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SWAYZER CORPORATION (3)
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SWAYZER CORPORATION (3)
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Entry Properties
Last modified
4/29/2021 11:12:20 AM
Creation date
12/15/2020 4:45:29 PM
Metadata
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Template:
Contracts
Company Name
SWAYZER CORPORATION
Contract #
A-2020-229
Agency
Public Works
Council Approval Date
11/17/2020
Expiration Date
8/19/2022
Insurance Exp Date
1/1/1900
Destruction Year
2027
Document Relationships
SWAYZER CORPORATION
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. Digitally signed by <br />Francine R <br />Francine R. Villareal <br />Villareal Date: 2020.10.1513:08:50 <br />-0T00' <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(M11011 <br />07/28/2020 <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 paicy(iss) 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 endorsement(s). <br />PRODUCER <br />Finnegan & Carter Insurance Associates <br />23001 La Palma Ave, Ste 100 <br />Yorba Linda, CA 92887 <br />CONTWright, <br />NAIMEACT Savannah Herrera <br />P"D"E 714)203-1999 FA 14283.1997 <br />Aoo Eas: s rvatmahtivrfansurance.cO n <br />INSUPES AFFORDING COVERAGE <br />NAIL! <br />License #: Ok93616 <br />INSLFER A: Ohio Security Insurance8 <br />INSURED Swayzer's Inc <br />INSURERB: Liberty Mutual Insurance Coma <br />24066 <br />INSURER c: American Fire and CasuaW Co 24066 <br />24066 <br />DBA Swayzer Corporation <br />PO Box 4365 <br />INSURED: Libeft Mutual Insurance Coma <br />24082 <br />IN9J1EREu <br />Carson, CA 90749 <br />NSLRH2 F: <br />COVERAGES CERTIFICATE NUMBER: D0001634-918826 REVISION NUMBER: 2 <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />LM <br />TYPEOFINSURANCE <br />ADM <br />SUB <br />POLICY NA1BH2 <br />POUCY ffF <br />POLICYEXP <br />UI <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE F_X1 OCCUR <br />y <br />BLW56694138 <br />OWOar2020 <br />08/OB/2021 <br />EACH OCOJERENCE <br />$ 1 000 000 <br />PREMISES(Ea ...n , <br />$ 500 000 <br />NED E)(P (Any one person) <br />$ 15,000 <br />PERSONAL& ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER. <br />JJEE T CI ILOC <br />POLICY ❑ <br />GENERALAGGREGATE <br />$ 2000000 <br />GENL <br />X <br />PRODU S-COMPIOPAGG <br />$ 2,000,000 <br />$ <br />OTHER <br />B;iMILELIABLITY <br />y <br />BAA56694738 <br />12/012019 <br />12101/2020 <br />(SINGLE LIMIT <br />$ 1 000 000AllTOJURY(Perperson) <br />$EDSCHmULm <br />ONLY X AUTOS ONLY <br />JURY (Perecntlen[ <br />)IREDNON-OWNED <br />$UTOSONAUTOS <br />Y DAMAGE <br />n[ <br />$UTOS <br />ON <br />MA7GGREGAM$ <br />$ 500 <br />C <br />X <br />LMB�uLAS <br />X <br />OCCUR <br />USA56694138 <br />08=r2020 <br />ORrON/2021 <br />URRENCE <br />$ 4,000,000 <br />EXCESS UAB <br />CLAIMS -MADE <br />TE <br />$ 4,000000 <br />DED <br />RETENTION $ 0 <br />$ <br />WORKERSCOMPENSIMON <br />PER OTH- <br />ANDEkPLOYERSIJABUTY YIN <br />ANY PROPRIETORIPARTNERE ECUTIVE <br />OFFICERMEMBER EXCLUDED? ❑ <br />piendrtwy in Nil <br />If yyes,tl,cdbaund.1 <br />CESCRIFON OF OPERATIONS telpv <br />NIA <br />CH <br />EL. EAACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />3 <br />E.L. DISEASE-POUCYUMT <br />$ <br />D <br />Bus Pets Prop <br />BKS56694138 <br />12(O12019 <br />12/01/2020 <br />Urrit <br />18,761 <br />D <br />Equip Rent From <br />OTHERS-BKS56694138 <br />12(01/2019 <br />12/01/2020 <br />Limit <br />25,000 <br />DESCPoPIIONOFOPE MONSILOCATIONSIWHCLES(ACORDI01,Addtwal Remarks SCMASAmaybeatt dRmmspan Israedred) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, & AGENTS, & REPRESENTATIVES ARE ADDITIONAL INSURED & <br />PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATATCHED TO THE POLICY -AS <br />REQUIRED BY WRITTEN CONTRACT. ADDITIONAL INSURED APPLIES TO AUTO LIABILITY. 30 DAY WRITTEN NOTICE OF <br />CANCELLATION WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE EVENT OF CANCELLATION. WORK <br />PREFORMED TO DEBRIS REMOVAL AND WEED ABATMENT SERVICES ON AN ON -CALL BASIS AT VARIOUS LOCATIONS <br />THROUGHOUT THE CITY OF SANTA ANA AS WELL AS LANDSCAPE MAINTENANCE SERVICES FOR WATER FACILITIES <br />continued on ACORD 101 Additional Remarks Schedule <br />CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />Santa Ana, CA 92702 <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 />O 1988-2015 ACORD COr <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by <br />RiskMmw9 mad Division <br />qry RENEWED &ttsAPsPRoI BY: <br />FtiL+.c:.r.t ram. V:.UiL-tLI.� <br />®'. <br />Risk Management Analyst <br />
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