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EPIC LAND SOLUTIONS-2015
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EPIC LAND SOLUTIONS-2015
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Last modified
7/6/2016 5:09:00 PM
Creation date
9/30/2015 11:46:43 AM
Metadata
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Template:
Contracts
Company Name
EPIC LAND SOLUTIONS
Contract #
A-2015-161
Agency
PUBLIC WORKS
Council Approval Date
8/4/2015
Expiration Date
8/4/2020
Insurance Exp Date
10/1/2016
Destruction Year
2025
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EPIC LAND SOLUTIONS A-2015-161 REVIEWED BY� EUNICE HEREDIA (FIG 4 OF 4) <br />EPICLAN-01 MMWATSON <br />CERTIFICATE OF LIABILITY INSURANCE <br />_L_ <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(les) must be endorsed. If-S—UBROGATIO-N —ISWA—IVED,"— <br />the terms and conditions of the p subject to <br />olicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />icato holder in lieu of such endorsement(s). <br />"T'"Cale holder <br />PRODUCER 5-N—TACT <br />-T -FF—AX <br />- Oklahoma City �TO—NF,--' — <br />NSURICA NAME: Mandy. Watson <br />5100 N. Giessen Blvd, #300 IACC � No_,x �- <br />,(49..5) 523-2100 A;q, 5)556-2332 <br />DkIahoma City, OK 73118 <br />INSURER(S) AFFORDING COVERAGE NAIL 9 <br />iNSURERA:Houst(in Casualty Company 374 <br />INSURED <br />INSURER B <br />Epic Land Solutions, Inc. INSURER C: <br />2601 Airport Dr, Suite 115 INSURER D: <br />Torrance, CA 9050,5 <br />_LNSURtlR <br />F: <br />COVERAGES CERTIFICATE NUMBER: 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 />EXCLUSION .- S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDL SUBP <br />LTR TYPEOFINSURANCE -INSD WVD POLICY NUMBER PbUI-CY EFF -175LICY�Xp <br />C MMrRC1AL GENERAL LIABILITY .(RWQq= _MWDI1I'fYYYy---- LIMITS <br />EACH OCCURRENCE $ <br />CLAIMS-MADE 1-1 OCCUR --3AM-A=O-kr NT M--- <br />jjnEAISE <br />S,(Ea <br />_!u FD EXP (Any one person} $ <br />PERSONAL IS ADV INJURY $ <br />GENT.. AGGREGATE UMIT APPLIES PER:. <br />GENERAL AGGREGATE <br />POLICY� PRO JECT LOG <br />PRODUCTS - CSIMPICIP AGG <br />OTHER: <br />AUTOMOBILE LIABILITY COMBNE6—SINGLELIMIT <br />ANYAUTO <br />BODILY INJURY (Perporsnn) $ <br />ALL OWNE AD SCDULED <br />AUTOS AUTOS BODILY INJURY (Per accIdorit) <br />IAIRED AUTOS NON-OV''NEO <br />AUTOS PROPERTY D) AGE <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR CLAIMS-MADE <br />_AGGREGATE <br />LED RETENTION $ <br />—W6RKERS COMF�NSATION <br />AND ENIPLOYERS'LIABI LITY I —P OR ---- T--1""6TH---- <br />YIN J,ER <br />ANY PROPRIETORIPARTNERIEXECUTIVE , 7 <br />OFFICERIMEMULIR EXCLUDED? WAI E.L. EACH ACCIDENT <br />(Mandatory in NH) <br />If yes, describe toder .-F-L DISEASE - EA EMPLOYEt <br />gt_qq!tIPTICIN OF OPERATIONS below ELOISFA�-EOLIC L!vM`11 $ <br />715106625 01011204 - -- <br />A Professional E&O 5 1010112016 Per Claim 2,000,000 <br />A Professional E&O IH715106625 10/0112015 1010112016 Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS i LOCATIONS/ VE141CLES {ACORD 101, Additional Rarnarks SchedWe, maybe attached if more space is required} <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED IN <br />20 Civic Center Plaza (M-21) ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 1988 <br />Santa Ana, CA 92702 AUTH0RIZLU REPRESENTATIVE <br />0 1988-2014 ACORD CORPORATION. Ali rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks ofACORD <br />
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