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TRUSTAR ENERGY LLC (2)
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TRUSTAR ENERGY LLC (2)
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Last modified
9/24/2021 2:49:06 PM
Creation date
9/24/2021 2:45:36 PM
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Contracts
Company Name
TRUSTAR ENERGY LLC
Contract #
A-2021-148
Agency
Public Works
Council Approval Date
8/17/2021
Expiration Date
8/17/2026
Insurance Exp Date
6/2/2022
Destruction Year
2027
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AC'C)R o CERTIFICATE OF LIABILITY INSURANCE <br />DATE (mmlDOlvw ) <br />6sro9rzg2t <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 poiicy(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 <br />Marsh USA, Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036 <br />CONTACT <br />NAME: <br />FAX <br />PNONE AIC Net,, <br />E-MAIL <br />DD s: <br />INSURERIS) AFFORDING COVERAGE <br />NAICN <br />CN101642634-Tm9t-WC-21-22 <br />INSURER A: Bankers Standard Insurance Co <br />18279 <br />INSURED <br />TmStar Energy, LLC <br />INSURERS: <br />INSURER C: <br />10225 Philadelphia CI. <br />Rancho Cucamonga, CA 91730 <br />mSURERO: <br />INSURER E : <br />INSURER P: <br />COVERAGES CERTIFICATE NUMBER- NYC- 111Au11fi.m ocrmmncl Mile.... , <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 />INS <br />TYPE OF INSURANCE <br />ADDL <br />SueR <br />POLICY NUMBER <br />POLICYEFF <br />MMIDe,YYYY <br />POLICY E%P <br />MMIDO <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSOCCUR <br />EACHOCCURRENCE <br />$ <br />-ffAWAGE TO <br />PREMISES Ea aaairreme <br />$ <br />MEC EXP (Any ena person) <br />S <br />PERSONAL a ADV INJURY <br />E <br />AGGREGATE LIMIT APPLIES PER <br />ECT OC POLICY PRO <br />GENERALAGGREGATE <br />§ <br />GENL <br />PRODUCTS -CONNOR AGG <br />S <br />§ <br />OTHER: <br />ABTOMOSILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea at MI nt <br />§ <br />ANY AUTO <br />BGOILY INJURY (Per person) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY ) <br />(Per aenldenn <br />S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />P(Per accident <br />S <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LIAS <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED <br />I RETENTIONS <br />E <br />A <br />WORXERSCOMPERSATION <br />ANOEMPLOYERS'LNBIUT YIN <br />ANYPROPRIETORIPARTNERIEXECUTIYE <br />OFFICERIMEMBEREXCLUDED7 I <br />NIA <br />7182-73-40 <br />J <br />OL0112022 <br />X PER OTH- <br />STATUTEEn <br />E.L EACH ACCIDENT <br />IS 1,000,000 <br />E.L DISEASE -EA EMPLOYE <br />$ 1,000.000 <br />(Mandatory In NH1 <br />N yea, deevibe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE-POLICYUMIT <br />$ 1.000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD10i,Additional Remarks Schedule,maybaaeaehedifmoraepacelsrequirad) <br />City of Santa Ana <br />Risk 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 />AUTHORRED REPRESENTATIVE <br />01988.201 fi <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />net=� <br />Risk MIDMgen ad Division <br />s % <br />NEVIEwEn fi APPROVED BY. <br />s C p ,rI'e <br />r �IhWh.s+[ r.,. VacWr� <br />-=-� Risk Management Analyst <br />
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