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COMPREHENSIVE HOUSING SERVICES
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Entry Properties
Last modified
4/26/2018 1:25:15 PM
Creation date
3/22/2018 3:40:35 PM
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Template:
Contracts
Company Name
COMPREHENSIVE HOUSING SERVICES
Contract #
N-2018-034
Agency
Parks, Recreation, & Community Services
Expiration Date
2/27/2018
Insurance Exp Date
1/1/1900
Destruction Year
2023
Notes
Need WC
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />�►� <br />DATE(MNvoo nrY) <br />3/5/2018 <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 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 />PRODUCERCONTACT <br />Venture Pacific Insurance Services, Inc. <br />111 Corporate Drive Suite 200 <br />Ladera Ranch, CA 92694 <br />www.venturepacificinsurance.com Lic#OD10299 <br />NAME_ Venture Pacific Insurance Services, Inc. <br />PHONE FAX <br />(A&Ext: 949-297-4900 81C No: 949-297-4911 <br />ADDRESS: info venture acifcinsurance.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Travelers Casualtv Insurance Company of America <br />19046 <br />INSURED <br />Comprehensive Housing Services Inc. jJ-aQ�r�- <br />8840 Warner Avenue, Suite 203 <br />Fountain Valley CA 92708 <br />WsuRERe: Marke I American Insurance Company <br />28932 <br />INSURERC: <br />12/27/2017 <br />INSURERD: <br />_- <br />INSURERE: <br />INSURER F: <br />COVERAGES CFRTIFN:ATF NIIMRFR' AnAQA7nn RFVIQlnm 1111 11111151=10. <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 />MISR <br />LTR <br />OF INSURANCE <br />ADOLSUBR <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD/YYYY I UNITS <br />A <br />LIABILITY <br />✓ <br />680-31`126214-17-42 <br />12/27/2017 <br />12/27/2016 EACH OCCURRENCE $2,000,000 <br />TCOMMERCIALGENERNL <br />CLAIMS -MADE ,' OCCUR <br />DAMAGE TO REN <br />PREMISES(Ea occurrence $300,000 <br />_M ED EXP (Any one person) $ 5,000 _ <br />PERSONAL&ADV INJURY $2,000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $4,000,000___ <br />FLOC <br />POLICYDJE� <br />PRODUCTS-COMP/OP AGO $4000000 <br />OTHER: <br />$ <br />A <br />I AUTOMOBILE <br />LIABILITY <br />680-31`126214-17-42 <br />12/27/2017 <br />12/27/2018 <br />COMBINED LIMIT $1,000,000 <br />tSINGLE <br />BODILY INJURY (Par Person) $ <br />PANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />HIRED NOWOWNED <br />PROPERTY DAMAGE $ <br />AUTOS ONLY ✓ AUTOS ONLY <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />E. L. EACH ACCIDENT $ <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />MIA <br />E. L. DISEASEEAEMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE -POLICY LIMIT $ <br />B <br />Professional E&O Liability <br />MG849446 <br />11/5/2017 <br />11/5/2018 <br />$1,000,000 Per Claim /Aggregate <br />DESCRIPTION OF OPERADONSI LOCATIONS/ VEHICLES (ACORD 101, AEdiaonal Remarks Schedule, may be adached K more space is required) --ie ```\ �nl <br />The City of Santa Ana, its officers, employees, agents, and respresentatives are additional insured on the �ileiobill witll`{}rim <br />& non-contributory per attached endorsements. C <br />`30 day notice of cancellation *10 day notice for non-payment of premium <br />\eaP�Pd�\� <br />5\\ S <br />el <br />The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />, <br />Its officers, employees, a antsTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />9 ACCORDANCE WITH THE POLICY PROVISIONS. <br />and representatives <br />20 Civic Center Plaza <br />Santa Ana CA 92701 AUTHORREDREPRESENTATNE <br />I James Barton <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />406847DS I COMPR-1 1 17-18 GL, AutO, E&O I Maureen Philen 1 3/5/2018 2:00:05 PM (PST) I Page 1 of 5 <br />
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