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ARELLANO ASSOCIATES (2) -2015
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ARELLANO ASSOCIATES (2) -2015
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Last modified
5/28/2015 10:21:01 AM
Creation date
2/19/2015 3:24:53 PM
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Contracts
Company Name
ARELLANO ASSOCIATES
Contract #
N-2015-029
Agency
CITY MANAGER'S OFFICE
Expiration Date
6/30/2015
Insurance Exp Date
3/26/2015
Destruction Year
2020
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CERTIFICATE OF LIABILITY INSURANCE <br />Dmrr) <br />3/24/2015 <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 />Wood Gutmann & Bogart <br />Lic #0679263 <br />15901 Red Hill Ave., Suite 100 <br />CONTACT Robin Holloway <br />NAME <br />PHONE ,714- 505 -7000 FAX .714- 573 -1770 IAC <br />E L <br />-MAI robin @wgbib.com <br />INSURERS AFFORDING COVERAGE <br />NAIC p <br />Tustin CA 92780 <br />INSURER A: Hartford Accident and <br />ACP7816098272 <br />/26/2014 <br />INSURED ARELL -1 <br />INSURER B:Philadelphia Indemnity Ins Co. <br />$1,000,000 <br />Arellano Associates LLC <br />INSURERC:Amco Insurance Company <br />Genoveva Arellano <br />5851 Pine Ave Ste A <br />INSURER D: Nationwide Mutual Ins Co <br />INSURER E: <br />Chino Hills CA 91709 <br />INSURER F <br />MED EXP(Any one person) <br />COVERAGES CERTIFICATE NUMBER: 1231878271 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 <br />LTR <br />TYPE OF INSURANCE <br />INSO <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />MMIODMIYY <br />POLICY EXP <br />mium 'W <br />LIMITS <br />C <br />X <br />COMMERCIAL GENERAL LIABILITY <br />ACP7816098272 <br />/26/2014 <br />3/26/2015 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />PREMISES Ea oNTgrance <br />$300,000 <br />MED EXP(Any one person) <br />$5,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIM IT APPLIES PER <br />GENERAL AGGREGATE <br />$2,000,000 <br />X POLICY � PRO- E LOC <br />JECT <br />PRODUCTS - COMP /OP AGO <br />$2,000,000 <br />$ <br />OTHER <br />I <br />D <br />AUTOMOBILE <br />LIABILITY <br />ACP7816098272 <br />/26/2014 <br />/26/2015 <br />COMBINED SINGLE IT <br />$1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident <br />( ) <br />$ <br />Ix <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />C <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />ACP7816098272 <br />/26/2014 <br />312612015 <br />EACH OCCURRENCE <br />$2,000,000 <br />AGGREGATE <br />$2,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X RETENTION $0 <br />1 $ <br />A <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />72WECDQ0297 <br />/27/2015 <br />2/27/2016 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />ANY PROPRIETOWPARTNETEXECUTIVE <br />r_1 <br />OFFICER /MEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE - EA EMPLOYE <br />$1,000,000 <br />(Mandatory is Ni <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />1 $1,000,000 <br />B <br />C <br />Errors & Ommisslons <br />Valuable Papers & Records <br />PHSD924345 <br />ACP7816098272 <br />/8/2014 <br />3121 <br />/8/2015 <br />126/2015 <br />2,000,000 /Claim 2,000,001 <br />25,000 <br />DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required) <br />RE: All Operations for the City of Santa Ana <br />Certificate holder is named as additional insured on the General Liability per attached PB6003 04 11. Primary and Non - Contributory applies <br />on the General Liability per attached PB6072 07 11. <br />oc�'reoNa t N- ao�S —o�`1 p �t�JIP�ps+ <br />CERTIFICATE HOLDER CANCELLATION 1 h&V o" <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <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 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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