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360 BC GROUP, INC. DBA 360 BUSINESS CONSULTING
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360 BC GROUP, INC. DBA 360 BUSINESS CONSULTING
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Last modified
6/27/2017 4:04:43 PM
Creation date
6/27/2017 3:44:17 PM
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Contracts
Company Name
360 BC GROUP, INC. DBA 360 BUSINESS CONSULTING
Contract #
A-2017-137
Agency
Information Technology
Council Approval Date
6/6/2017
Expiration Date
6/30/2020
Insurance Exp Date
3/28/2018
Destruction Year
0
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4I. MCERTIFICATE OF LIABILITY INSURANCE Rool <br />6/17`%201'7 <br />THIS CERTIFICATES 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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />WELLS FARGO INSURANCE INC <br />715154 P: (866) 467-8730 F: (888) 993-6112 <br />PO BOX 29611 <br />CHARLOTTE NC 28229 <br />CONTACT <br />PHONE <br />(866) 467-8'730 (NC,NA: (888) 443-61.12 <br />E'MAless: <br />INSURER($) AFFORDING COVERAGE NAICd <br />INSURER A: Sentinel ins Co LTD 11000 <br />INSURED <br />360 BC GROUP INC <br />25562 GLORIOSA DR <br />MISSION VIEJO CA 92691 <br />INSURER 8: <br />INSURER C <br />INSURER D: <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />lmsR <br />l l/t_ <br />rrvE D/vNsurr,INCE <br />Al <br />surer <br />PoLI('YNllAfltER <br />POLICY EFFIatn:vE.YP <br />A1M1I/DD/fS'YS' <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />X General Li.ab <br />41 SBM PS1259 <br />03/26/2017 <br />03/28/2018 <br />EACH OCCURRENCE $1, 000, 000 <br />DAMAGE TO RENTED el 000 000 <br />PREMISES Be occur,enead / / <br />X <br />_ <br />MED ENE (Any one person) $10, 000 <br />PERSONAL B ADV INJURY $1, 000, 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY D PRO X LOUPRODUCTS-COMP/OP <br />oTrleR ECT <br />GENERAL AGGREGATE s2, 000, 000 <br />AGG s2, 000/ 000 <br />s <br />A <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />41 SBM P.S1259 <br />03/28/2017 <br />03/28/2018 <br />COMBINED SINGLE LIMIT <br />(Ea aCdOml) 1 000, , 000 <br />BODILY INJURY (Par parson) s <br />BODILY INJURY (Per sccldenp s <br />_ <br />PROPERTY DAMAGE <br />(Par ecdtlen) <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE s <br />AGGREGATE <br />DBD ISTENTIOns <br />_— <br />IVOXA'C'HY COMPEA1'A T/ONPCR <br />,Nb F.AlPLOi'L'NS' r.lAlMDr <br />ANY PROPRIETOR/PARTNERIEXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED?N/A <br />(Mandatory in NH) ❑ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />OTH <br />STATUTE,,,-- ER <br />E. L. EACH ACCIDENT <br />E. L. DISEASE EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ADDED 101. Addltlonal Remarks Schedule may be attached If more space Is required) <br />Those usual to the Insured's Operations. The City of Santa Ana it officers, <br />employees, agents, and representatives are additional insured per the Business <br />Liability Coverage Form SS0008 atL-ached to this policy. Notice of Cancellation <br />will be provided in accordance with Form SS1223, attached to this policy. <br />CERTIFICATE HOLDER CANCELLATION <br />© 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTA TIVE <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLZ <br />R""'I <br />SANTA ANA, CA 92701 <br />/ <br />© 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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