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ASCENT ENVIRONMENTAL, INC (2)
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ASCENT ENVIRONMENTAL, INC (2)
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Last modified
11/5/2024 1:27:28 PM
Creation date
11/5/2024 1:27:09 PM
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Contracts
Company Name
ASCENT ENVIRONMENTAL, INC
Contract #
A-2023-194-13A
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
3/31/2025
Insurance Exp Date
3/15/2025
Notes
SIDE LETTER 1
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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DA 3/B/20DN YY) <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 terra d, coedit' of tl7a policy, a ain p licies rpay require an endorsement. A statement on <br />this erti catp dos not confer rights to the certil i_ca I I e <br />Aqie <br />O <br />I'M r sign Professionals Insurance S�r, I�� <br />3597 Mt. blo Blvd., Suite 230 <br />Lafayette CA 94549 Date: 202 <br />NTACT <br />NAME: Mond GUO <br />PHONE 510-272-1402 FAX <br />Alc Not <br />E-MAIL <br />ri i ur,NGCOV ers.com <br />, U RDING COVERAGE <br />NAICR <br />INSURER A: Travelers Property Casual Company of America <br />25674 <br />_ 16003745 <br />INSURED CEENV-01 <br />Ascent Environmental, Inc. <br />455 Capitol Mall Suite 300 <br />INSURER B: The Travelers Indemnity Company of Connecticut <br />25682 <br />INSURER C: Underwriters at Uo d's, Landon/AP Beazley S ndica <br />INSURER D : <br />Sacramento CA 95814-4405 <br />INSURER E <br />INSURER F : <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 />rypE OF <br />ADDLSUBR <br />POLICY NUMBER <br />POLICYEFF <br />MMOD <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />Y <br />6606H400124 <br />3/15/2024 <br />3/15/2025 <br />EACH OCCURRENCE <br />$2,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea oc.ummu. <br />$1,000,000 <br />X <br />MED EXP (Any one person) <br />$10.000 <br />Contractual Liab <br />Included <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />AGGREGATE LIMIT APPLIES PER <br />POLICY PET LOG <br />GENERALAGGREGATE <br />$41000,000 <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$4,000,G00 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />V <br />Y <br />BA4R770955 <br />3/15/2024 <br />3/15/2025 <br />COMBINED GLE LIMIT <br />Ea accjdent <br />d <br />$1,000.000 <br />BODILY INJ URY(Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />accitlent) BODILY INJURY Per <br />( <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />NoD ned Auto <br />IS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTIONS <br />I $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />Y <br />U67K512607 <br />3/15/2024 <br />3/15/2025 <br />SPER <br />X I TATUTE 0RH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUDEDP MN <br />N/A <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 be. <br />C <br />Prohssnual 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 I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The Named Insured has no company owned autos. <br />Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. <br />Project: City of Santa Ana— On -Call Environmental and Planning Services Related to CEOA 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 />30 Day Notice of Cancellation <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE OEUVEREn IN <br />ACCORDANCE WITH THE POLICY PRC <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />©1988-2015 ACC <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Risk MRnaganmt iXutafrrn <br />y� �� REVIEWED&APPROVED L;Y: <br />Rlsk Management Spetl4lst <br />
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