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120 WATER, INC.
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120 WATER, INC.
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Last modified
7/1/2025 1:15:16 PM
Creation date
7/1/2025 1:14:22 PM
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Contracts
Company Name
120 WATER, INC.
Contract #
N-2025-175
Agency
Public Works
Expiration Date
4/6/2027
Insurance Exp Date
6/7/2025
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Ai!L), CERTIFICATE OF LIABILITY INSURANCE r <br /> AT412MIDDN Y) <br /> �NiTHIS 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 <br /> Alliant Insurance Services, Inc. PHONE Aimee Smith FAX <br /> 32 Cl Slip 29th FI AfC No: <br /> New York NY 10005 E-MAIL <br /> O R€Ss: Aimee.Smith alliant.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:OC36861 INSURER A:Houston Casualty Company 42374 <br /> INSURED 120WATE-01 INSURER B: <br /> 120 Water, Inc. <br /> 250 S Elm Street INSURERC: <br /> Zionsville IN 46077 INSURER D: <br /> INSURER E: <br /> INSURER F <br /> COVERAGES CERTIFICATE NUMBER:1179352150 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 /> WSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMfaIO�YY MMI�DYYYY LIMITS <br /> LTR <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ <br /> CLAIMS-MADE 1-1 OCCUR <br /> DAMAGE (RENTED <br /> PREMISESS Ea occurrence) $ <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> G£N'L AGGRFGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ <br /> POLICY 0 J ' ❑LOC PRODUCTS-COMPfOP AGG $ <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident} $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> $ <br /> LCE <br /> ALIAS OCCUR EACH OCCURRENCE $ <br /> LIAB CLAIMS-MADE AGGREGATE RETENTION$ $ <br /> WORKERS COMPENSATION I SEATU7E OTRH- <br /> AND EMPLOYERS'LIABILITY Y 1 N <br /> ANYPROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT 5 <br /> OFFICE RIMEM9ERFXCLUDED? NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.$ <br /> If yes,describe under <br /> DESCRfPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S <br /> A Cyber Liability Y Y H24TG34885-00 6/772024 6f7I2025 Each Claim/Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS I 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 with regards to the Cyber Liability <br /> as required by written contract subject to the policy terms and conditions.Coverage is Primary and Non-Contributory with regards to the Cyber Liability as <br /> required by written contract subject to the policy terms and conditions.Waiver of Subrogation applies with regards to the Cyber Liability as required by written <br /> contract subject to the policy terms and conditions.30 days notice of cancellation applies,except non payment of premium which is 10 days,in accordance with <br /> the terms and conditions of the policy. <br /> APPROVED <br /> By To Tran Nguyen at 7:27 am,Jun 2fi,2025 <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 Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Attention: (Heidi Chou,Water Resources Divis'ian) <br /> 220 S. Daisy Avenue M-85 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92703 <br /> O 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />
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