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ENTERPRISE AUTOMATION (3)
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ENTERPRISE AUTOMATION (3)
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Last modified
6/7/2021 12:04:20 PM
Creation date
6/7/2021 12:02:30 PM
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Contracts
Company Name
ENTERPRISE AUTOMATION
Contract #
A-2021-025
Agency
Public Works
Council Approval Date
3/2/2021
Expiration Date
2/5/2023
Insurance Exp Date
6/15/2021
Destruction Year
2028
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Dlgltally signed by Frandne R. <br />Francine R. Villareal Ylllareal <br />"Date 202D.101 11 3L34.p -01 <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMNDD YYYY) <br />`.� 06/14/2020 <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 <br />CONTACT Je((FOrb¢S <br />NAME; <br />ECBM, LP <br />PHONE (610)668-7100 FAX <br />INC No Ext : pNq No (610)667-2208 <br />1400 N Providence Road <br />E-MAIL (orbes ecbm.com <br />ADDRESS; I <br />Suite 5025 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC N <br />Media PA 19063 <br />INSURER A; Lloyds of London <br />INSURED <br />INSURERS: Evanston Insurance Company <br />35378 <br />Partners in Control, Inc., DBA: Enterprise Automation <br />INSURER c: Federal Insurance Company <br />20281 <br />210 Goddard <br />INSURER D <br />INSURER E : <br />Irvine CA 92618 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 20 M RF_VISInN NI)MRFR- <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />AIJUL <br />INSD <br />bonaPOLICY <br />MD <br />POLICY NUMBER <br />EFF <br />MMIDOMIYY <br />I POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE %C OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />GE TORE <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />X <br />MED EXP(Anyone Person) <br />$ 5,000 <br />Contractual Liability <br />I <br />PERSONAL aADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />ARG11212A20 <br />06/15/2020 <br />06/15/2021 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />POLICY 19 PRO FX LOG <br />JECT <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOSILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />A00006433 <br />06/15/2020 <br />06/1512021 <br />BODILY INJURY (Per aeclden0 <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAa <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 2,000,000 <br />X <br />_EIOED <br />AGGREGATE <br />$ 2,000,000 <br />B <br />EXCESS LIAe <br />CLAIMS -MADE <br />MKLV7EUL100820 <br />06/15/2020 <br />06/15/2021 <br />RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFMCEWMEMBER EXCLUDED? <br />NNA <br />PER OTIT <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NHt <br />If yes, <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />ARG11212A20 <br />06/15/2020 <br />06/15/2021 <br />Each Claim <br />Aggregate <br />$2,000,000 <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Re: Contract: 17-112 - The City, its officers, employees, agents, volunteers and representatives are included as additional Insured on the General Liability <br />as required by written contract. The policy includes a 30 days' notice of cancellation, except for non-payment of premium, which is 10 days plus mailing. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />20 CIVIC Center Plaza, 4Ih FI AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 yyina RAMAnagmlrntDtWslorL <br />ReAEWEO S APPROVED Sr. <br />©1988.2015 ACORD� <br />ACORD 2b (2016/03) The ACORD name and logo are registered marks of ACORD R�€k.ManagementMalyxt <br />
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