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Last modified
12/15/2020 4:58:06 PM
Creation date
12/15/2020 4:55:54 PM
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Contracts
Company Name
CITY NET
Contract #
A-2019-239-01
Agency
Community Development
Expiration Date
6/30/2021
Insurance Exp Date
1/11/2021
Destruction Year
2026
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KINGCAU-01 <br />CGARCIA <br />CERTIFICATE OF LIABILITY INSURANCE <br />DAT118120 0 n <br />ve/2o2o <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 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 endorsement(s). <br />PRODUCER License 9 OD79617 <br />c ACT Casale Garcia <br />WBA Insurance <br />13304 Philadelphia S[ <br />Suite 200 <br />PHONE FAX <br />AIC, NEan: (562) 789-5704 INC. No:(562) 298-4123 <br />o, <br />.Casale wbainsurance.com <br />Whittier, CA 90601 <br />INSURERS AFFORDING COVERAGE <br />NAIC9 <br />INSURER A: Philadelphia Indemnity Insurance Company <br />18058 <br />INSURED <br />INSURER B:HIsCOX Insurance Company <br />10200 <br />INSURER C: <br />Kingdom Causes Elba City Net <br />INSURER D: <br />4508 Atlantic Avenue, Ste 292 <br />Long Beach, CA 90807 <br />INSURER E: <br />INSURER F: <br />Alllueee <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 CONDMON 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 />DISH <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />'POLICYEFF <br />111112020 <br />POLICY UP <br />1/1112021 <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />-. .. DLAUds-ernnE �X. OCCUR <br />X <br />PHPK2061648 <br />EACH OCCURRENCE <br />S 2,000,000 <br />DAMAGE TO RENTED PREMISES IF, o=fferm) <br />s 100,000 <br />NED UP (Ary are rson <br />51000 <br />PERSONAL&ADV INJURY <br />S 2.000.000 <br />GEN'L AGGREGATE UNIT APPLIES PER <br />X POLICY ❑ Ta LOC <br />GENERAL AGGREGATE <br />5 4,000,000 <br />PRODUCTS - OMPgP AGO <br />41000,000 <br />OTHER. <br />SEXUAL ABUSE <br />5 2,000,000 <br />A <br />AUTOMOBILE <br />LIASILnY <br />COMBINEU 51NGLE LIMIT <br />f <br />S 1,000,000 <br />BODILY INJURY IP.r w.i <br />S <br />IxANYAUTO <br />0�1AUTOS SCHEDULED <br />EDULEp <br />AIUTEE0��50NLY SCHEDULED <br />Mus ONLY X RUTIOS ONLY <br />X <br />PHPK2061648 <br />111112020 <br />111112021 <br />STAGILY INJURY Per ar nl <br />& <br />q <br />PPe�ewCTMeM AMAGE <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESSLIAB <br />CLAIMS -MADE <br />DIED RETENTIONS <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' DABILITY YIN <br />ANY CPROPREIETgOERIPARTNERI ECUTIVE ❑ <br />XF1583iflarM fn NHS E%CLUDED'+ <br />I ye6. d8 TUION WIEB! <br />DESCRIPTION OF OPERATIONS W. <br />N 1 A <br />PER OTH- <br />ISTATUTER <br />EL EACH ACCIDENT <br />S <br />EL DISEASE - EA EMPLOYE <br />IT <br />LIMIT <br />EL DISEMadel <br />S <br />p <br />Prof. Liability <br />X <br />PHPK2061648 <br />1Ai12020 !-1i11%2021 <br />mi <br />Claims Madel2mll agg <br />1,000,000 <br />B <br />Cyber Security Llabi <br />X <br />MPL1841282.19 <br />10119120191 10/19/2020 <br />1,000,000 <br />DESCRIPnMOFOPERAnONSILOCAnONSIVEHICLES (ACORDID1,Addalonal Rem &sSchedule,mayheanachedlfm mspaui.r 4u1redl <br />10 Days Notice of Cancellation for non-payment' 30 Days Notice other than non-payment- Coverage is Primary & Non -Contributory <br />The City of Santa Ana, its officers, employees, agents, volunteers & representatives are named additional insured with respects to the <br />operations of the named insured per the attached CG20261185 endorsement Such insurance is primary and non-contributory. <br />City of Santa Ana <br />Risk Management Div <br />20 Civic Center Plaza, <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) <br />�EVIEWED Ot APPROVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />By R k MANAgeMFNi Divisi THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />It <br />ool ( I AN 17 2020 AUTHORREO REPRESENTATIVE <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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