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Last modified
5/25/2023 12:07:28 PM
Creation date
7/26/2021 12:09:36 PM
Metadata
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Template:
Contracts
Company Name
DESIGN PATH STUDIO
Contract #
A-2021-118-01
Agency
Planning & Building
Council Approval Date
7/6/2021
Expiration Date
7/5/2024
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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pY Dlglta lly signed by Tor! Pie rson <br />TQIY I Pierson <br />ICI Sol y� 1 Date 2021.10.13082934 <br />-0700 <br />-�* CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />09/20/2021 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />BIN INSURANCE HOLDINGS LLC/PHS <br />46505301 <br />NAME: <br />PHONE (866)467-8730 <br />(A/C, No, Ext): <br />FAX (888)443-6112 <br />(A/C, No): <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />E-MAIL <br />San Antonio, TX 78251 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: Sentinel Insurance Company Ltd. <br />11000 <br />DESIGN PATH STUDIO INC. <br />INSURERB: <br />PO BOX 230165 <br />INSURER C : <br />ENCINITAS CA 92023-0165 <br />INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />LTR <br />INSR <br />WVD <br />MM/DD/YYYY <br />MM/DD/YYYY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />$1 000 000 <br />PREMISES Ea occurrence <br />X <br />MED EXP (Any one person) <br />$10,000 <br />General Liability <br />A <br />X <br />46 SBM AE5269 <br />10/21/2020 <br />10/21/2021 <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$4,000,000 <br />POLICY ❑ PRO- LOC <br />JECT <br />PRODUCTS - COMP/OPAGG <br />$4,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$2,000,000 <br />Ea accident <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />46 SBM AE5269 <br />10/21/2020 <br />10/21/2021 <br />BODILY INJURY (Per accident) <br />X <br />HIRED NON -OWNED <br />AUTOS X AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />AGGREGATE <br />DED <br />RETENTION $ <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />ER <br />E.L. EACH ACCIDENT <br />ANY Y/N <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. Additional Remarks Schedule Acord Form 101 <br />City of Santa Ana <br />Risk Management Division <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701-4058 <br />ACORD 25 (2016/03) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD CORP`� <br />j�, �� Ro=vlEwEn 6 AaPlzav®8r: <br />The ACORD name and logo are registered marks of ACORD <br />`IldlilJlitil' 70u pee, a <br />Risk Ma ge 1Oerical Aide <br />
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