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PLACER LABS, INC. (2)
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PLACER LABS, INC. (2)
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Last modified
4/29/2025 8:37:18 AM
Creation date
4/29/2025 8:36:36 AM
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Contracts
Company Name
PLACER LABS, INC.
Contract #
N-2025-098
Agency
Parks, Recreation, & Community Services
Expiration Date
1/23/2027
Insurance Exp Date
7/1/2025
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ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) <br /> 1 2/1 612 024 <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 CONTACT <br /> NAME: Cert Request <br /> Newfront Insurance Services PHONE 650-488-8565 A XC 777 Mariners Island Blvd Suite 250 No), <br /> San Mateo, CA 94404 ADDRESS: Tech CertRe uest newfront.com <br /> INSURERS AFFORDING COVERAGE NAIC q <br /> www.newfront.com INSURER A! National Fire Insurance Co or Hartford 20478 <br /> INSURED INSURER B: <br /> Placer Labs, Inc.Placer.ai INSURERC: Associated Industries Insurance Company 23140 <br /> 440 N.Barranca Ave#1277 INSURERD: Continental Insurance Company 35289 <br /> Covina CA 91723 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 83035486 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 ADDL SUBRPOLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM ODIYYYY LIMITS <br /> A �/ COMMERCIAL GENERAL LIABILITY ✓ ✓ 7063806632 12/5/2024 12/5/2025 EACH OCCURRENCE 51 000 000 <br /> CLAIMS-MADE ✓ OA161AGE TO RENTED <br /> OCCUR PREMISES Ea occurrence S 1 000 000 <br /> MED EXP(Anyone person) S 15,000 <br /> PERSONAL&ADV INJURY S1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 <br /> ✓ POLICY❑PRO ❑ <br /> JECT LOC PRODUCTS-COMPIOPAGG 52,000000 <br /> OTHER: <br /> 5 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE L111IT S <br /> Ea aeadent <br /> ANY AUTO BODILY INJURY(Per person) 5 <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) S <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY Per accident 5 <br /> S <br /> D �/ UMBRELLA LIAB ,/ OCCUR ,/ 7063806615 12/512024 12/5/2025 EA.CG'R; <br /> OCCURRENCE S3,000,000 <br /> EXCESS LIAB CLAIMS-MADE EGATE 5 3.000 000 <br /> DED I I RETENTIONS S <br /> WORKERS COMPENSATION PER OTH <br /> - <br /> ANDEMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETORlPARTN ERIEXECUTIVE <br /> OFFICERWEMBEREXCLUOED? ❑ NIA E.L.EACH ACCIDENT 5 <br /> (Mandatory in NH)If yes,describe under E.L.DISEASE-EA EMPLOYEE S <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> C Errors&Omissions/Cyber Liability ✓ ACL1241328 01 12/5/2024 1215/2025 Limit:$5,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> City of Santa Ana,its City Council,its officers,officials,employees,agents,and volunteers are included as additional insured as respects to <br /> General Liability,Umbrella Liability and E&O Policy,but only to the extent required by written contract or agreement.General liability is primary& <br /> noncontributory,but only to the extent required by written contract or agreement.Waiver o <br /> the extent required by written contract or agreement. APPROVED <br /> By Cynthia Mora at 9:47 am, Dec 23, 2024 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Attention: Parks, Recreation and Community Service ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 20 Civic Center Plaza M-23 <br /> Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE <br /> Rod Sockolov ` <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br /> �3o35.1&5 1 2i-25 All Sizes;E._ -St4 ' EYcl:AU ;Jr D'r^ OT3 OT4 � e arr- la :_arior.reddy __ _. .. ]3 ....�:4' .AX ._. <br /> This cer_ificate cancels and supersedes ALL previously is-sued <br />
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