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IWATER, INC.
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Last modified
3/25/2020 11:04:35 AM
Creation date
3/12/2018 3:03:12 PM
Metadata
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Template:
Contracts
Company Name
IWATER, INC.
Contract #
A-2015-047-01
Agency
PUBLIC WORKS
Council Approval Date
4/7/2015
Expiration Date
3/21/2020
Insurance Exp Date
1/1/1900
Destruction Year
2025
Notes
Missing E&O
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CERTIFICATEOF LIABILITY <br />INSURANCEDAT11/01/2017 <br />E(MM/DD/YYW) <br />THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY <br />AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHECERTIFICATE HOLDER. <br />IMPORTANT: IPthecertMcate holder Is anADDITIONALiNSURED, the policy(les) must have ADDITIONAL INSURED provisions or beendorsed. RSUBROGATION IS WAIVED, subjectto the terms and <br />conditions of the policy, certain policies may requiman endorsement.A statementon this certificate U6es not confer rights tothe certificate holder In lieubfsuch endorsemept(s), <br />PRODUCER <br />CONTACT <br />NAME: .Michael Brandon <br />Michael Brandon,: Insurance Agency <br />31629 Outer Highway 10'Ste A <br />PHONE' <br />(A/C, NO, EXT); 909-794.8191 <br />_ <br />PAX <br />fA/G; NO)! 909-794-8193 <br />E-MAIL <br />Redlands CA. 92373-7590 <br />ADDRESS: mbrandon@farmerstigent.com <br />INSURERS) AFFORDING COVERAGE <br />NAICB <br />INSURED <br />INSURERA: Northfield. Insurance <br />INSURERS: Farmers Insurance Exchange <br />21652 <br />1 WATER INC. <br />INSURERD:. <br />12 COODYEAR.STE 130 <br />INSORERD: <br />INSURER.E: <br />- <br />IRVINE CA 92618 <br />- - - <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TOCERTIFY THAT THE POLICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED. TO THE INSURED NAMEABOVEFOR I HE POLICY PERIODINDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT TERM OR CONDITION OFANY CONTRACTOR OTHER -DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAYPERTAIN, THE INSURANCEAFFORDED BYTHE <br />POLICIES DESCRIBED HEREIN ISSU81ECTMALL THETERMS; EXCLUSIONSAND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ITTTYPEOFINSURANCE <br />_- <br />ADDTL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY Epp <br />(MM/DD/YYYY) <br />POLICYEXP <br />(MM/DD/YYYY) <br />LIMITS <br />COMMERCIALGENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />(�j <br />CLAIMS -MADE OCCUR <br />F]100,000 <br />L_I <br />DAMAGETORENTED PREMISES.(Eccurrence) <br />D O <br />$ <br />MED EXP(Any:dne person). <br />$ 5,000 <br />iPERSONAL&AOV INJURY <br />S� 1,000,000 <br />A <br />Y <br />'WHOO6655 <br />10/27/2017 <br />1012712016 <br />GENT AGGREGATE LIMITAPPLIES PER; <br />GENERALAGGREGATE <br />$ 2,000,000 <br />POLICY. ❑-PROJECT ❑ LOC <br />PRODUCTS-COMP/QPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOSILE'LIABLLITY <br />COMBINED SINGLE LIMIT <br />(Eaacpident) <br />$ '1.000,000 <br />BODILY INJURY (Per Person) <br />Is <br />ANYAUTO <br />BODILY INJURY (PeracCidenq <br />$ <br />B <br />OWNEDAUTOS �r -SCHEDULED <br />ONLY AUTOS <br />Y <br />605861643 <br />09/04/2017 <br />09/041201B <br />(Peracdcant) <br />PROPERTY DAMAGL$_ <br />_ <br />FiIREDAUTOS NOWOWNED <br />ONLY AUTOSONLY <br />UMBRELtALIA6 <br />OCCUR <br />EACH OCCURRENC <br />AGGREGATE <br />EXCESS UAS <br />CLAIMS -MADE <br />OED RETENTION$ <br />WORXERSCOMPENSATION <br />AND EMPLOYERS"LIABILITY <br />PER <br />STATUTEANY <br />EACH ACCIDEN <br />PROPRIETOR/PARTNER/ WN <br />EXECUTIVE OFFICER/MEMBER <br />EXC.LUDED7(Mandatory lRNH) I <br />WAE.L. <br />- <br />E.L. DISEAS�FA�EMILIIMYITL <br />E.L DISEAS <br />Ifyes, describe under DESCRIPTION OF <br />OPeRATIONSbelow <br />DESCRIPTION OPOPERAMONS/LOCATIONS/VEHICLES (ACOR0101, Addltionai Remarks Schedule,. may be attached if morespaceis required) <br />oil anal Insured: City of Santa. Ana <br />GERTIRCATEHOLDER CANCELLATION <br />city O anima Da�- SHOULD ANY OFTHEABOVEDESCRIDED POLICIES: BE CANCELLED BEFORETHE EXPIRATION <br />20 Civic' Center.. Plaza. DATE THEREOF, NOTICE WILL BE DELIVERED L"�N-ACCORDANCE WITHTHE POLICY PROVISIONS. <br />Ross Annex (MA) AUTHORIZED'REPRESENTATIV ,. , ✓ "'�";�.- <br />f <br />ACOROVV25(2016103) ©.1988.2015 ACORD CORPORATION. All Rights Reserved <br />31-1769 11-15 The ACORDname and logo are registered marks ofACORD <br />r u <br />
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