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CITYNET-2017
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Last modified
6/28/2018 1:53:36 PM
Creation date
9/12/2017 3:44:07 PM
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Contracts
Company Name
CITYNET
Contract #
A-2017-072-06
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/18/2017
Expiration Date
6/30/2018
Insurance Exp Date
3/1/2019
Destruction Year
2023
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ACCIIII CERTIFICATE OF LIABILITY INSURANCE <br />lki 1 <br />DATE(MMIDOIYYYY) <br />1 5/30/2018 <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($), 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 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:Patricia Kinter <br />NAME: <br />Kinter-Buchanan Insurance Agency <br />License Number: OE40872 <br />a�co NIJo Est: (310)798-6100 _TtFalc No: (310)998-6151 <br />E-MAIL <br />ADDRESS: Certs@]cbinsuranoe.00m <br />INSURER(S) AFFORDING COVERAGE <br />NAIC0 <br />111 Pier Ave., Suite 100 <br />Hermosa Beach CA 90254 <br />INSURERA:Technology Insurance Company <br />39071 <br />INSURED <br />INSURERS: <br />GENERAL AGGREGATE $ <br />Kingdom Causes, DBA: City Net <br />INSURER C: <br />P.O. BOX 90243 <br />INSURERD: <br />INSURER E: <br />Long Beach CA 90809 <br />INSURER F: <br />BODILY INJURY (Per person) $ <br />COVERAGES CERTIFICATE NUMBER:CL1851011902 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 />ILTR <br />TYPE OF INSURANCE <br />DDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMfDDIYYXYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE $ <br />DAMAGE TO REPREMISES Ea occurrence $ <br />MED EXP (Any ane person) $ <br />PERSONAL & ADV INJURY $ <br />GENU AGGREGATE LIMIT APPLIES PER. <br />POLICY D PE' I—a LOC <br />OTHER' <br />GENERAL AGGREGATE $ <br />PRODUCTS-COMP/OPAGG $ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIREDALI AUTOS <br />QON191i SINGLE LIMIT $ <br />Ee amldent <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Pei accident) $ <br />PROPERTY DAMAGE $ <br />Por accident <br />$ <br />UMBRELLA UAB <br />XCESSLIAS <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE $ <br />OCLAIMS-MADE <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? yNIA <br />(ManiIn NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS bobe, <br />TWc3693340 <br />3/1/2013 <br />3/1/2019 <br />X PER TE ER OTFI- <br />STATU <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />EL DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additlonal Remarks 3chedoe, may be attached if more space Is required) <br />Evidence of Coverage �^ <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 REPRESENTATIVE <br />Kinter/KBI <br />O 1888-2014 ACORD CORPORATION. All <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS025 (231401) <br />
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