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WISE PLACE (7) -2016
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WISE PLACE (7) -2016
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Last modified
6/9/2017 3:50:40 PM
Creation date
9/14/2016 11:12:39 AM
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Contracts
Company Name
WISE PLACE
Contract #
A-2016-069
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/19/2016
Expiration Date
6/30/2017
Insurance Exp Date
1/1/2018
Destruction Year
2022
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A 0 CERTIFICATE OF LIABILITY INSURANCE <br />DAT%MAUDDN7 Y) <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 SUBROGATION IS WAIVED, subject to <br />the terns 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 />SelectSolutions Insurance Services <br />1350 Carlback Avenue <br />Suite 100 <br />Walnut Creek CA 94596 <br />CONTACT Lydia Castro <br />PHONE . (866)500-6359 F'O'X No: {925)951-0077 <br />EMAIL lydiac@selectsolutionsins.com <br />ADDRESS: <br />INSURE 8 AFFORDING COVERAGE NAIC0 <br />INSURER A:Philadel hia Consolidated Holding <br />INSURED <br />Wiseplace, a Ca Corp <br />1411 N. Broadway <br />Santa Ana CA 92706 <br />INSURERB:NBW York Marine & General Insurance 16608 <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:17 -18 Master 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 />ILTRR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />MMIDR EFF <br />MPMFDQ EXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE X7 OCCUR <br />DAMAGE TO RENT D 100, 000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 5, OQO <br />X <br />PEPKIS96372 <br />1/1/2017 <br />1/1/2018 <br />PERSONAL &ADV INJURY $ 1,400,000 <br />GIN'LAGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY PRO- 1-1 LDC <br />JECT <br />PRODUCTS-COMPIOPAGG $ 2,000,400 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />PHPK1596372 <br />1/1/2017 <br />1/1/2018 <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />X <br />UMBRELLALUSB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 11000,000 <br />AGGREGATE$ 1,000,000 <br />A <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED TX RETENTION$ 10,000 <br />_ $ <br />PHUB369220 <br />1/1/2017 <br />1/1/2018 <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />N/A <br />WC201600006833 <br />8/15/2016 <br />8/15/2017 <br />X PER OTH- <br />STATUTE ER <br />E.L.. EACH ACCIDENT 1 $ 11000,000 <br />E.L. DISEASE - FA EMPLOYE $ 1,000x040 <br />DESORPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT $ 11000,000 <br />A <br />Professional Liab (E&O) <br />PHPK1596372 <br />1/1/2017 <br />1/1/2018 <br />$1,000,000 $2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlanal Remarlre Schedule, may be attached X more apace Is required) <br />Community Development Analyst City of Santa Ana., Community Development Agency are named as additional <br />insured as their interests may appear in regards to General Liability. The Professional Liability Limits <br />shown represent the per Claim/aggregate limits of liability. ) <br />Community Development Analyst <br />City of Santa Ana, Community Development <br />Attn: Sylvia Vazquez <br />20 Civic Center Plaza, M-25 <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) <br />INS026 (201401) <br />UANL#CLLA I IUN <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 />Leticia Trevino/NORJA - <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />441 <br />
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