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ASPEN ENVIRONMENTAL GROUP
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Last modified
7/16/2024 11:59:56 AM
Creation date
4/9/2024 9:37:19 AM
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Contracts
Company Name
ASPEN ENVIRONMENTAL GROUP
Contract #
A-2023-194-07
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
7/1/2025
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® <br />ACC) o CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWDDNYYY) <br />3/26/2024 <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 certificata holder ki.1leyof such endo ent( <br />PRODUCER <br />Risk Strate lies Com an <br />q[t y <br />I n giZceved o Acevedo <br />Date: 202TOT.G51 <br />www.risk-strategies.com <br />PHONE <br />818-857-5010 INC. Me: 818-274-0325 <br />EMAIL <br />ADDRESS: <br />Gda$ ORDINGCOVERAGE <br />NAIL# <br />INSURERA: Starr Surplus Lines Ins. Co. <br />13604 <br />_ <br />INSURED <br />ASppenEnvironmental Groupp <br />5020 Chesebro Rd., Suite 200 <br />Agoura Hills CA 91301 <br />INSURERS: Vanta TOSpecialty Insurance Company <br />44768 <br />INSURERC: Insurance Company of the West <br />27847 <br />INSURER I General Casualty Company of Wisconsin <br />24414 <br />INBURER E <br />INSURER F : <br />I.V Vci{MUCJ �.u� .. .....:.. .............. ...�-.moo.. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS 15 TO CERTIFY THAT <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTq <br />TYPE OF INSURANCE <br />gDDL <br />SUBR <br />POLICYNUMBER <br />POLICYEFF <br />MWOD <br />POLICY EXP <br />MMI00 <br />LIMITS <br />A <br />✓ <br />COMMERCIAL GENERAL LIABILITY <br />r/ <br />1000067010231 <br />7/1/2023 <br />7/1/2024 <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$500000 <br />CLAIMS -MADE FA OCCUR <br />MED EXP(My one Pelson) <br />$2$000 <br />PERSONAL BADV INJURY <br />$1 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERA -AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$2000000 <br />POLICY ✓� JECT � LOG <br />Deductible <br />$2500 <br />B <br />OTHER: <br />AUTOMOBILE LIABILITY <br />5087-1160-00 <br />7/1/2023 <br />7/l/2024 <br />COMBINED SINGLE LIMIT <br />Es accident <br />$ 000000 <br />1 <br />BODILY INJURY (Par person) <br />$ <br />✓ ANY AUTO <br />BODILY INJURY (Par accident) <br />$ <br />✓ <br />PROPERTY DAMAGE <br />Par accitlenl <br />$ <br />AOWNED UTOS ONLY AUTOSULED <br />HIRED NON -OWNED <br />✓ AUTOS ONLY ✓ AUTOS ONLY <br />$ <br />✓ Cnmn dad 1 OA 1 Collision ded $ <br />000 <br />A <br />UMBRELLA LAB <br />OCCUR <br />1000337338231 <br />7/1/2023 <br />7/1/2024 <br />EACH OCCURRENCE <br />$4000000 <br />AGGREGATE <br />$4000000 <br />EXCESS LWB <br />CLAIMS -MADE <br />,/ <br />OED I I RETENTIONS <br />WORKERS COMPENSATION <br />,/ STAPERTUTE ERµ <br />$ <br />C <br />WVE 505610302 <br />7/1 /2023 <br />7/1 /2024 <br />E.L. EACH ACCIDENT <br />$1 OOO OOO <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUDVE <br />NIA <br />E.L. DISEASE -EA EMPLOYE <br />$1000,000 <br />OFFICERIMEMBEREXCLUDEO? <br />(Mandatory in NH) <br />E.L. DISEASE -POLICY LIMIT $1000000 <br />Ifyes, describe under <br />A <br />DESCRIPTION OF OPERATIONS be. <br />Professional Liab. REID, Date:?-21-95 <br />1000337338231 <br />7/1/2023 <br />7/1/2024 <br />1,000,000 Per Claim Dad $25,000 <br />7/1/2023 <br />7/1/2024 <br />1.000,000 per occurrence Dad $2,500 <br />A <br />D <br />Pollution <br />Business Personal Properly <br />BCP000048603 <br />7/1/2023 <br />7/1/2024 <br />Limit: $618,000 Ded: $1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Project Name: City of Santa Ana On Call <br />Project Number: 3627 <br />The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy when required by written <br />contract with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts, or <br />equipment furnished in Connection with such work or operations. <br />City of Santa Ana <br />Planning and Building Aggency <br />20 Civic Center Plaza (MO) <br />PO Box 1988 <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE Kz <br />01988-2015 ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />79242068 1 23-24 GL, Auto, until, Prof. Liab k WC I Irma Cortez 1 3/26/2024 1:04:00 PM (PDT) I Page 1 of 10 <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 PRC <br />,sue Risk MmxgemodDlyician <br />i � REVIEWED d, APPROVBJ BY: <br />Risk Management Speealist <br />00 <br />
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