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<br />EPIC LAND SOLUTIONS A- 2015' -161 REVIEWED BY. EUNICE HEREC7I�PI LCAf� 01 �� RC7
<br />E SEM
<br />A9— "M"' BATE (MMODNYYYl
<br />I`,,,,�,.,.,r CERTIFICATE 4F LIABILITY' INSURANCE 1011412015
<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(Jes) 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 License # OE67768 AMECONTACT
<br />NAME. Dana 5chvwartz
<br />N
<br />IDA Insurance Services PHONE _..._ lFAX
<br />4350 La Jolla Village Drive IA rip,.. 81(619) 574 - 6220 1._lavc, Qd_(619) 574-6288
<br />Suite 900 EMAIL Dana.Schwartz@ioausa.com
<br />ADDRESS;
<br />San Diego, . CA 92122 _.__ .—__ _ - -- - -
<br />INSURED
<br />Epic Land Solutions
<br />26011 Airport. Drive Suite 115
<br />Torrance, CA 90505
<br />Valley Forge Insurance Company 20588
<br />INSURER B;
<br />INSURER C:T ansportation Insurance Company 20494
<br />INSURER E ;
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;:
<br />THIS IS TO CERTIFY THAT TIME POLICIES OF INSURANCE LISTED BELOW k -AVE 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 />POLICY EFF g.�- PaLICV " X(��'..0 .......
<br />TISFt. �'...�. - _ ADD BR g
<br />LTR TYPE OF INSURANCE p...wVD POLICY NUMBER. MWDWYYYY i 1,10XI YYYY' LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />.�__y�..�
<br />11 X
<br />4031022253 1'..,0101120151
<br />10/01/2016
<br />_ .. -.
<br />..w.......-
<br />1,000,00
<br />CLAIMS -MADE OCCUR
<br />PREMISES (La occu omq®
<br />$
<br />X
<br />Cent Liab /Sev of Int
<br />IvIED EXP (Any one person)
<br />$ 1 0,000
<br />X
<br />No Co. Owned Autos .
<br />..
<br />PERSOPJAL X ACV pN.11E1RW
<br />$ 2,000,00
<br />_GENT AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,0001,00
<br />POLICY °� CT �I I -OC
<br />PRQUUC'15 COMPAQP AGG
<br />$ 4,000,00..
<br />Deductible.
<br />$
<br />OTHER: U
<br />I
<br />AUTOMOBILE
<br />LIABILITY
<br />j
<br />p
<br />II
<br />COMBINED SINGLE LIMIT
<br />(Ea' eCCI'�osnt
<br />$ 1,000..,00
<br />A
<br />ANY AUTO
<br />4031022253
<br />10/01/2015
<br />1010112016
<br />BODILY INJURY (Per person}
<br />._
<br />S
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />!i
<br />BODILY INJURY (Par accident)
<br />S ... _ °.
<br />X
<br />°OS X, WON- 0 -14E. ',,
<br />'I
<br />PROPERTY DAMAGE
<br />S_.....°
<br />HIRED AUl AUTOS
<br />Pac aCCldP.nt
<br />X UMBRELLA LIAR OCCUR
<br />EACH OCCURRENCE
<br />$ 6,000,000
<br />�,
<br />EXCESS LIAR CLAIMS MADE;
<br />6014253989
<br />1010112016'
<br />10101!2016
<br />.
<br />AGGREGATE
<br />.° 00
<br />$ 6,000,000
<br />UED... X I RETENTION$ di
<br />WORKERS COMPENSATION
<br />�r PER OT 1_
<br />AND EMPLOYERS' LIABILITY YIN
<br />._ _. _STATUTE ER
<br />A
<br />ANY PROPRIETOR /PARTNER /EXECUTIVE
<br />.594617867
<br />1010112015
<br />1010112016
<br />EL EACHACCIQENT
<br />$ 1,000,000
<br />OFFICERIMEMBER EXCLUDED? NIA
<br />(Mandatory In NHI
<br />_- ,........-
<br />EA. DISEASE - EA ENIPLCYEC.
<br />-
<br />.
<br />$ 1,000,000
<br />If yes„ describe under'
<br />DESCR'IP'TION OF OPERATIONS taalotw
<br />...-
<br />E.L. DISEAS
<br />.............
<br />1,000,000
<br />-
<br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEMCLES (ACORD 161, Additional Remarks Schedule, may be attached If more space is requlrciU
<br />Re: All Operations
<br />City of Santa Ana, its offeders, employees, agents, volunteers and representative are Additional Insured's with respect to General Liability per the attached
<br />endorsement as required by written contract. Insurance is Primary and Talon- Contributory.
<br />30 Days Notice of Cancellation with 10 Days Notice for Nan - Payment of Premium In accordance with the policy provisions.
<br />City of Santa Ana
<br />20 Civic Center Plaza (M -21)
<br />P.O. Box 1988
<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 />. �Wka
<br />CC 1988 -2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
<br />
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