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Last modified
10/13/2021 9:20:45 AM
Creation date
8/17/2021 8:22:01 AM
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Contracts
Company Name
SERVICE FIRST CONTRACTORS DBA SERVICE 1ST
Contract #
A-2017-350-02
Agency
Parks, Recreation, & Community Services
Council Approval Date
12/19/2017
Expiration Date
12/31/2021
Insurance Exp Date
6/7/2022
Destruction Year
2026
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AC"UW7 CERTIFICATE OF LIABILITY INSURANCE <br />n0913012020' <br />.; THIS CERTIFICATE IS ISSUED AS A MATTER QF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIGATE 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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />MPORTANTI If the CartlOcste holdor Is an ADDITIONAL INSURED, the polioy(les) must ha-11 endorsed. If SUBROGATION IS WAIVED, suhlect to <br />the terns and Conditions of the po0oy, certain polioles may require an endorsement. A statamant an tills oertlRaate dose not confer rights to the <br />certificate holder In ilea of such ondorsomont s . <br />Pnanuaas <br />STATE FARM INSURANCE <br />,4teteFafrn 1370 BREA SLVD STE. 150 <br />FULLERTON, CA 92835 <br />-,,,,..,. _�, <br />C,01ACTJOrYMONTGOMERY <br />011 .714-028-7001 .714-525.0348 <br />MAIL COM <br />D s JOEY�JOEYMONTO <br />INSURkR13)AFFORDINgRBINO COVPJtAaa <br />NNC <br />e�RBRA State Farm Mutual Automobile lAsurence Compelry <br />2g170 <br />INSURED <br />SERVICE FIRST <br />2510 N GRAND AVE SUITE 110 <br />SANTA ANA, CA 92705-8754 <br />INSURERa <br />219e9S9 0; <br />INSURER D <br />1 SURBRB: .._. <br />[WROR <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITII$TANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'IMTH 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 />EXCLUSIONSAND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVEBEEN REDUCED BY PAID CLAIMS. <br />TR <br />Type OF INSURANCE <br />MUL <br />am <br />WOR <br />In <br />POLICYM IR <br />P I <br />C BX <br />LIMn'e <br />,-•_— <br />DOMNF.RCIALOENRRALLIAe1LBY <br />_. MAIMS•MADa ❑OCCUR <br />�_.,.-,..,.,. <br />CACHgDCURRENaB <br />S <br />'MISE <br />__ <br />_� •-_^�-� <br />MEO EXP Ln we Person)$ <br />.--� <br />PERBONALBAVI INJURY <br />$ <br />OEN'L AGORCOATE LIgM0IT.APPLIESPan; <br />POLICY�jEOT EILOO <br />CR <br />GENERALAOaREeATE <br />$ <br />PRODUCTS-OOMPIOPAGO <br />$ <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALLOMO I V I SCHEDULED <br />AUTOS NqN OWNCtl <br />tNRRDAUTOS X AUTOS <br />Y <br />Y <br />1333423-FOO.75 <br />ow"t2020 <br />OW07J202t <br />BODILY INJURY(Porper+on) <br />$ 1,000,Oso <br />$ <br />BODILY INJURY (ParaccMaN) <br />$ <br />_ <br />S <br />$ <br />UaBRELLALIAB <br />EXCESS LIAR <br />mm <br />I OCCUR <br />CIAIMSJMOE <br />EACH OCCURRMIC15 <br />S <br />AOOREOATE <br />$_ <br />DIED I <br />I RKMUTION <br />_ <br />$ <br />. <br />WCRRIRBCOMPaNeATWN <br />AND EMPLOYERS' LIABILITY <br />ANY PNOPRIETORIPNRTNERJEXEOVrIVe YIN <br />lFFIC fry InBER CLUDED? 0 <br />NHI <br />I d NO order <br />CT ttOFOIONSoelow <br />NtA <br />F.L. EACH ACCIDgff <br />$M — <br />&L. DISEASE- FA ElOtOYE <br />,., <br />$ <br />E.L. DISFAIB-POLICY LIMIT <br />DEaoMPMN OF OPERATIONS/ 1.00ATIORB IV914MO(ACOR0101. Addilonal Commas$ahedulo, may No oaxohod if more spoeo is mjulred) The City City of Santa Ana, Risk Management, Its officers, employees, agents, representatives, and volunteers as additional Inureds. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OR REDUCTION IN COVERAGE BEFORE THE EXPIRATION DATE THEREOF, <br />THE ISSUING INSURER WILL MAIL a30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center plaza, 4th floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE OANOML50 eEFORF <br />THE EXPIRATION DATE THEREOP, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2014101) -: The ACORD name and logo are regletorad marks of ACORD <br />Rtek M1MIAgmlalE nMe1mL <br />REVIEWED &APPROVE] EYa. <br />„ f4m-d Ha R, Mwd <br />RUkMnnnOemenl Analyst <br />
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