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GOLDSTONE K-9, LLC
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Last modified
3/15/2021 5:39:17 PM
Creation date
3/19/2020 4:03:51 PM
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Contracts
Company Name
GOLDSTONE K-9, LLC
Contract #
N-2020-069
Agency
Police
Expiration Date
2/2/2023
Insurance Exp Date
9/1/2020
Destruction Year
2028
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qC R <br />CEF <br />GOLDK-9-01 <br />TIFICATE OF LIABILITY INSURANCE <br />SETTS <br />DYYYYI <br />DATEfMMID19 <br />THIS CERTIFICATE IS ISSUED AS <br />CERTIFICATE DOES NOT AFFIRM <br />BELOW. THIS CERTIFICATE OF <br />REPRESENTATIVE OR PRODUCER, <br />A MA <br />TIVEL <br />NSURJ1 <br />NO THE <br />R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TIE <br />' OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE; <br />YCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br />CERTIFICATE HOLDER. <br />CERTIFICATE HOLDER. HIS <br />AFFORDED BY THE POLICIES <br />INSURER(S), AUTHORIZED <br />IMPORTANT: If the certificate hol <br />If SUBROGATION IS WAIVED, sub <br />this certificate does not confer ri h <br />PRODUCER License# U757776 <br />Riverside, CA - HUB International Ima <br />PO Box 5345 <br />Riverside, CA 92517 <br />er is <br />act to <br />to the <br />once S <br />a ADDITIONAL INSURED, the PORGY IES) must have ADDITIONAL INSURED <br />the terms and conditions of the policy, cartel policies may require a <br />�eriiFlcate holder in Ifeu of such endorsements . <br />c TACT Elizabeth Betts <br />rvices Inc. PHONE <br />INC, No, Bra): (951) 779.8741 <br />I .elizabeth.betts hubintea <br />m <br />provisions or be endorsed. <br />endorsement. A statement on <br />FAX <br />Noi: <br />co <br />onal.com <br />INSURI <br />NSURERA:Ohio Securi Insurance C <br />NAICB <br />INSURED <br />any <br />124082 <br />Goldstone <br />36080 Goldstone Street <br />NSURCR 8: <br />INSURERC <br />Yucaipa, CA 92399 <br />INSURER D <br />INSURER E <br />COVERAGES CFRTIFIC <br />THIS IS TO CERTIFY THAT THE POLI <br />INDICATED. NOTWITHSTANDING ANY <br />CERTIFICATE MAY BE ISSUED OR MAY <br />EXCLUSIONS AND CONDITIONS OF SUC <br />INSR TYPE OF INSURANCE <br />IES OF <br />REOUI <br />PER <br />POLIC <br />ADIX <br />INSURER F: <br />TE NUMBER: <br />INSURANCE LISTED BELOWHAVE BEEN ISSUEDTOTHEINSURED REVISION <br />EMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMEN <br />IN, THE INSURANCE AFFORDED BY HE POLICIES DESCRIBED HEREINISSUBJECTTOALLTHETE <br />ES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />UBR <br />POLICY NUMBER POLICY EFF POLICY E%P <br />r B <br />NAMED UMBER: THE POLICY PERIOD <br />WITH RESPECT TO WHICH HIS <br />THIS <br />LIMBS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />.RENCE <br />ENTED <br />5 1,000,000 <br />s 500,000 <br />CLAIMS -MADE X OCCUR <br />X <br />EACH OCC <br />BKS66535215 9/1/2019 9N/2020 DAMAGE TO <br />MED FXP A,, <br />0. raon <br />S 16,000 <br />GEN'LAGGREGATE <br />PERSONAL <br />GE AL AGGREGATE <br />PRODUCTS - <br />HNOA LIA <br />ADV INJURY <br />COMP/OP AGG <br />S 1,000,000 <br />S 2,000,000 <br />S 2,000,000 <br />LIMIT IES PER: <br />POLICY ❑ PI�tT �% Loc <br />OTHER. <br />AUTOMOBILE <br />LIgBILITY <br />ANY AUTO <br />oAUTOSw"a"ONLY SCHEDULED <br />AEE�� AUTOSSW}.� p <br />LRTOS ONLY AUTOS OV <br />COMBINED SINGLE <br />BODILYINJURY <br />BODILY INJUGE <br />LIMIT <br />S 1,000,000 <br />S <br />Per arson <br />Par amitlent <br />S <br />g <br />g <br />PpOPE <br />Para N art <br />UMBRELLA DAB <br />OCCUR <br />S <br />EXCESS Lue <br />CLAIMSWAD <br />EACH OCCURNICE <br />AGGR GATE <br />S <br />DED RETENTION$ <br />OTH- <br />(DENT <br />EA EMP DYE <br />POLICY LIMIT <br />g <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PRONIETORRARTNERII ECUENE <br />IN. Idst0ry mRw), EXCLUDED? El <br />DESCRIPT�aION OFOPERATIONS belon <br />NIA <br />PER <br />E.L.EACHA <br />E.L DISEASE <br />E.LCISEASE ) <br />S <br />S <br />OE8CR1 <br />The City of Santa Ana sNAdditional Insures <br />CG88100413. <br />with re <br />and to General Liability when'requ required by written contract par the attache}! <br />I, <br />endorsement form <br />i <br />i <br />C RTIFICATE HOLDER i <br />NIP <br />C nf)7'f t, L i C NCELLATION <br />City of Santa Ana <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOLD ANY E ABOVE <br />^!� (t THE U EXPIRATIONDATEDATE THEREOF NO NOgjICEIEWI <br />[p1 J ACCORDANCE WITH HE POLICY PROVISION¢. <br />LCBECDELIVERED ELLED BEFORE <br />4CORD 25 (2016103) <br />AM <br />The A <br />NT IA .11L� )L )tT A"'ZED REPRESENTATNE <br />ORD name and logo are registered mei)1 8 ACORDCORD CORK <br />RATION. All rights reserved. <br />
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