Laserfiche WebLink
Page '°'.' Cer: xate of Insurance <br />Sparta Program <br />Name Insured: Named Additional Insured: <br />Network Integrators, LLC c/o Daniel Juan <br />839 N. Kintyre Drive <br />Orange, CA 92869 <br />SANTA ANA ( SPARTA) <br />20 Civic Center Plaza PO Box 1988 <br />Santa Ana CA 92701 <br />Certificate # SSA04 -0033 <br />Coverage SPARTA INSURANCE PROGRAM: Commercial General Liability - Hazard 1 <br />Contract Value: $120,000.00 <br />Coverage Period: 11/4/2005 to 11/4/2006 <br />Insurance Carrier: Essex Insurance Company <br />Master Policy: 3CP9777 <br />Master Policy Effective Date: 11/15/2004 to expiration <br />Limits $2,000,000 General Aggregate / $1,000,000 Each occurrence / $1,000,000 Products/Completed operations / <br />$1,000,000 Personal & Advertising Injury/$50,000 Fire Damage / Medical Payments Excluded / Including <br />Non -owned Automobile Liability coverage for the city, county or public entity only. No coverage is provided for the <br />Certificate Holder. Coverage is limited to the insured operation covered by this certificate and for vehicles not owned <br />or hired by the city, county or public entity. <br />Deductibles $500 BI & PD Per Claimant Including Loss Adjustment Expense <br />$1,000.00 Premium (Fully Earned) <br />$32.25 Taxes (Fully Earned) <br />$125.00 Certificate Fee (Fully Earned) <br />$1,157.25 Total Amount <br />Terms & L No Cancellations Allowed. Premium, taxes and fees are fully earned at inception. <br />Conditions 2. Operations and Rating Based: Consultant - No public exposure - provide LAN Network maintenance & support, <br />train users various software related tasks & development projects. <br />3. Department: Santa Ana Community Redevelopment Agency; Santa Ana Housing Authority, City of Santa Ana <br />4. Additional Insured(s): Not Applicable <br />5. No Professional Liability Coverage provided. <br />6. NO PUBLIC EXPOSURE WORKING WITHIN THE CITY OF SANTA ANA DEPARTMENTS AND THEIR <br />EMPLOYEES. <br />7. NON OWNED AUTOMOBILE LIABILITY COVERAGE IS FOR PRIVATE PASSENGER VEHICLE ONLY. <br />NO TRANSPORT OF CLIENTS. <br />Exclusions Asbestos, Assault & Battery, Employer Related Practices, Subsidence, Independent Contractors, Pollution, Cross <br />Suit, Lead or Silica Dust, Mold or Bio-organic Growth or Mildew, Punitive Damages, Animal, Breach of Contract, <br />Y2K Electronic Data, Medical Payments, War or Terrorism. <br />The insurance provided under this policy is limited to your work performed on behalf of the entity named as <br />"Additional Named Insured" above and doesn't extend itself to any other work performed by you or your <br />organization. Coverage is limited to the description of operations and rating bases listed in "Terns & Conditions" <br />item 2. <br />Per the Master policy, a copy is available by written request to: Municipality Insurance Services, Inc., 302 W. <br />Cerritos Ave., Building #7, Anaheim, CA 92805 <br />APPROVED AS F0 <br />Laura t:i�5;:.:,jy <br />Assistant City Aticr,:v <br />302 W. Cerritos Ave Bldg# 7 Anaheim, CA 92805 (800) 420 -0555 (714) 687 -1100 fax (714) 687 -1106 LicensesCA:0004849; OR: 195423 <br />hk�- Website address www.2soarta.com <br />