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AIMTD LLC-2017
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AIMTD LLC-2017
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Entry Properties
Last modified
12/4/2018 10:09:40 AM
Creation date
12/28/2017 10:21:07 AM
Metadata
Fields
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)
Path:
\Contracts / Agreements\A
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Ro® CERTIFICAT <br />._..� E OF LIABILITY INSURANCE DATEIMMIDDfYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />AUTHOR <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IZED <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(►es) 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 CONT ACT <br />NAME: LAUREN KITCHEN <br />tateFariii JERROD NOVODOCZKY, AGT LIC# OG47761 PHONE 951-694-5330 Pax <br />31205 PAUBA RD STE 104 E-MAIL Arc No : 951-694-5343 <br />C ADD ss: LAUREN@INSUREDBYJERROD.COM <br />TEMECULA INSURERS AFFORDING COVERAGE NAIC# <br />CA 92592 INSURER A: State Farm Mutual Automobile Insurance Company 25178 <br />INSURED <br />AIMTD LLC <br />INSURER B: State Farm General Insurance Company 25151 <br />751 S WEIR CANYON RD STE 157-158 INSURER C: <br />ANAHEIM CA 92808 <br />COVERAGESm <br />CERTIFICATE NUMBER: <br />rwc Ie T <br />RFVIRInAI w macro. <br />HAVE BEEN ISSUED TO THE INSURED NAMED <br />INDICATED. NOTWITHSTANDING ANYIREQUIREMENT, TERM OR CONDTION OF ANY CONTRACT OR OTHER DOCUMENT WITH ABOVE RESPECT TOFOR THELWHICPEIOD <br />HTHIS <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 />ADDL SUBR <br />LTR TYPE OF INSURANCE POLICY NUMBER <br />POLICY EFF POLICY EXP <br />COMMERCIAL GENERAL LIABILITY <br />M DDlYYYY MM/DD/YYYYkX <br />LIMITS <br />CLAIMS <br />EENCE $ 2,000,000 <br />-MADE OCCUR <br />ED 3QO,000Poccurrence 5B <br />Y N 92 -CX -M179-0 <br />Mne person) S 5,00002/26!2018 02/26/2019 <br />AGGREGATE LIMIT APPLIES PER: <br />PDV INJURY $ 2,000,000GEN'L <br />POLICY JECT El LOC <br />GEGATE $ 4,000,000 <br />�! <br />OTHER: <br />PRODUCTS -COMPIOPAGG s 4,000,000 <br />AUTOMOBILE LIABILITY N N 435 8589 D25-75 <br />$ <br />ANY AUTO <br />10/25/2017 10/25/2018 Ea eecideD SINGLE LIMIT $ <br />A OWNEDSCHEDULED 515 6448 C08 -75B <br />09/08/2017 09/08/2018 BODILY INJURY (Per person) S 1,000,000 <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />BODILY INJURY (Per accident) S 1,000,000 <br />AUTOS ONLY AUTOS ONLYPeOPERaccTYtDAMAGE <br />$ 1,000,000 <br />UMBRELLA LIAR <br />OCCUR <br />S <br />EXCESS LIAR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />DED RETENTIONS <br />AGGREGATE $ <br />WORKERS COMPENSATION <br />g <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE <br />B OFFICERIMANY BER EXCLUDED PROPRIETOR/PARTNER/EXECUTIVE N / A N 92 -EK -T968-4 <br />(Mandatory in NH) <br />ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />02!28/2018 02/28/2019 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - EA EMPLOYEE S 1,000,000 <br />E.L. DISEASE -POLICY LIMIT S 1,000,000 <br />f <br />DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if <br />more space Is required) <br />30 DAY NOTICE OF CANCELLATION, EXCEPT FOR 10 DAYS FOR NON-PAYMENT <br />OF PREMIUM WILL BE PROVIDED. <br />CERTIFICATE HOLDER IS ADDITIONALLY INSURED <br />REVIEWED BY: 1171 V 0 EUNICE HEREDIA (PG I OF () I <br />.71 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION CITY OF SANTA ANA ACCORDANCE WITH DTHE POLICATE Y PROVISIONS.E WILL BE DELIVERED IN <br />DEPARTMENT OF PUBLIC WORKS <br />20 CIVIC CENTER PLAZA AUTHO D REPRESENTATIVE <br />SANTA ANA CA 92702 <br />' 19 8-2015 ACORD C RPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />1001486 132849.12 03-16-2016 <br />
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