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AIMTD LLC-2017
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Last modified
12/4/2018 10:09:40 AM
Creation date
12/28/2017 10:21:07 AM
Metadata
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Template:
Contracts
Company Name
AIMTD LLC
Contract #
A-2017-329
Agency
Public Works
Council Approval Date
12/5/2017
Expiration Date
12/4/2018
Insurance Exp Date
2/26/2019
Destruction Year
2023
Document Relationships
AIMTD LLC (2)
(Amended By)
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\Contracts / Agreements\A
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />`� <br />FDATE(MM/DD/YYYY) <br />11/07/2017 <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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA <br />520 Madison Avenue <br />32nd Floor <br />PHONED Ext): (888) 202-3007 aC ND <br />E-MAIL <br />ss: contact@hISCOX.COm <br />INSURERS AFFORDING COVERAGE NAIC # <br />New York, NY 10022 <br />INSURERA: Hiscox Insurance Company Inc 10200 <br />INSURED <br />INSURER B <br />AimTD LLC <br />751 S Weir Canyon rd, Ste 157-158 <br />Anaheim, CA 92808 <br />INSURER C <br />INSURER D <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />FI <br />EACH OCCURRENCE $ <br />A A O RENT <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />f� PRO- <br />POLICY ] JECT LOC <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident <br />( ) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANYPROPRIETOR/PARTNER/EXECUTIVE ❑N <br />OFFICER/MEMBER EXCLUDED? <br />/ A <br />PER OTH- <br />STATUTE I ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT 1 $ <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional Liability <br />N <br />UDC -1827497 -EO -17 <br />09/30/2017 <br />09/30/2018 <br />Each Claim: $ 2,000,000 <br />Aggregate: $ 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />REVIEWED BY: EUNICE HEREDIA (PG 2 -OF ) <br />% r u 1 w-" %, MIV V CLLR I IUIV <br />City of Santa Ana Department of Public Works <br />20 Civic Center Plaza <br />Santa Ana. CA 9270 <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 />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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