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BLUERAY MANAGEMENT LLC-2017 (2)
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BLUERAY MANAGEMENT LLC-2017 (2)
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Last modified
6/22/2020 12:36:44 PM
Creation date
1/24/2018 9:38:26 AM
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Contracts
Company Name
BLUERAY MANAGEMENT LLC
Contract #
N-2018-004
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
12/31/2018
Insurance Exp Date
3/15/2019
Destruction Year
2023
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CERTIFICATE OF LIABILITY INSURANCE <br />DAM (MMIDD/YYYY) <br />09/17/2018 <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(S), 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 endomement(s). <br />PRODUCER <br />Automatic Data Processing Insurance Agency, Inc. <br />1 Adp Boulevard <br />Roseland, NJ 07068 <br />INSURED <br />BLUERAY MANAGEMENT LLC <br />4131 GLNWOOD ST <br />Irvine, CA 92604 <br />INSURER(S) AFFORDING COVERAGE <br />Z A . AmGUARD Insurance Company <br />INSURER E : <br />NUMBER: <br />NAIC p <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 ADDL_SUSR. <br />POLICY EFF POLICY EXP <br />LTR TYPE OF INSURANCE INSO WVD POLICY NUMBER <br />MMIDONWY MMIDDIYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACHOCCURRENCE 15 <br />'- <br />'DAMAGE TO RENTED <br />_ CLAIMS -MADE OCCUR <br />PREMISES (Ea occurrence) 1 5 <br />MED EXP(Any oneperson) $ <br />PERSONAL B ADV I NJ URV '5 <br />GEN'L AGGREGATE U MIT APPLIES PER <br />GENERALAGGREGATE S <br />_ _ PRO - <br />POLICY JECTPRO LOC <br />–PRODUCTS -COMP/OPAGG $ <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />_I_Ea acdtlen0 <br />ANY AUTO - <br />BODILY INJURY (Per person) $ <br />AOVMJED , SCHEDULED - <br />BODILY INJURY (Peramtlent)I $ <br />AUTOS AUTOS <br />__'. <br />ED <br />PROPERTY DAMAGE $ <br />HIRED AUTOS AUTOS <br />UMBRELLA LIAR OCCUR <br />--�'. <br />EACH OCCURRENCE <br />CLAIMSMADE.. <br />EXCESS UAB - <br />AGGREGATE '.8 <br />_ A <br />DED RETENTION S <br />$ <br />WORKERS COMPENSATION <br />X STAHTUTE ER <br />AND EMPLOYERS'LIABILITY YIN <br />_ <br />1,000,000 <br />A ANY RI EXECUTIVE � NIA N BLWC903730 <br />05/01/2018. 05/01/2019 EL EACH ACCIDENT 5 _ <br />EXCLUDED? <br />EXCLUDE <br />1,000,000 <br />00 <br />In NOFFICER/MEMBER <br />(Mandatory <br />ory in NH) <br />Ifyes, <br />- DISEASE - EA EMPLOYEES <br />d <br />Dyes. IPTI Nantler <br />DESCRIPTION OF OPERATIONS below <br />_EL _ — <br />EL. DISEASE -POLICY LIMIT '.$ 1,008,868 <br />ay <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mare space is requiretl) <br />GSA <br />I.CR I Ir V.A I= NULUCrt <br />City of Santa Ana Parks, Recreation & Community <br />Attn: Services Agency <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 />ACORD 2612014/01) The ACORD name and logo are registered marks of ACORD <br />
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