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C3 OFFICE SOLUTIONS 2 - 2015
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C3 OFFICE SOLUTIONS 2 - 2015
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Last modified
12/13/2016 12:42:35 PM
Creation date
2/9/2016 5:44:17 PM
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Contracts
Company Name
C3 OFFICE SOLUTIONS
Contract #
A-2015-240
Agency
FINANCE & MANAGEMENT SERVICES
Council Approval Date
10/20/2015
Expiration Date
10/31/2016
Insurance Exp Date
5/23/2017
Destruction Year
2021
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ACC>Rbr CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIODIYYYY, <br />5/20/2016 <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($), 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 andconditians 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 endorsoment(s). <br />PRODUCER <br />Tutton Insurance Services Inc. � <br />y-7--�d���}' <br />eyl%°w YT ' I ® <br />2413 S Pullman Street ✓`� <br />License #OB69376 <br />Santa Ana CA 92705 <br />ME C <br />PHONE FAX <br />(949) 261-5335 A N : (949)zui-1911 <br />E-MAIL <br />00 <br />INSURERS AFFORDING COVERAGE NAICH <br />INSURER A:Travelers Casualty Insurance 19046 <br />INSURED <br />Reprographics Fax Group, Inc.;C3 OfficeINSURER <br />Solutions LLC Di3A:C3 Technology Svcs <br />1536 E Warner Avenue <br />Banta. Ana - CA 927.05 <br />INSURERB:Travelers Property Casualty 5674 <br />C: <br />INSURER D: <br />INSURER E: �..._....-•'-----......_ <br />1 INSURE F: <br />COVERAGES CERTIFICATE NUMBER:16-17 GL./BA/WC REVISIONNUMAFR- <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 />TYPE OF INSURANCE <br />AumLTR <br />ISH <br />Won UaR <br />POLICY NUMBER <br />Ptl/U6MlYV <br />MMpCYEXF <br />OMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000' <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS�MADE ®OCCUR <br />680 980 11 77 71 6 <br />5/23/2016 <br />/23/2017 <br />DAMAGE TO PR MISE$ Le occaurence $ .300,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL .&ADV INJURY $ 2,000.,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ 4.,000,000 <br />X POLICY PRO- LOC <br />$ <br />AUTOMOBILE LIABIDTY <br />COMBINED <br />MBId Dt SINGLE. LIMIT 1 000 000 <br />A <br />ANY AUTO <br />ALLOWNEDSCHPULED <br />AUTOS AUTOS <br />ABB85091916 <br />/23/2016 <br />/23/2017 <br />BODILY INJURY (Per.08reon) $ <br />BODILY INJURY tier accident) $ <br />NON -OWNED <br />HIRED AUTO AUTOS <br />R AMAGE <br />e cddont $ <br />Mednal a encs $ 5.0001 <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS UAS <br />CLAIMS -MADE <br />AGGREGATE $ <br />DEDRETENTION <br />$ <br />8 <br />WORKERS COMPENSATION <br />AND. EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORlPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDEW <br />(Mendetary In NH) <br />Ifyos, doscrihe antler <br />NIA <br />LJUS403RT88715 <br />0/2/2015 <br />0/2/2036 <br />X WO STATU- OTH- <br />ITS FR <br />E.L'EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYE $ 11000,000 <br />EL. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS. below <br />DESCRIPTION OF OPERATIONS I LOCATIONS fVEHICLES (Attach ADDED 109, Additional Remarks Schedule, if more space is required) <br />Evidence of Insurance <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 <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 />Stanley Tutton/RAR.T,A <br />INSR251Datnw n1 Thu Ar.nPRnnmu and 1000 ay. r tUetnrod mark. of Ar.nPII .� <br />rinhte rGeanred <br />
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