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MIG INC. - 2018
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MIG INC. - 2018
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Last modified
3/2/2022 12:44:09 PM
Creation date
3/22/2018 9:42:23 AM
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Contracts
Company Name
MIG INC.
Contract #
A-2017-359
Agency
PLANNING & BUILDING
Council Approval Date
12/19/2017
Expiration Date
3/1/2020
Destruction Year
2025
Document Relationships
MIG
(Amended By)
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\Contracts / Agreements\M
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Client#: 2042 <br />MOOREIACO <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE <br />D <br />3/02/2monvvv) <br />/02/2018 <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(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 Alison Muller <br />NAME:a"c°Nve <br />Dealey, Renton &Associates <br />E.t: 510 465.3090 Ax <br />ac, Ne ; 510 452.2193 <br />P. O. Box 12675 <br />E-MAIL <br />ADDRESS: amuller@dealeyrenton.com <br />Oakland, CA 94604-2675 <br />510 465.3090 <br />INSURERS) AFFORDING COVERAGE <br />NAICIt <br />INSURER A: Travelers Property Casualty Co <br />25674 <br />INSURED <br />INSURERB: Atlantic Specialty Insurance Co <br />27154 <br />Moore lacofano Goltsman, Inc. <br />800 Hearst Ave. <br />INSURER C : <br />INSURERD: <br />Berkeley, CA 94710 <br />INSURER E: <br />INSURER F : <br />wVIEKAGea CERTIFICATE NUMBER: REVISION NUMBER' <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY 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 />LTRR <br />TYPE OF INSURANCE <br />ADDLSUB <br />INSR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICY EXP <br />MMIDDIYVYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE I X OCCUR <br />y <br />Y <br />68011-1899998 <br />8/31/2017 <br />08/31/201E <br />EACHOCCURRENCE <br />$1 0009000 <br />pgMAGETORENTED <br />PREMISES Es occurrence <br />$1900D99 <br />MED EXP(Any one person) <br />$10,000 <br />PERSONAL &ADV INJURY <br />$1 000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY � JECT LOC <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />Y <br />Y <br />BA213258325 <br />8/31/2017 <br />08/31/201 8 <br />(Ea accident) COMBINED 8NGLELIMIT <br />$1,996,000 <br />X <br />BODILY INJURY(Perperson) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />BODILY INJURY Per accident <br />( ) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />CUPOH758762 <br />08/31/201708/31/201 <br />EACH OCCURRENCE <br />$16000000 <br />$1 O 00O 000 <br />EXCESS LIAB <br />CLAIMSMADEAGGREGATE <br />DED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY V / N <br />ANYCER/MEETOR/PARTNDED? PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? � <br />N/A <br />Y <br />UB3JO40141 <br />4/01/2017 <br />04I01/201 <br />X PER OTH- <br />TATUTE ER <br />E.L. EACH ACCIDENT <br />$1 000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,009000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />B <br />Professional <br />DPL710217 <br />6S/31/2017 <br />/31/2018 <br />2,000,000 per Claim <br />Liability <br />$4,000,000 Annl Aggr. <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Re: RFP #17.082, Santa Ana General Plan Update Planning Studies, Existing Land Use and Build -Out Analysis <br />(PS1) - City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as <br />Additional Insureds as respects General and Auto Liability as required per written contract or agreement. <br />General Liability insurance is Primary/Non-Contributory per policy form wording. Insurance coverage <br />includes Waiver of Subrogation per the attached. 30 Days Notice of Cancellation. <br />City of Santa Ana <br />Planning and Building AgencyjM20 <br />20 Civic Center Plaza <br />P.O. Box 1988 <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 />©1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S2253193/M2106890 PA3 <br />
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