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ENERGY EXPERTS INTERNATIONAL (2)
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ENERGY EXPERTS INTERNATIONAL (2)
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Last modified
3/5/2025 11:56:57 AM
Creation date
3/5/2025 11:48:31 AM
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Contracts
Company Name
ENERGY EXPERTS INTERNATIONAL
Contract #
N-2025-038
Agency
Public Works
Expiration Date
2/17/2026
Insurance Exp Date
3/1/2025
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ACORbr CERTIFICATE OF LIABILITY INSURANCE <br />I <br />`� <br />DATE(MWDDMYY) <br />1 02/04/2025 <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 />RISK MANAGEMENT SERVICES, INC. <br />P.O. BOX 50310 <br />CONTACT <br />NAME: OASIS L CROCKER <br />PHONE (602) 840-3234 AIC No: <br />E-MAIL <br />ADDRESS: CASIE.CROCKERMTHERISKPEOPLE.COM <br />PHOENIX AZ 85076 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: EVEREST NATIONAL INS CO <br />10120 <br />INSURED <br />ENERGY EXPERTS INTERNATIONAL <br />INSURER B: EVEREST INDEMNITY INSURANCE CO <br />10851 <br />INSURER C:HDI GLOBAL SPECIALTY BE <br />555 TWIN DOLPHIN DR, STE 150 <br />INSURER D: SCOTTSDALE INSURANCE COMPANY <br />41297 <br />INSURER E: EMPLOYERS ASSURANCE CO <br />25402 <br />REDWOOD CITY CA 94065 <br />INSURER F <br />(650) 593-4261 <br />COVERAGES CC CERTIFICATE NUMBER: Cart ID 32875 (113) 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 />I TYPE OF INSURANCE <br />ADDL <br />J= <br />SUER <br />MO <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIODIYYYYn- <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Y <br />Y <br />KN4NL00530222 <br />O8/01/202408/01/2025a <br />RRENCE <br />$ 11000,000 <br />TLIMITS <br />RENTE <br />occurrence <br />$ 300,000 <br />y one person) <br />$ 10,000 <br />ADV INJURY <br />$ 11000,000 <br />GENL <br />AGGREGATE LIMIT APPLIES PER: <br />1-1 <br />GREGATE <br />$ 2,000,000 <br />POLICY JE� LOC <br />COMPIOP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />B <br />ANYAUTO <br />Y <br />Y <br />EN4ML00530222 <br />08 /0 1/2 024 <br />0 8/01/2 025 <br />OWNED SCHEDULED <br />OA <br />AUTOS ONLY UTOS <br />0001LY INJURY (Per accitlent ) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />X <br />PROPERTY OH MAGE <br />Per accident <br />$ <br />A <br />UMBRELLALIAB <br />N <br />OCCUR <br />Y <br />Y <br />ENIC000063232 <br />OB/01/2024 <br />08/01/2025 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />X <br />AGGREGATE <br />$ 4,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEU I I RETENTION$ <br />$ <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />Y <br />BIGS665337-00 <br />08/01/2024 <br />08/01/2025 <br />I PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? ❑N <br />NIA <br />E.L. DISEASE - FA EMPLOYEE <br />$ 11000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />PROF LIAB-CLAIMS NADS <br />FRL-H-P-PL-00002948-01 <br />04/13/2024 <br />04/13/2025AG/CL <br />$ 5,0001000 <br />D <br />CYBER <br />H21NGP206843-03 <br />03/01/2024 <br />03/01/2025AGG <br />$ 51000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Atld10onal Remarks Schedule, maybe attached if more space is required) <br />CONSULTANTS. CITY OF SANTA ANA, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED <br />AS ADDL INSURED WITH RESPECTS TO THE GL & AUTO PER WRITTEN CONTRACT. COVERAGE IS PRIMARY NON- <br />CONTRIBUTORY. WAIVER OF SUBROGATION APPLIES WITH R13SPECST TO THE GL, AUTO & WC. 30-DAY NOTICE OF <br />CANCELLATION APPLIES. INSURED DOSS NOT OWN ANY AUTOS. <br />APPROVED <br />By Tu Tran Nguyen at 4:15 pm, Feb 06, 202.1 <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 "A <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attention: Heidi Chou <br />AUTHORIZED REPRESENTATIVE <br />215 CENTER STREET M-85 <br />SANTA ANA CA 92703 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Tu Tran Digitally signed by Tu <br />(y Tran Nguyen <br />Pdcj= of IV�U�/2n 61619-0800'6 <br />
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