FCS INTERNATIONAL, INC. (FIRST CARBON SOLUTIONS) (2)

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A``W H CERTIFICATE OF LIABILITY INSURANCE DAT4/25/2019 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS XAECONTND O CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, COVERAGE AFFORDED BY HE ES BELOW. THISCERTIFICATEE DOESNOT F INSURANCEO ACTTB@TWHF (R T SrJN N�yrER(S)TAUTHORZIED AND S ATE HOLDER.CONSTITUTE IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must rf(, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A s e t Nth64NII oQpnot confer rights to the certificate holder in lieu of such endorsement(s). a r• PRODUCER Dealey, Renton & Associates 600 Anton Blvd., #100 Costa Mesa CA 92626 CONTACT PHONE FAX 714-427-6810 Ac No:714-427-6818 AIL ADDRESS: INSURE B AFFORDING COVERAGE NAICp INSURER A: Travelers Property Casualty Co of Amer! 25674 INSURED International, Inc. 250 250 Commerce, Suite 250 INSURERS: Travelers Casualty & Surety Co. America 31194 INSURERC: Travelers IndemnityCo. of Connecticut 25682 INSURER D: Irvine CA 92602 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 617670379 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR OF INSURANCE ADDLSLSRTYPE INSR MD POLICY NUMBER MM/DPOLIDmW MMIDD Y EXP /YYYY LIMITS A GENERAL LIABILITY Y 6805H959493 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Eaoccurrence $1,000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 X Contractual Liability GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY X PRO LOC Deductible $None C AUTOMOBILE LIABILITY BA607SL716 1/1/2019 1/112020 COMBINED SINGLE LIMIT Ea accident . 1 000 000 X BODILY INJURY (Per person) $ ANY AUTO IHIRED ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED AUTOS AUTOS PROPERTY DAMAGE Per accident $ Deductible $None UMBRELLA LIAB OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAB CLAIMS - MADE DED RETENTION$ $ A WORKERS COMPENSATION UB9J091047 1I1/2019 1/1/2020 X WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOMPARTNER/EXECUTIVE❑ E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE- EA EMPUM OYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1000,000 B Professional Liability 106035058 1/1/2019 1/1/2020 Per Claim $2,000,000 Claims Made Annual Aggr. $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: All Operations as pertains to named insured. The City of Santa Ana, its officers, employees, agents and representatives are named as Additional Insured as respects General Liability as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. SEE CANCELLATION SECTION of Certificate for 30 Day Notice of Cancellation. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 UTHORIZED REPRESENTATIVE ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD