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Last modified
8/24/2022 4:46:28 PM
Creation date
5/25/2022 10:45:47 AM
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Template:
Contracts
Company Name
THINK TOGETHER
Contract #
A-2022-069-18
Agency
Parks, Recreation, & Community Services
Council Approval Date
5/3/2022
Expiration Date
6/30/2023
Insurance Exp Date
3/1/2023
Destruction Year
2028
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Client#: 424553 <br />THINKTOGET <br />ACORD, CERTIFICATE OF LIABILITY INSURANCE <br />DATE A) <br />5/13/2022 <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 policy(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 any rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />Darlene Corder <br />Marsh & McLennan Agency LLC <br />PHONE <br />ac No Est: 949544-8463 Arc No): <br />Marsh &McLennan Ins. Agency LLC <br />ss: darlene.corder@marshmma.com <br />ADDRESS, <br />1 Polaris Way #300 <br />Aliso Viejo, CA 92656 <br />INSURERIS)AFFOROING COVERAGE <br />NAICN <br />INSURER A: Republic Indemnity Company of Californi <br />43753 <br />INSURED <br />THINK Together, Inc. <br />INSURER a <br />INSURER C: <br />2101 East Fourth Street, 200B <br />INSURER D: <br />Santa Ana, CA 92705 <br />INSURER E : <br />NSURERF: <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 CONTRACTOR 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 />LTRR <br />TYPE OF INSURANCE <br />ADOL <br />IN R <br />SUB <br />VOID <br />POLICY NUMBER <br />POLICY EFF <br />k1MR)D <br />POLLICY EXP <br />MMIOD <br />UNITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />$ <br />ppEpAACMI,1HppGGOEECC'TURRENCE <br />PREMISES Ea��Irrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMITAPPLIES PER <br />PRO - <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGO <br />$ <br />POLICY JECT LOC <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMB <br />Ea accident <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY(Peracddmt) <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />UMBRELLA LIM <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIM <br />CLAIMS -MADE <br />DED RETENWT ION$ <br />$ <br />A <br />AND WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/ CLIJERIEXECUTIVE <br />OFFICERMEn EXCLUDE07 � <br />'MIA <br />X <br />18151112 <br />3/01/2022 <br />03/01/ 00 <br />_.. <br />E.L. EACH ACCIDENT <br />$1 OOO,OQQ <br />NHJ <br />(Mandatory ys,describe <br />H yes, tlescribe under <br />and <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTfON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Waiver of Subrogation applies with respects to Workers Compensation per the endorsement to follow form from <br />carrier. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701.4058 <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 />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORC <br />ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S10827087/M10470029 <br />..�� ItWIMMMgaItmLDMeI°n <br />REVIEWED 6 APPROVED BY: <br />Alf-4 Aa#44 <br />�'. <br />- Risk Management Specialist <br />
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