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PROTECTION AMERICA, INC.
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Last modified
5/3/2021 3:03:26 PM
Creation date
5/3/2021 3:01:58 PM
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Contracts
Company Name
PROTECTION AMERICA, INC.
Contract #
N-2021-085
Agency
Community Development
Expiration Date
6/30/2021
Insurance Exp Date
10/8/2021
Destruction Year
2026
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D1Otally signed by Francine R. <br />Francine R, Villareal Villareal <br />U <br />DATE(MMIDO YYYY) <br />ACO/ta® CERTIFICATE OF LIABILITY INSURANCE <br />`-"'� 4/21/2021 <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(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 Venture Pacific Insurance Services, Inc. <br />111 Corporate Drive Suite 200 <br />Lades Ranch, CA 92694 <br />CONTA-NAME: Tracy Mullins <br />PHONE 949-421-3540 ac No: 949-297 4911 <br />E-MAIL <br />ADDRESS: TMullln5 v isrisk.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Burlington Insurance Company <br />23620 <br />www.venturepacificinsurance.com Lio#OD10299 <br />INSURED <br />Protection America, Inc. <br />21350 Nordhoff St. #104C <br />INSURERS: <br />INSURERC: <br />INSURER D: <br />Chatsworth CA 91311 <br />INSURERE: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 61314379 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 />ILTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />AM <br />_WD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY) <br />POLICY EXP <br />(MMIDD <br />LIMITS <br />A <br />r/ <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />✓ <br />Errors & Omissions <br />✓ <br />398BG02530 <br />4/15/2021 <br />4/15/2022 <br />EACH OCCURRENCE <br />$1000000 <br />DA ET RENTED <br />PREMISES Ea occurmncen <br />$100000 <br />IVIED EXPAny one careen) <br />$10000 <br />PERSONAL &ADV INJURY <br />$1 000 000 <br />GEN'LAGGREGATE <br />LIMIT APPLIES PER: <br />POLICY �✓ JECT �LOC <br />OTHER: <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$2000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED AUTOSNON-OWNED LY <br />AUTOS ONLY AUTOS ONLY <br />EMBIN ED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Par person) <br />$ <br />BODILY INJURY Per accident <br />l % <br />-PROPERTY <br />$ <br />Per awldenl <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNETEXECUTIVE <br />OFFICETMEMBER EXCLUDED'/ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more apace is required) <br />The City of Santa Ana, its officers, employees, agents, and representatives are named as additional insured on this policy pursuant to written <br />contract, agreement, or memorandum of understanding. Coverage is primary and non-contributory. <br />30 Day Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. <br />City of Santa Ana <br />Rsk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />I.— nnrfnn <br />5 ACORD Ci <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />� RWeMmla�mtentDtdalon <br />EREVIEWED &rrA�P'P'IRIO�V/E) BY, <br />Risk Management Analyst <br />61314379 al-2a cL w/AI won I Tracy Mullin 14/21/2021 3:39: os PM (Pox) I eage,l of 4 <br />This car ificate cancels and supersedes ALL previously issued certitacates. <br />
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