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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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CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br /> 05/29/2025 <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 CONTACT Kasey Litz <br /> NAME: <br /> Stanton and Associates Inc. PHONE o Ext: (805)413-1498 a/c,No: (805)435-3737 <br /> ISU Stanton&Associates E-MAIL kasey@isustanton.com <br /> ADDRESS: y� <br /> 3625 Thousand Oaks Blvd#292 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Westlake Village CA 91362 INSURERA: Crum&Forster Specialty Insurance Company 44520 <br /> INSURED INSURER B: California Automobile Insurance Company 38342 <br /> Envicom Corporation INSURER C: EMPLOYERS Preferred Insurance Company 10346 <br /> 4165 Thousand Oaks Blvd Ste 290 INSURER D: <br /> INSURER E: <br /> Westlake Village CA 91362 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 25-26 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 TYPE OF INSURANCE POLICY EFF POLICY EXP <br /> LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> CLAIMS-MADE FX OCCUR PREM SES Ea occurrDence $ 300,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y EPK-153073 05/17/2025 05/17/2026 PERSONAL&ADVINJURY $ 2,000,000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000 <br /> X POLICY ❑PECT ❑ LOC PRODUCTS- $ 4'000'000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED rx <br /> SCHEDULED BA040000085701 12/05/2024 12/05/2025 BODILYINJURY(Peraccident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED NON-OWNED PROPERTYDAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATION X1 <br /> STATUTE EORH <br /> AND EMPLOYERS'LIABILITY Y/N 1,000,00(J <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> C OFFICER/MEMBER EXCLUDED? NIA EIG469045104 02/04/2025 02/04/2026 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> Professional Liability Each Claim: $3,000,000 <br /> A EPK-153073 05/17/2025 05/17/2026 Aggregate: $3,000,000 <br /> Deductible: $5,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Tu Tra n Digitally signed <br /> Project:RFQual 23-142 Environmental&Planning Services TuTran Nguyen <br /> The City of Santa Ana,its officers,officials,employees,and volunteers named as Additional Insured(s) Date:2025.05.30 <br /> Nguyen08:4:28- <br /> APPROVED <br /> By Tu Tran Nguyen at 8:44 am,May 30,2025 <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;Planning and Building Agency ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza,M-20 <br /> AUTHORIZED REPRESENTATIVE <br /> G <br /> Santa Ana CA 92702 <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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