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360 CIVIC, INC
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Last modified
12/19/2023 5:37:37 PM
Creation date
7/11/2022 12:32:04 PM
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Contracts
Company Name
360 CIVIC, INC
Contract #
N-2022-187
Agency
Information Technology
Expiration Date
6/30/2023
Insurance Exp Date
9/1/2022
Destruction Year
2028
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ALA o® CERTIFICATE OF LIABILITY INSURANCE DATE MM/D2IYYYY) <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 be endorsed. R I N IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />GUN' ACT <br />NAME: <br />Stratum Insurance Agency LLL <br />Ezt: 949-270-0609 (AIC, No): 949-2700608 <br />Erhelpdesk@stratuminsurance.com <br />ADDRESS; helpdesk@stratuminsurance.com <br />10620 Southern Highlands Pkwy <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />Suite 110-276 <br />INSURERA: North American Specialty Insurance Company <br />29874 <br />Las Vegas NV 99141 <br />INSURED <br />INSURER B : <br />INSURER C: <br />36DOoc <br />INSURER D : <br />1835 W Orangewood <br />INSURER E <br />Suite 255 <br />INSURER F: <br />Orange CA 92868 <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 />LTR <br />TYPE OF INSURANCE <br />INSD <br />MO <br />POLICY NUMBER <br />MM/DDIYYYY <br />MWOD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />PREMISES (Ea occurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER <br />POLICY F7 JEO CT 7 LOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OPAGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS <br />RFOM <br />HRED AUTOS AUOSED <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILYINJURY(Pw accident)AUTo <br />$ <br />PHU <br />(Per accident) <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMB-MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEO <br />I <br />I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑NIA <br />(Mandatory In NH) <br />If Y. dMo. under <br />DESCRIPTION OF OPERATIONS below <br />BTATUTE ER <br />E.L EACH ACCIDENT <br />$ <br />EL. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Cyber/Network Liability <br />C-0NSF-23788TCYBER-2022 <br />4/27/2022 <br />4/27/2023 <br />limit$1,000p00 <br />DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD tall, Additional Remarks Schedule, may be attached if more space is required) <br />Please check additional document for limits. <br />CERTIFICATE HOLDER CANCELLATION <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 />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />
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