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Last modified
5/30/2025 9:13:23 AM
Creation date
4/9/2024 10:09:12 AM
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Contracts
Company Name
ENVICOM CORPORATION
Contract #
A-2023-194-10
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
12/5/2025
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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />02/10/2025 <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 Kasey Litz <br />NAME: <br />Stanton and Associates Inc. <br />a'C' o Ext : (805) 413-1498 a/c, No : (805) 435-3737 <br />ISU Stanton & Associates <br />E-MAIL kasey@isustanton.com <br />ADDRESS: y� <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />3625 Thousand Oaks Blvd #292 <br />Westlake Village CA 91362 <br />INSURERA: Crum & Forster <br />44520 <br />INSURED <br />INSURER B : California Automobile Insurance Co <br />38342 <br />Envicom Corporation <br />INSURER C : EMPLOYERS Preferred Insurance Company <br />10346 <br />4165 Thousand Oaks Blvd Ste 290 <br />INSURER D : <br />INSURER E : <br />Westlake Village CA 91362 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 25-26 WC 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE FX OCCUR <br />PREM SES Ea occurrDence <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL&ADVINJURY <br />$ 2,000,000 <br />A <br />Y <br />EPK-147858 <br />05/17/2024 <br />05/17/2025 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />X POLICY ❑ PECT ❑ LOC <br />PRODUCTS- <br />$ 4'000'000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BA040000085701 <br />12/05/2024 <br />12/05/2025 <br />BODILYINJURY(Peraccident) <br />$ <br />X <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />rx <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />EIG469045104 <br />02/04/2025 <br />02/04/2026 <br />X1 STATUTE EORH <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE- EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />1,000,000 <br />$ <br />Each Claim: <br />$3,000,000 <br />A <br />Professional Liability <br />EPK-147858 <br />05/17/2024 <br />05/17/2025 <br />Aggregate: <br />$3,000,000 <br />Deductible: <br />$5,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Project: RFQual 23-142 Environmental & Planning Services <br />The City of Santa Ana, its officers, officials, employees, and volunteers named as Additional Insured(s) <br />Tu Tran Digitally signed by APPROVED <br />Tu Tran Nguyen <br />10 <br />Nguyen 1D62340-08'00'2 By TO Tran Nguyen at 4:23 pm, Feb 12, 2025 <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 />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Planning & Building Department <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza, M-20 <br />Santa Ana CA 92701 <br />C <br />© 1988-2015ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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