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MILLER MENDEL, INC.
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MILLER MENDEL, INC.
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Last modified
3/25/2020 11:30:01 AM
Creation date
6/23/2017 3:17:20 PM
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Contracts
Company Name
MILLER MENDEL, INC.
Contract #
A-2017-151
Agency
Police
Council Approval Date
6/20/2017
Expiration Date
6/20/2020
Insurance Exp Date
12/26/2017
Destruction Year
0
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667979 Miller Mendel, Inc. Certificate of Insurance (page 1 of 1) 01/03/2017 03:59:25 PM <br />A� & CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />/3/2017 <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 endorse ment(s). <br />PRODUCER <br />Techlnsurance <br />000 1101 Central Expy, South, Suite 250 <br />•O.TechInsurance Allen, TX75013 <br />CONTACT <br />NAME: <br />PHg00-068-7020 ✓ FAX ONE (877)826-9067 <br />AIC No <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Beazley Insurance Company Inc. <br />37540 <br />INSURED/ <br />INSURERS: Sentinel Insurance Company, Limited <br />11000 <br />INSURER C: <br />Miller Mendel, Inc. ✓ <br />1425 Broadway Ste 430 <br />Seattle, WA 98122 <br />INSURER 0 <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 BY PAID CLAIMS, <br />INES <br />LT, <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYWY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />MMERCIALGENERAL LIABILITY <br />CLAIMS -MADE ❑✓ OCCUR/ <br />EACH OCCURRENCE <br />$ 1,000,000 <br />NT <br />DAMAGE TOREoccurrence <br />PREMISES Ea <br />$ i,000,000 <br />✓ <br />MED ESP (Any one person) <br />$ 10,000 <br />B <br />STOP GAP (see below for limits) <br />Yes <br />46SBMUF4112 <br />12/26/2016 <br />12/26/2017 <br />PERSONAL &ADV INJURY <br />$ 11000,000 <br />AGGREGATE LIM IT APPLIES PER: <br />POLICY D JECT1:1 LOG <br />GENERAL AGGREGATE <br />$2,000,000 <br />GENT <br />✓ <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />CEa OMBINED SINGLE LIMIT <br />accident <br />$ 1 000,000 71ANVAUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />46SBMUF4112 <br />12126/2016 <br />12/28/20tt <br />BODILY INJURY Per accident <br />( ) <br />$ <br />B <br />✓ <br />HIRED AUTOS ✓ NON -OWNED <br />AUTOS <br />Yes <br />PftOPERTV DAMAGE <br />Peracciden <br />$ <br />UMBRELLA LIAR <br />H <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMSER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under STOPGAP <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />46SBMUF4112 (STOPGAP) <br />122fi/201fi <br />12/26/2017 <br />PER H. <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 ✓ <br />E.L. DISEASE-EAEMPLOVE <br />$ 1,000,000 <br />I E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />A <br />Professional Liability(Errors and Omissions) <br />V177W150201 <br />12/23/2016 <br />12/26/2017 <br />$1,000,000/$1,000, 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is req ulred) / <br />City of Santa Ana is named as Additional Insured as their interests may appear in regards to general liability and automobile liability. <br />I <br />City of Santa Ana <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 REPRESS NTATIV✓/E {\) <br />I <br />n 19RR-2014 <br />All rinhfa r... —A <br />ACORD 25 (2014/01) <br />The ACORD name and logo are registered marks of ACORD <br />
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