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AESCO -2016
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Entry Properties
Last modified
8/24/2017 4:59:55 PM
Creation date
7/22/2016 10:54:19 AM
Metadata
Fields
Template:
Contracts
Company Name
AESCO
Contract #
A-2016-111
Agency
PUBLIC WORKS
Council Approval Date
5/3/2016
Expiration Date
5/3/2018
Insurance Exp Date
4/28/2018
Destruction Year
2023
Document Relationships
AESCO
(Amended By)
Path:
\Contracts / Agreements\A
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`CC31 R <br />A S.,i!' CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />7/5/2017 <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 />LAURIE BRENNAN HAUCK <br />9114 Adams Ave #182 <br />Huntington Beach, CA 92646 <br />CONTACT <br />NAME: <br />PHONE (Air, NU F4B 702) 629-6700 a No (702) 629-6701 <br />E-MAIL JDrencoUaol. com <br />ADDRESS: <br />GENERAL LIABILITY <br />OC98533 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: Burlington Insurance Com an <br />INSURED Aesco, Inc. <br />INSURERS: The Hartford 19666 <br />17782 Georgetown Lane <br />INSURERC Houston Casualty Company <br />Huntington Beach, Ca 92647 <br />INSURER D: The Hartford <br />(714) 375-3830 <br />INSURER E: <br />INSURER 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS, <br />INSRPOLICY <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE s2,000,000. <br />}% COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE --1 OCCUR <br />PREMISES Ea o.urren e $ 100,000. <br />MED EXP (Anyoneperson) $' 5000 <br />A <br />K <br />Y <br />154BW40150 <br />6/24/2017 <br />6/24/2018 <br />1 PERSONAL&ADV INJURY s2,000,000. <br />GENERAL AGGREGATE $2,000,000. <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRODUCTS - COMP/OPAGG s2,000,000. <br />POLICY PRO LOC <br />$ <br />AUTOMOBILE LIABILITY <br />COBINED SINGLE LIMIT _ 1000006— <br />Ea Maccident r r <br />BODILY INJURY (Per person) $ <br />B <br />X ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS }[ NON -OWNED <br />AUTOS <br />X <br />Y <br />72UECTr•�7770 <br />Y <br />7/']/201']7/']/201$ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />'•'•1 <br />WORKERS COMPENSATIONX <br />WC STATU- OTH- <br />D <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE =72WECKU <br />OFFICER/MEMBER EXCLUDED? U <br />N/A <br />p <br />67 Q0 <br />4/11/2017 <br />/11/2018 <br />E.L. EACH ACCIDENT $ 1r 000/000 <br />E.L. DISEASE - EA EMPLOYEE $ 1100010 <br />(Mandatory in NH) <br />Ifyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 1,000,000 <br />C <br />Professional Liab. <br />HCC 17 22635 <br />07/09/1707/09/18$2,000,000 <br />per claim <br />1$2,000,000. <br />aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101,Additional Remarks Schedule, if more space is required) <br />RE: RFP15-055 Geotechnical, special inspection & material testing <br />A-2011-057-01 for inspection & testing services <br />A-2016-111 for inspection & testing services <br />Certificate holder is named as an additional insured per the attached form. <br />Primary/Non Contributory wording applies per ,t�h _o <br />( REVIEWED BY: EUNICE HERE.DIA (PG � OF ) <br />Cit of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Its Officers, Employees, Agents ACCORDANCE WITH THE POLICY PROVISIONS. <br />Volunteers and Representatives <br />20 C1V1C Center Plaza AUT,MWED REPRESENTA VE <br />Santa Ana, Ca 92701 OAWOL <br />© 19#C-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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