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PROUDCITY INC.
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Last modified
1/18/2022 9:16:02 AM
Creation date
12/2/2021 3:35:20 PM
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Contracts
Company Name
PROUDCITY INC.
Contract #
N-2021-240
Agency
City Manager's Office
Expiration Date
6/30/2022
Insurance Exp Date
7/5/2022
Destruction Year
2027
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CERTIFICATE OF LIABILITY INSURANCE <br />OA10/2012021 Y) <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 5301 <br />OHartford <br />PHONE (866) 0 <br />AJc, No 467-873 <br />( , Ext): <br />FAX No). (888) 443-6112 <br />(us <br />The Business Service Center <br />— <br />E-MAIL <br />3600 Wiseman Blvd <br />San Antonio, TX 78251 <br />ADDRESS: <br />INSURER(S)AFFORDING COVERAGE NAICR <br />INSURED <br />INSURER A: Sentinel Insurance Company Ltd. <br />11000 <br />INSURER B: <br />ProudCity Inc <br />2219 DAMUTH ST <br />OAKLAND CA 94602-2411 <br />INSURER C <br />-- <br />•-•••--••--•-••---•— <br />INSURER D <br />INSURER E : <br />INSURER F : <br />me NUMBER. RFVISION 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 />ADRL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />wyn <br />D <br />FACHOCCURRENCE <br />$1,000,000 <br />UAMAGTO RENTED <br />$1,000,000 <br />CLAIMS -MADE QOCCUR <br />PREMIES( Ea Qccorrence) <br />$10,000 <br />X <br />General Liability <br />MED EXP(Any one pemon) <br />A <br />X <br />46 SBM UQ8313 <br />07/0512021 <br />07/05/2022 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br />POLICY PRO- X LOD <br />JECT <br />OTHER: <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />AUTOMOBILE LIABILITY <br />BODILY INJURY (Per person) <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />A <br />ALL OWNED SCHEDULED <br />46 SBM UQ8313 <br />07/05/2021 <br />07/05/2022 <br />AUTOS Alfr05 <br />HIRED NON -OWNED <br />AMAGE <br />X X <br />AUTOS AUTOS <br />(ParcccMent)PERTY <br />OCCUR <br />EACH OCCURRENCE <br />UMBRELLA LIAR <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />DE <br />I RETENTION $ <br />WORKERS COMPENSATION <br />PER <br />S E <br />IT <br />OT - <br />VER <br />AND EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />ANY YIN <br />PROFRIETOWPARTNEPoEXECUTIVE <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE -POLICY LIMB <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTON OF OPERATIONS be <br />Each Glitch <br />$1,000,000 <br />A <br />FAILSAFE TECHNOLOGY E OR <br />46 SBM UQ8313 <br />07/05/2021 <br />07/05/2022 <br />Aggregate <br />$1,000,000 <br />O <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. <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Attn: Risk Management Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER PLZ <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 92701-4058 <br />1�a.� 1-f C� a <br />ACORD 25 (2016103) <br />©1988.2015 ACORD COR <br />The ACORD name and logo are registered marks of ACORD"e^cr RIdrMleugz)nentDtylsbn <br />8,=,�/�I,�� RrulEvrED6MPRovm}Br. <br />i "� ��A t4WloVR'tn <br />Risk Management Supewixor <br />
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