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Last modified
3/20/2023 2:35:27 PM
Creation date
12/18/2018 2:19:20 PM
Metadata
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Template:
Contracts
Company Name
SMARTCOVER SYSTEMS
Contract #
A-2018-266
Agency
PUBLIC WORKS
Council Approval Date
11/20/2018
Expiration Date
11/19/2021
Destruction Year
2026
Notes
For Insurance Exp. Date see Notice of Compliance
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I <br />avlg• zCQ(, <br />HADRINC-01 <br />A CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDIYYYf) <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 Rndorsementfsl. <br />PRODUCER —o"av ^ vuv 1 <br />ian Marcos-Alliant Insurance Services, Inc. <br />i70 Rancheros Dr Ste 100 <br />ian Marcos, CA 92069 <br />INSURED <br />Hadronex, Inc., <br />dba: Smartcover Systems <br />2067 Wineridge Place Ste E <br />Escondido, CA 92029 <br />304-7141 <br />_ INSURER(SJ_AFFORDING COVERAGE <br />_INSURER A: Ohio Security Insurance CompaOy <br />304-7362 <br />INSURER B : _ <br />INSURER C : <br />INSURER D: _ <br />INSURER E <br />COVERAGES CERTIFICATE NUMBER' R <br />EVISION 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 />ITYPE OF INSURANCE ADInU. SUER. POLICY NUMBER POLICYEFF POLICY EXP LIMITS <br />INSEACH <br />A X COMMERCIAL GENERAL LIABILITY 11000,000 <br />OCCURRENCE $ <br />CLAIMS -MADE jJ OCCUR X '.BKS57741748 02/02/2018 0210212019 DAMAGE TO RENTED 300,000 <br />_PREMISES Ea oepuRence $ <br />- MED EXP (Any one person) $ 15,000 <br />- PERSONAL B ADV INJURY _$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,066 <br />X POLICY JEC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br />OTHER: <br />$ <br />A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 <br />(Ea a-cc_ds9( $ <br />X <br />ANYAUTO X BA557741748 02/02/2018 02/02I2019 BODILY INJURV(Perperson) $ <br />OWNED SCHEDULED - - - <br />AUTOSONLY AUTOS BODILY INJURY (Per accident) $ <br />HIRED NON -OWNED PROPERTY DAMAGE <br />AUTOS ONLY AUTOS ONLY _Per accitlenU $ <br />UMBRELLA LIAR _ OCCUR EACH OCCURRENCE <br />$ <br />EXCESS LIAR CLAIMS -MADE <br />_ <br />— - - AGGREGATE <br />_ <br />$ <br />DED RETENTION$ <br />WORKERS COMPENSATION PER OTH- <br />AND EMPLOYERS' LIABILITY YIN _ . STD_, ER <br />$ <br />ANY PROPRIIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT <br />(Mandatory NH) EXCLUDED? NIA <br />. $ <br />io <br />E.L. DISEASE EA EMPLOYE <br />11 yes, describe under - <br />$ <br />I DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be allached a more space is required) <br />Certificate holder is amended to read: City of Santa Ana, its officers, employees, agents, volunteers and representatives and are named as additional insured <br />as respects to General Liability when required by written contract or agreement, for services provided by the named insured for the certificate holder per the <br />attached endorsement. Coverage shall not be canceled or reduced in coverage or changed in any other material aspect without 30 days prior written notice to <br />City. Endorsement to follow showing 30 day notice. <br />"This Certificate replaces Issued Certificate dated REVIEWED B Y. <br />previously 10124118. <br />/ 3 /, <br />City of Santa Ana <br />City Yard - Water Resources <br />220 South Daisy Ave. M-85 <br />Santa Ana, CA 92703 <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 />^��•�� -� 1-••'�•��r U 1Bee-ZU10 AUUKU CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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