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Last modified
11/27/2019 11:03:42 AM
Creation date
11/27/2019 10:45:08 AM
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Contracts
Company Name
SUPERION, LLC
Contract #
A-2019-201
Agency
Police
Council Approval Date
11/5/2019
Expiration Date
11/4/2022
Insurance Exp Date
8/31/2020
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�`� CERTIFICATE OF LIABILITY INSURANCE D11/13/201YV) <br />sl3ERT20 11/ DER. I9 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />CERTIFICATE <br />THIS <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />BELOW. <br />POLICIES <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING <br />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 <br />provisiDns or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement <br />A statement on <br />this certificate does not confer rights to the certificate holder In lieu of such andorsemenl(s). <br />PRODUCER Locklon Insurance Brokers, LLC <br />CON A T <br />CA License #OF 15761 <br />NAME: <br />PHONE --- <br />E-MAIL FAIL No <br />Three Emburcadcro Center, Suite 600 <br />San Francisco CA 94111 <br />ADDRESS: <br />t415)5684000 <br />- INSURERI9) APFOROWGCOVERAGE NAIC0 <br />- <br />INSURED <br />INSURER A: National Fire Insurance Co of H. f—rl 20478 <br />Central$ uareTechnolg <br />t11c8. LLC <br />1424762 <br />INSURERS: The Continental Insurance Company 35289 <br />Superion, LLC <br />INSURER CC <br />h S Systems <br />INSURER D: <br />— <br />1000 BUSINESS <br />1000 BUSINESS CENTER DR. <br />INSURER E <br />Lake Mary FL 32746 <br />NSURER F: <br />COVERAGES RAMHODI CEanFlcerc MunaRco. I- <br />----..... .-..•-••-•••- uoUa_D.o REVISION NUMBER: X,XXXX7CX 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 />NSR AD S BR <br />POLICY LTR! TYPE OF INSURANCE POLICYEFF POLICY EXP - <br />MralDDmvr MMIODttYVT LIMITS <br />AN6.BCiAL+GBRCSRI,h RLETY..�_- 1' N 6072132367 <br />CLAIMS-NAOE X OCCUR 8:7 L^UI9 8711 '.. nOCC N ` % 1.000,000 <br />P—iPREAlISES Ea occ,aence 3 <br />L1,000 DDD <br />- — - MEP E%P lAny one parson) 3 15,000 <br />- PERSONAL AAOV WJURY 3 1000 000 <br />G'cETL AGGREGAtE LIMB APPLIES PER: GENERALAGGREGATE 3 2.000000 <br />r—i PRO- <br />PGLICY G <br />OTHER: JET LOC PROIXICTS-COM'10PAGG S 7000 Q00 <br />A AUTOMOBILE LIABILITY S <br />N - N 6072382370 8312019 83120'D Oh I. ❑ IN LE LIMIT <br />ANY ALTO - _IEa a¢Mem I3 1000,000 <br />OWNED SCHEDULED BODILY INJURY Damon) 3 �X,1Ly <br />AUTOS ONLY AUTOS BODLLY INJURY(Peracdden0 S <br />NON OWNED <br />X AUTHIRO ONLY X AUTOS ONLY I XXXXXi{iL <br />PROPERTY DAMAGE <br />X Cum Dcd:51(1H CT <br />ramaem <br />UMBRELLA LIAB OCCIAi NOT APPLICABLE 3 xxxxxXX <br />Excsss Lwe EACH OCCu1RENCE 3 XXXXXXX <br />CLAIMS-AACE <br />AGGREGATE ! S XXXXXXX <br />DIED RETENTIONS <br />WORKERSCOAIPENSATION 3 XXXlIXJ--x <br />B AND EMPLOYERS' LIABILITY YIN 6072382357 1CAI 8/311-1019 931201) X STATtrtE ERH- <br />B AH'i P00PRIETOR/PARTNERIEAECUTNE N I 607_78_33(i'AD$) 8/312U19 8.31.2020 1 ODU UUU <br />OFFICERIAIEMBEREXCLUDEDP N NIA. El- 5 <br />If y ntlalary In NH) I----1,000,000 <br />If yes, describe u,lder E.L DISEASE -EA EMPLOYEE S <br />DESCRIPTION OF OPERATIONS beMw EL DISEASE -POLICY LIMIT 3 1.000.000 <br />I I <br />OESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 181, Additional Remarks Schedule, may be attached it more space is required) <br />CityTHIS CCIRIFICATE BLTER8EDE5.ALL PREtiiOC3LY ISBCED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED.M THE POLICY' TERMS) REFERECCED City of Santa Ana, its elected and apiminleel officials, Elincers. employees, agents, and Successors are included u an Additional Insured Widl respect to <br />liability arising out of the operations of dw insured and to the extent pmvided by the policy language or endorsemeln issued or approved by the insurance carrier. <br />CERTIFICATE Hni nFR <br />15605283 <br />City OF Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th I <br />Santa Ana, CA 92701 <br />M. <br />ELLED BEFO <br />2019 I THEULD EXANY OFPIRATIIONH DATE VTHEREOF, NOTICEDESCBEDI ES WILL BE CBE CDELIVERED INN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1988-201 <br />- --%w 1o111v cola IUgo are registered marKs of ACORD <br />rights <br />
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