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PCC NETWORK SOLUTIONS, A PACIFIC COAST CABLING, INC. COMPANY -2014
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PCC NETWORK SOLUTIONS, A PACIFIC COAST CABLING, INC. COMPANY -2014
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Last modified
7/23/2015 2:23:39 PM
Creation date
9/5/2014 4:29:33 PM
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Contracts
Company Name
PCC NETWORK SOLUTIONS, A PACIFIC COAST CABLING, INC. COMPANY
Contract #
A-2014-161
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
7/1/2014
Expiration Date
6/30/3015
Insurance Exp Date
1/1/2016
Destruction Year
2020
Notes
a-2013-144
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AS® b CERTIFICATE OF LIABILITY INSURANCE <br />�+�`� <br />DATE (MMDDY YY) <br />12/30/2014 <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 />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Aral Flores, AIS, AINS <br />NAME: <br />Tolman & Wiker Insurance Services LLC #OE52073 <br />196 S. Fir Street <br />PHONE (805)585 -_6113 FAX No: (805)585 -6213 <br />E -MAIL aflores @tolmanandwiker.com <br />ADD ss: <br />PO BOX 1388 <br />INSURERS AFFORDING COVERAGE <br />NAIC p <br />INSURER A:Hart£ord Fire Ins Cc <br />19682 <br />Ventura CA 93002 -1388 <br />INSURED <br />INSURER B:Hartford Casualty <br />29429 <br />INSURER C.Hartford Accident & Indemnitv <br />122357 <br />Pacific Coast Cabling, Inc. <br />DBA: PCC Network Solutions <br />INSURER D: - <br />$ 300,000 <br />20717 Prairie Street .'1h 11 I <br />Chatsworth CA 91311 A -aoi '°6�e <br />_ <br />INSURERS: _ <br />PERSONAL B ADV INJURY <br />INSURERF: <br />ULIVI-HAGFti CFRTIFICATF NIIMRFR•15 /iR GT• /AT. /1R4P /1IC GC11ICIr1N1 NIIIanIa CO. <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 />ILTR <br />TYPE OF INSURANCE <br />ADOL <br />S <br />POLICY NUMBER <br />POLICY 0 EFF <br />MM /pp YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,0_00,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Gi AIMS-MADE OCCUR <br />72UUNJH0752 <br />1/1/2015 <br />1/1/2016 <br />DAMAGE TO RENTS <br />REMISES Ea occurrence) <br />$ 300,000 <br />MED EXP(Any one person) <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,01 <br />GENT AGGREGATE LIMIT APPLIES PER <br />PRODUCTS COMP /OP AGO <br />$ 2,000,000 <br />IFCT POLICY X PRO X LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />EO MINED SINGLE LIMIT <br />1 000 000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72UUNJH0752 <br />1/1/2015 <br />1/1/2016 <br />BODILY INJURY Peraccident <br />( ) <br />$ <br />NON-OWNED EO <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />Underinsured motorist <br />$ <br />X <br />UMBRELLA UAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$. 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />B <br />EXCESS LIAR <br />CL41MS -MADE <br />DED I X I RETENTION 10,00 <br />Is <br />72MUJH1103 <br />1/1/2015 <br />1/1/2016 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in Ni <br />If yes, describe under <br />NIA <br />72WEEQ8250 <br />1/1/2015 <br />1/1/2016 <br />X WCSTATU- OTH- <br />E.L. EACHACCIDENT <br />$ 1,000,000 <br />E, L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (AHach ADDED 101, Additional Remarks Schedule, if more space is radial red) <br />GL: The City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional <br />Insured as respects to operations of the Named Insured per attached HG0001 0605. This insurance is <br />primary and non - contributory to any other insurance held by Additional Insured per at®d HG0001 0605. <br />A Waiver of Subrogation is added per attached HG0001 0605. Attached enorsemetnit 1 only as required by <br />written contract during the policy term. <br />cmarek @santa - ana.org <br />City of Santa Ana <br />Attn: Insurance Services Division M -12 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD <br />s ���,,}}�TT�t I'IlY <br />SHOULD ANY OF THE A��QQBta.rESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DAIN THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPRESENTATIVE <br />Toohey, CISC /ARACEF��-"T" °� <br />INS025 mmnnei m The ACr pn name and Innn arc renicfnred ni of Arir)li <br />CORPORATION_ All rlori reserved_ <br />
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