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BRANDASTIC, INC. - 2016
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BRANDASTIC, INC. - 2016
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Last modified
10/31/2017 2:51:08 PM
Creation date
6/10/2016 3:04:31 PM
Metadata
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Template:
Contracts
Company Name
BRANDASTIC, INC.
Contract #
N-2016-080
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
10/31/2016
Insurance Exp Date
7/15/2017
Destruction Year
2021
Notes
GL: 7/15/2016; WC: 10/06/2016
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tce�R� CERTIFICATE OF LIABILITY INSURANCE <br />��- <br />06123/20115 DATEIMYYY) <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 />_ <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 <br />NAME: <br />PAYCHEX INSURANCE AGENCY INC <br />150 SAWGRASS DR <br />ROCHESTER, NY 14620 <br />A ONVo Ext): 877 352-fi786 A1C, Na : BF7 67F -044F <br />E-MAIL <br />ADDRESS: a chez travelers.com <br />INSURER(SIAFFORDING COVERAGE <br />NAIC# <br />(877) 362-6785 <br />INSURER A: TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA <br />MMfDD1YYYY <br />..INSURED <br />BRANDASTIC INC <br />INSURER B: <br />-- <br />X <br />INsuRERc; <br />680-8E041709-16 <br />OC TECH STUDIO LLC <br />3857 BIRCH ST <br />INSURER D m <br />MED EXP (Any oneperson) $5,000 <br />STE 271 <br />INSURER E <br />NEWPORT BEACH, CA 92660 <br />INSURER F: ............................. <br />COVERAGES CERTIFICATE NUMBER: 212408051481571 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 />ADDL <br />SUER <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD.. <br />POLICY NUMBER <br />MMIDDIYYYY <br />MMfDD1YYYY <br />LIMITS <br />fi <br />X COMMERCIAL GENERAL LIABILITY <br />_- <br />-MADE IV OCCUR <br />X <br />680-8E041709-16 <br />07/1512016 <br />07/1512017 <br />EACHOCCURRENCE S1,000,000 <br />DAMAGE 10 RENTED <br />PREMISES (Fa occurrence) $300,000 <br />MED EXP (Any oneperson) $5,000 <br />__......,.CLAIMS <br />-I <br />X HIREDAUaa <br />h <br />11rN C7VVN11)A.F. <br />PFR, ()NAI, & ADV INJURY $1,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER .--. <br />PRG- r---.... <br />POLICY_._...... JECTI—JLOC <br />GENERAL AGGREGATE. $2.,000,000 <br />PRODUCTS,-COMPIOPAGG $2„000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Fa accident) <br />BODILY INJURY (Per person) $ <br />7 ANY AUTO <br />ALL OWNED i 1SCHFDUL,ED <br />AUTOS l I AUTOS <br />HIRED AUTOS NON -OWNED <br />,..-.. AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE. <br />(Per accident) $ <br />$ <br />'UMBRELLALIAB OCCUR <br />EACH OCCURRENCE $ <br />EXCESSLNAB CLAIMS -MADE <br />_ <br />�1.a <br />p <br />AGGREGATE <br />. 'DED -. RETENTION $' <br />{I4 <br />$ <br />WORKERS COMPENSATION <br />ANO EMPLOYERS' LIABILITY YIN <br />AM <br />OFFiCER'1ME.MBERIEXCLUDED-1 FCUTIVF <br />(Mandatory in NH] <br />NIA <br />�, ��,;,,:OTH- <br />6 I�'4 ”" <br />.. <br />STATUTE. ER <br />E.L. EACH ACCIDENT $ <br />E . DISEASE - FA EMPLOYEE $ <br />If £.5, desc be under <br />DESCRIPTION OP OPERATIONS below <br />t' <br />"" <br />•. �':. <br />F.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 1.01, Additional Remarks. Schedule, may be attached.. it more space is required) <br />AS RESPECTS TO GENERAL LIABILITY, CITY OF SANTA ANA, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE <br />ADDITIONAL INSURED PER CG D4 17 - TECHNOLOGY XTEN'D ENDORSEMENT - PERSONS OR ORGANIZATIONS FOR YOUR <br />ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT. <br />I,CK I IrIt;A I C MULUCIK <br />CITY OF SANTA ANA, ITS OFFICERS, <br />AGENTS, AND EMPLOYEES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <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 />Q1988-201.'4 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and loges are registered marks of ACORD <br />
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