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NOGALIS, INC.
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Last modified
3/19/2020 4:10:03 PM
Creation date
3/19/2020 4:04:36 PM
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Contracts
Company Name
NOGALIS, INC.
Contract #
N-2020-068
Agency
INFORMATION TECHNOLOGY
Expiration Date
6/30/2020
Insurance Exp Date
1/1/1900
Destruction Year
2025
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or <br />%. CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDNYYY) <br />03/04/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />NABAVIAN INSURANCE AGENCY INC <br />72186791 - <br />2915 RED HILL AVE STE B201 D <br />PHONE (949)428-3321 <br />(A/C, No, Ext): <br />FAx (949)630-0274 <br />(A/C, No): <br />E-MAIL ADDRESS: <br />COSTA MESA CA 92626 <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A: Sentinel Insurance Company Ltd. <br />11000 <br />INSURED <br />INSURER B : <br />NOGALIS, INC <br />INSURER C: <br />4590 MACARTHUR BLVD STE 500 <br />INSURER D: <br />NEWPORT BEACH CA 92660-2028 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSF <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />fMMIDDNYYYI <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$2,000,006 <br />CLAIMS-MADE�OCCUR <br />DAMAGE TO RENTED <br />$1,000,000 <br />PREMISES Ea murrensef <br />X <br />General Liability <br />MED EXP(Any one person) <br />$10,000 <br />A <br />X <br />72 SBA IB1832 <br />04101/2019 <br />04/01/2020 <br />PERSONAL BADV INJURY <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$4,000,005 <br />POLICY❑ECTPRO- LOG <br />El <br />PRODUCTS - COMP/OP AGG <br />$4,000.000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$2,000,000 <br />E ll <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />72 SBA IBI832 <br />04/01/2019 <br />04/01/2020 <br />BODILY INJURY (Per accident) <br />X <br />HIRED X NON -OWNED <br />AUTOS AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />EXCESS LIAB <br />MADEs <br />72 SBA IB1832 <br />04/01/2019 <br />04/01/2020 <br />AGGREGATE <br />$1,000,000 <br />DED <br />X <br />RETENTION $ %000 <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTEER <br />E.L. EACH ACCIDENT <br />ANY YIN <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />A <br />FAILSAFE TECHNOLOGY E OR <br />O <br />1 <br />1 <br />72 SBA IB1832 <br />1Aggregate <br />04/01/2019 <br />04/01/2020 <br />Each Glitch <br />$1,000,000 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Those usual to the Insured's Operations. City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured and <br />Coverage is primary and noncontributory per the Business Liability Coverage Form SS0008, attached to this policy. Notice of Cancellation will be <br />provided in accordance with Form SS1223, attached to this policy. <br />CtKI It -IL; HULUEK <br />CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ FL 4 <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701-4058 <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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