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GOLDSTONE K-9, LLC-2017
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GOLDSTONE K-9, LLC-2017
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Last modified
12/9/2019 1:12:00 PM
Creation date
11/13/2017 11:41:03 AM
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Contracts
Company Name
GOLDSTONE K-9, LLC
Contract #
N-2017-232
Agency
Police
Expiration Date
10/4/2020
Insurance Exp Date
9/1/2020
Destruction Year
2025
Notes
NO AUTO USED, SELF INSURED
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GOLDK-9-01 <br />ACORO� <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />10/16/2017 <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 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 <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 CONTACT Irene McCleary <br />NAME: <br />HUB International Insurance Services Inc. PHONE , Exq: (951) 779-8532 I jac,No):(951) 742-4679 <br />P. O. Box 5345 (AIC, N <br />Riverside, CA 92517 ADDR ;Cap I.CPU.ahubinternational.comm m mmm^mmmmmmmm mm <br />N-2017-232 T NA ................. <br />INSURER S, AFFORDING COVERAGE j IC q <br />-, <br />INSURERA:Ohio SecurJity Insurance CORI�d,r11/mm1 -.......24082 <br />INSURED INSURER B : <br />Goldstone K-9 INSURER C <br />35080 Goldstone Street INSURER D : <br />Yucaipa, CA 92399 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER„ REVISION NU <br />MBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH EPOLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />VTR TYPE OF INSURANCE .._......ADD SINSO UDR..,,, <br />POLICY NUMBER WWPOLICY EFF POLICY EXP LIMITS <br />MMIDD/l MMIDD/YYYY <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />OCCUR <br />X <br />BKS56535215 <br />09/16/2017 <br />09/16/2018 <br />EACH OCCURRENCE <br />AMMIS T R <br />DRFAGETORENTED <br />S 1,000,000 <br />IXCLAIMS-MADES 500,000 <br />MED EXP (Anv one oerson,� <br />S 15,000 <br />PERSONAL 8 ADV INJURY <br />......._...._._....-....._... <br />S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO- n LOC <br />JECT <br />G E NERALAGGREGATE <br />S 2,000,000 <br />PRODUCTS - COMPIOP AGG <br />2,000,000 <br />S <br />HNOA Auto Liab <br />S Included <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />rid. ntl <br />S <br />_(Ea <br />BODILY INJURY (Perperson) <br />S <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY _ AUTOS <br />BODILY INJURY (Per accident <br />S <br />PROPERTY DAMAGE <br />Peraccident) <br />S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />S <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />S <br />DED RETENTIONS <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE F—] <br />MadoryEMBEREXCLUDED? <br />nt <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S <br />............. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: K-9 Training for the Santa Ana Police Department <br />City of Santa Ana -Santa Ana Police Department are Additional Insured with regard to the General Liability policy when required by written contract, per the <br />attached endorsement form CG8810 04/13. <br />City of Santa Ana - Santa Ana Police Department <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />401�16 <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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