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WILLDAN HOMELAND SOLUTIONS, A DIVISION OF WILLDAN GROUP INC. 7B-2013
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WILLDAN HOMELAND SOLUTIONS, A DIVISION OF WILLDAN GROUP INC. 7B-2013
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Last modified
12/18/2013 11:46:37 AM
Creation date
12/18/2013 11:45:08 AM
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Contracts
Company Name
WILLDAN HOMELAND SOLUTIONS, A DIVISION OF WILLDAN GROUP INC.
Contract #
A-2012-218-002
Agency
POLICE
Expiration Date
9/30/2015
Insurance Exp Date
11/9/2014
Destruction Year
0
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"ww+l ^/ -2o /Z —(� <br />AC"R°® CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DDIYYYY) <br />L_..._. 11/18/2013 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />PRODUCER <br />)eal%, Renton & Associates <br />y. O. Box 10550 <br />>anta Ana CA 92711 -0550 <br />INSURED <br />Homeland Solutions <br />Katella Avenue, Ste. 220 <br />IT CA 92806 <br />COVERAGES CERTIFICATE NUMBER: on1711OR55 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 />INR <br />... TYPE OF INSURANCE <br />ADOL <br />SUER <br />__ <br />POLICY NUMBER .....mP <br />DYry <br />MMMAIONYYY <br />LIMITS <br />• <br />GENERAL LIABILITY <br />Y <br />301158PO20 <br />1/9/2013 <br />119/2014 <br />EACH OCCURRENCE $1,000,000 <br />%( COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea Nr $1,000,000 <br />CLAIMS -MADE El OCCUR <br />MED EXP(Any one oron) $10,000 <br />X ConaaCtual <br />PERSONAL SADY INJURY $1,000,000 <br />X <br />BFPD,XCU <br />GENERAL AGGREGATE $2,000000 <br />GEN'L AGGREGATE LIMIT' APPLIES PER: <br />PRODUCTS- COMPIOP AGG 32,000.000 <br />POLICY X PRO LOC <br />$ <br />• <br />AUTOMOBILE <br />LIABILITY <br />8101158PD20 <br />1/9/2013 <br />119/2014 <br />Ea accident 1000,000 <br />X <br />_ <br />BODILY INJURY (Per per60n) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />HO <br />I DAUTOS X NOWO MED <br />A <br />. <br />12 1 T. Y t�i ) C , <br />. <br />BODILY INJURY (Per accident) $ <br />X <br />PROPERTY $ <br />ecS <br />UMBRELLA LIAa <br />OCCURGY <br />/ <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />6..x41 Cii Y'11 l;; _J <br />AGGREGATE $ <br />DIED I RETENTION <br />$ <br />• <br />WORKERS COMPENSATION <br />UB7D417816 <br />11/9/2013 <br />1/9/2014 <br />X WC STATU• DTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE +N <br />O RCEREMBER EXCLUOED9 <br />NIA <br />EL EACH ACCIDENT $1,000,000 <br />E.L. DISEASE EA EMPLOYEE $1,000,000 <br />(Mandatory in Ni <br />It yyes, describe under <br />OESCRiPTION OF OPERATIONS below <br />E.L. DISEASE POLICY LIMIT $1,000,000 <br />B <br />Professional Liability <br />AE0977441114 <br />1/9/2013 <br />1/9/2014 <br />Per Claim $1,000,000 <br />Claims Made <br />Annual Aggregate $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) <br />General Liability policy excludes claims arising out of the performance of professional services. <br />Independent Contractors are included as respects to General Liability. <br />30 Day NOC110 Day for NOnPay of Prem <br />Re: Multi -year training and exercise plan (MTEP) City of Santa Ana, its officers, employees, agents, volunteers and representatives are <br />additional insured as respects to General Liability as required by written contract. Primary and Non - Contributing coverage, Cross Liability <br />coverage applies to GL as required by written contract. (WHS) <br />City of Santa Ana <br />Attn: Clerk of the City Council <br />20 Civic Center Plaza(M -30) / PO Box 1988 <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />171989 -2010 <br />ACORD 25 (2010 /05) The ACORD name and logo are registered marks of ACORD <br />All rights reserved. <br />
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