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MDG ASSOCIATES, INC (2) - 2018
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MDG ASSOCIATES, INC (2) - 2018
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Last modified
12/1/2023 4:38:45 PM
Creation date
4/26/2018 4:17:54 PM
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Contracts
Company Name
MDG ASSOCIATES, INC
Contract #
A-2018-091
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/3/2018
Destruction Year
2024
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CERTIFICATE OF LIABILITY INSURANCE <br />F <br />D1�zs�2ole ) <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 />Amorelli, Rosentann & Associates Insurance Services <br />3333 E Concours St <br />Building 9-200 <br />Ontario CA 91764 <br />CONTACT LiZette Barges <br />PHONE (909)987-7600 NC N (909)98?-7656 <br />E:t,,,tteb@arainsurance.com <br />ADDRE S: <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURERA:State Comp. Insurance Fund <br />35076 <br />INSURED <br />Mdg Associates, Inc. <br />10722 Arrow Route Ste 822 <br />Rancho Cucamonga CA 91730 <br />INSURERS <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:CL1762916976 REVISION NUMBER: <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 <br />LTR <br />rypE OF <br />ADDLSUBR <br />POLICY NUMBER <br />POLICY EFF <br />tMMi <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE I RENTED <br />PREMISES Ea occurrence <br />$ <br />GENL <br />MED I(Any one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />O- <br />PRO- JECTPRLOG <br />OTHER: <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NONOWNEOY <br />HIRED AUTOS AUTOS <br />D SINGLE LIMIT <br />nt <br />$ <br />J URY(Per person) <br />$ <br />JURY(Per accident) <br />$ <br />DAMAGE <br />entUMBRELLA <br />gC <br />$ <br />LIAB <br />EXCESS LEAS <br />OCCUR <br />CLAIMS-MAOETE <br />CURRENCE <br />$ <br />$ <br />DIED RETENTION <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY Y/N <br />ANY PROPRIETOWPARTNEWEXECUTIVE ❑N/A <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DE SCRIPTION OF OPERATIONS below <br />1980750-17 <br />7/1/2017 <br />7/1/2018 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) <br />PROOF OF INSURANCE FOR CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY. <br />CITY OF SANTA ANA <br />ATTN: TERRI EGGERS, SENIOR MONT ANALYST <br />COMMUNITY DEVELOPMENT AGENCY <br />20 CIVIC CENTER PLAZA <br />SANA 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 />izette Hargas/CHELS <br />©1988.2014 ACORD CORPORATION. All riahts reservec <br />ACORD 25 (2014/01) <br />INS025 (901401t <br />The ACORD name and logo are registered marks of ACORD <br />
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