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ECORP CONSULTING, INC. (SIDE LETTER)
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ECORP CONSULTING, INC. (SIDE LETTER)
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Last modified
10/9/2024 10:19:03 AM
Creation date
5/21/2024 10:11:36 AM
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Contracts
Company Name
ECORP CONSULTING, INC.
Contract #
A-2023-194-12A
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
7/1/2025
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDNYYY) <br />11/29/2023 <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 />e certificate holder Is an AUUITIC <br />IS WAIVED, subject to the terms <br />CA 95825 <br />INSURED <br />ECORP Consulting, Inc. <br />2525 Warren Dr <br />Rocklin CA 95677-2167 <br />Acevedo <br />Date: 2 <br />must have ADDITIONAL INSURED provisions or be endorsed. <br />€ItlII polipjefi-nipy require an endorsement. A statement on <br />COVERAGES CERTIFICATE NUMBER: 1117144160 REVISION NUMBER - <br />NAIL # <br />27847 <br />10172 <br />22667 <br />22314 <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 />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MMIDD/YYYY <br />LIMITS <br />11 <br />TCOMMERCIAL GENERAL LIABILITY <br />CIAIMS-MADE M OCCUR <br />V <br />Y <br />G71832193 004 <br />10/l/2023 <br />10/1/2024 <br />EACH OCCURRENCE <br />$4,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea oxa.., <br />$100,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL&ADV INJURY <br />$4,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY JE� LOG <br />GENERALAGGREGATE <br />$4,000,000 <br />PRODUCTS - COMP/OP AGO <br />$4,000,000 <br />1 Deductible <br />$10,000 <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />CAL H08475210003 <br />10/1/2023 <br />10/1/2024 <br />OMBI EDtSINGLE LIMIT <br />fEa <br />$1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />1AUTOS <br />( ) BODILY INJURY Per accident <br />$ <br />HIRED NON -OWNED <br />ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per acri i <br />$ <br />D <br />UMBRELLA LIAR <br />X <br />OCCUR <br />NHA255354 <br />10/1/2023 <br />10/1/2024 <br />EACH OCCURRENCE <br />$5,000,000 <br />X <br />AGGREGATE <br />It 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I X I RETENTION$ <br />$ <br />q <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />WVE507214000 <br />7/1/2023 <br />7/1/2024 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPRIETOWPARTNEWEXECUTIVE ❑ <br />OFFICERMIEMBEREXCLUDED) <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In NH) <br />If yes, describe Under <br />E.L. DISEASE -POLICY LIMIT <br />$1,000.000 <br />DESCRIPTION OF OPERATIONS below <br />B <br />e <br />Professional Uahility <br />Contractors Pollution Liability <br />G71832193 004 <br />G71832193 004 <br />10/i/2023 <br />10/1/2023 <br />10/1/2024 <br />10/l/2024 <br />Each Claim <br />Each Pollution Cond. <br />Ded. For Each <br />4,000,000 <br />4,DOD, 000 <br />10,000 <br />DESCRIPTION OFOPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: COSA New Agreement Request <br />City of Santa Ana is General Liability Additional Insured per terms and conditions of the attached endorsemenl(s). Primary Wording for General Liability applies <br />per terms and conditions of the attached endorsement. General Liability Waiver of Subrogation applies per terms and conditions of the attached endorsement. <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 ACCORDANCE WITH THE POLICY PRC <br />Risk Management Division Risk MatuBemrntDiwNdn <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE i `+., REVIEWED&APPROVmBY: <br />Santa Ana CA 92701 -� 91,. f) Aciuk�a <br />l Lam' <br />Risk Management Specialist <br />©1988-2015 ACORD 01 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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