXCLUDED9 .. NIA.. <br />8/31/2019 <br />8/312020 <br />X PER lr <br />ER <br />_-,STATUTE - <br />E.L.EACH ACCIDENT <br />E1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In NH) <br />N yes, desvlte under <br />DESCRIPTION OF OPERATIONS below <br />EL. DISEASE - POLICY LIMIT <br />$1 000,000 <br />A <br />AEC903162701 <br />lIaGSN <br />WORT <br />i <br />a/812019 <br />8/312D20 <br />Par Clam <br />Amual Aggregate <br />$3,000.000 <br />$6.000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tot, Additional Ramarks Sehedule, may Im aNachad it man o Woe Is required) <br />RE. All operations of the named insured. <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insureds as respects General and Auto Liability <br />as required per written contract or agreement. General Liability Insurance is Primary/Non-Contributory per policy form wording. Insurance coverage includes <br />Waiver of Subrogation per the attached. 30 Days Notice of Cancellation. <br />CERTIFICATE HOLDER CANCELLATION 5n nays Nntmc of CanreOafinn <br />EVIEW <br />& APPR <br />@$pULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />The City of Santa Ana <br />y Risk A <br />gEMENT DI <br />h0 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ISISKORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Divison <br />20 Civic Center Plaza, 4th Flo <br />Santa Ana CA 92701 <br />7 7o20 <br />L iC <br />AUTHOR DREPRESENTATIVE <br />-- -•- "' -r Ira'If. v IVIOtl(1 ©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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