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CROPPER, JASON
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CROPPER, JASON
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Last modified
12/7/2023 3:48:36 PM
Creation date
10/6/2022 11:10:50 AM
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Contracts
Company Name
CROPPER, JASON
Contract #
N-2022-296
Agency
Parks, Recreation, & Community Services
Destruction Year
2027
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Digitally signed <br />Tra cv <br />ACCORD® CERTIFICATE OF LIABILITY INSURANCE ' Dat :2(��t <br />� Jacobs 08:8:42-20 22 <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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Matthew Meyer <br />NAME: Y <br />CoverWallet, Inc. <br />A/C"N Ext : (646) 844 9933 A/�, No : <br />E-MAIL customer.service@coverwallet.com <br />ADDRESS: <br />25 W 45th Street, <br />Floor 15 <br />New York NY 10036 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: ACE Fire Underwriters Insurance Company (SCI) <br />20702 <br />INSURED <br />Studio C Recording <br />INSURER B : <br />2910 Ford Street <br />INSURER C7 <br />INSURER D 7 <br />Oakland, CA, 94601 <br />INSURER E : <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />X <br />D96641151 <br />11/09/2021 <br />11/09/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE Ln OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />A <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER : <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY ❑ PRO- <br />JECT LOC <br />❑ <br />X <br />PRODUCTS - COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Certificate holder is included as an additional insured on a primary and noncontributory basis with respect to the General Liability per the policy s terms and <br />conditions. Waiver of subrogation applies in favor of Certificate holder with respect to the General Liability per the policy s terms and conditions. <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA, 92701 <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 ACORD CO <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />m RIA <br />a REVIEWED&/�WPRCVEDBv: <br />�— Risk Management Analyst <br />
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