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WATERWISEPRO TRAINING, LLC
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Last modified
8/19/2024 2:44:05 PM
Creation date
5/12/2022 10:17:16 AM
Metadata
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Template:
Contracts
Company Name
WATERWISEPRO TRAINING, LLC
Contract #
N-2022-129
Agency
Public Works
Council Approval Date
9/15/2023
Expiration Date
9/15/2023
Insurance Exp Date
4/18/2024
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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Angie <br />Digitally signed by <br />Angie Acevedo <br />Date: 2022.04.26 <br />ACOR& CERTIFICATE OF LIAM-15 M'5UR <br />NCE 13:00:18 -0 '00ATE(MMmDrYYY) <br />`/ <br />04/14/2022 <br />THIS CERTIFICATE O S OHULUER. 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(ies) must have ADDITIONAL INSURED provisions or be <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONTACT <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />PHONE (880) 202-3007 FA_ NP: <br />520 Madison Avenue <br />n�LDORE53. contact@hiscox.com Qhl$COX.Com <br />32nd Floor <br />NEW York, New York 10022 <br />INSURERS t AFFORDING COVERAGE NAICX <br />INSURERA: Hiscox Insurance Company Inc <br />10200 <br />INSURED <br />INSURERS, <br />Steven Hernandez DBA Water Wise Pro <br />1521 Memorial Drive <br />INSURERC: <br />INSURERD: <br />Apt. C <br />Hollister, CA 95023 <br />INSURER E: <br />_ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />TYPE OF INSURANCE <br />IL <br />SUB <br />POLICY NUMBER <br />MMIDpY EFF YYYI <br />M POLICY UP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMShNOE OCCUR <br />EACH OCCURRENCE <br />DAMAGE TO RENTED <br />PREMISES i a0cmnenre <br />_$_. 2000OU0 <br />s 100,000 <br />MED UP (Any one peraai) <br />s 5,000 <br />PERSONAL&ADV INJURY <br />s 2,000,000 <br />A <br />Y <br />Y <br />P100.211.930.6 <br />044/1M022 <br />0,111812023 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />� R <br />X POLICY r`JI JPEC0. IT all LOC <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PROOUCTB-COMPATPAG6. <br />S SR Gen-Agg, <br />$ <br />OTHER: <br />AUTOMOBILELUIBIUTY <br />COMBINEDSINGLE <br />INGLELMIT <br />$ <br />ANYAUTO <br />BODILY INJURY IRK person) <br />E <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY PeractldeM <br />( ) <br />E <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Paraodd.rt <br />$ <br />IS <br />UMBRELLALMB OCCUR <br />j EACH OCCURRENCE — <br />E <br />EXCESS Me CLAIMSALAOE <br />IAGGREGATE <br />$ <br />DED RETENTIONS <br />IS <br />WORKERS COMPENSATION <br />AND EMPLOYERSDAIUTY YIN <br />ANYPROPRIETOR,PARTNERIF..XECUTNE <br />OFFICERIMEMBEREXCLUDED? ❑ <br />NIA <br />I PER OTH6 <br />I STATUTE ER <br />L <br />EEACH ACCIDENT <br />$ <br />EL DISEASE -EA EMPLOYEE <br />IS <br />tMan"M In NH) <br />N yes, d.s be under <br />EL DISEASE -POLICY LIMIT <br />Is <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS IWMCLES (ACORD 101, AddNlonel Remarks Schedule, may be anacbed X more spe.ls required) <br />The City of Santa Ana it's officers, officials, employees and volunteers are to be covered as additional insured on the CGL policy with respect to liability arising <br />out of work or operations performed by or On behalf of the Contractor including materials, parts, or equipment furnished in Connection with such work or <br />operations. The Consultant hereby grants to Grantee a waiver of any right to subrogation which any insurer of said Consultant may acquire against City by virtue <br />of the payment of any loss under such insurance. Consultant agrees to obtain any endorsement that maybe necessary to affect this waiver of subrogation, but <br />this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. <br />The City of Santa Ana 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 />©1988-2015 ACORD CI <br />ACORD 25 (2016103) The AC ORD name and logo are registered marks of ACORD <br />ItbkMaregemoUD[Wim <br />REVIEV/EOfi MPRov®BY: <br />A+� AdwY4(d <br />��� <br />RBk rAamgemen[Specialis[ <br />
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