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ASCENT ENVIRONMENTAL, INC.
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ASCENT ENVIRONMENTAL, INC.
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Last modified
4/17/2024 2:54:01 PM
Creation date
4/17/2024 2:44:28 PM
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Contracts
Company Name
ASCENT ENVIRONMENTAL, INC.
Contract #
A-2023-194-13
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
3/15/2025
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <br />3/8/2024 <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 />IMPUK I AN I : It the certificate holder Is an AUDIT IUNAL INSURED, the po <br />If SUBROGATION IS WAIVED, subject to the terrf; Md.coggibW of the <br />riHON Mend Guo <br />sign Professionals Insurance S PHONE <br />Ilo Blvd., Suite 23D� 0 510-27z <br />EMAIL <br />9. r _ Date: 202 <br />INSURED <br />Ascent Environmental, Inc. <br />455 Capitol Mall Suite 300 <br />Sacramento CA 95814-4405 <br />VAL INSURED provisions or be endorsed. <br />require an endorsement. A statement on <br />COVERAGES CERTIFICATE NUMBER: 1798111270 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 />SUER <br />POLICY NUMBER <br />POLICY Err <br />MODDNYYY) <br />POLICY UP <br />(MMOD/YYYYl <br />LIMITS <br />A <br />X <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS -MADE 1XI OCCUR <br />Y <br />Y <br />68061-1400124 <br />3/15/2024 <br />3/15/2025 <br />EACH OCCURRENCE <br />$2,000,000 <br />DAMAGERENTED <br />PREMISESSfee occurrence) <br />$1,000,000 <br />X <br />MED UP (Any one man) <br />$10,000 <br />Contractual Uab <br />Included <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$4,000,000 <br />POLICY J JE� LOC <br />PRODUCTS-COMP/OP AGG <br />$4,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />Y <br />Y <br />BA4R770955 <br />3/15/2024 <br />3/15/2025 <br />COMBINED SINGLE LIMIT <br />Ea socitlanl <br />$1,000,000 <br />BODILY INJURY (Per,mm) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Peraccident ) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />X <br />$ <br />NoOwned Auto <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />Y <br />UB7K512607 <br />3/15/2024 <br />3/15/2025 <br />X I PER OTM- <br />STATUTE I I ER <br />E.L. EACH ACCIDENT <br />$1.000,000 <br />ANYPROPRIETOWPARTNER/EXECUTIVE rINT] <br />OFFICERIMEMBEREXCLUDED9 <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL.DISEASE - POLICY LIMIT <br />$1.000.000 <br />C <br />Professional Liability <br />ENP000709003 <br />3/15/2024 <br />3/15/2025 <br />Per Claim <br />$2.000,000 <br />Aggregate Limit <br />$4.000.000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The Named Insured has no company owned autos. <br />Insured owns no company vehicles; therefore, hired/non-awned auto is the maximum coverage that applies. <br />Project: City of Santa Ana — On -Call Environmental and Planning Services Related to CEQA and NEPA The City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named as additional insureds as respects general liability as required per written contract. General Liability is <br />Primary/Non-Contributory per policy form wording. <br />CERTIFICATE HOLDER <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />1988-2015 ACORD <br />,y eye <br />_t PLe <br />Risk MRragemed Dlyidan <br />REVIEWED&rr <br />`®' <br />rt`�APPROV®BY: <br />Ruk Management Splist <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />
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