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NOGALIS, INC. (3)
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NOGALIS, INC. (3)
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Last modified
2/26/2021 4:19:15 PM
Creation date
2/26/2021 4:17:51 PM
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Contracts
Company Name
NOGALIS, INC.
Contract #
N-2021-034
Agency
Information Technology
Expiration Date
6/30/2021
Insurance Exp Date
4/1/2021
Destruction Year
2026
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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYVY) <br />03110I2020 <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 />PHONE (949) 428-3321 <br />(ac, No, <br />FAX (949)630-0274 <br />(Ivc, Not: <br />72186791 <br />2915 RED HILL AVE STE B201 D <br />COSTA MESA CA92626 <br />E-MAILADDRDRE53: <br />INSURER(S) AFFORDING COVERAGE NAICO <br />INSURER A: Sentinel Insurance Company Ltd. <br />11000 <br />INSURED <br />INSURER B : <br />NOGALIS, INC <br />INSURERC: <br />4590 MACARTHUR BLVD STE 500 <br />INSURER D: <br />NEWPORT BEACH CA 92660-2028 <br />INSURERE: <br />INSURER F: <br />CERTIFICATE <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 />INDICATEDADTWITHSTANDING 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 />IN9 <br />TYPE OF INSURANCE <br />ADDL <br />1 SR <br />SUBR <br />MO <br />pOLICY NUMBER <br />PODCV EFF <br />MWD <br />POLICY EX <br />D <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />General Liabili tY <br />EACH OCCURRENCE <br />$2,000,000 <br />X <br />DAMAGE TO -RENTED <br />PREMISES EB nce <br />MED EXP (Any we person) <br />$1.000,000 <br />$10,000 <br />A <br />X <br />72 SBA 1B1832 <br />04/01/2020 <br />04/01/2021 <br />PERSONAL B AOVINJURv <br />$2,000.000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$4,000,000 <br />POLICY❑PRO- Lac <br />ECT <br />PRODUCTS <br />$4,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE UMIT <br />IF, accident <br />$2,000,000 <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72 SBA IB1832 <br />04/01/2020 <br />04/01/2021 <br />BODILY INJURY (Per accident) <br />X <br />HIRED NON -OWNED <br />AUTOS X AUTOS <br />PROPERTY DAMAGE <br />(Peracddeni) <br />UMBRELLALIAB <br />X <br />OCCUR <br />EACHOCCURRENCE <br />$1,000,000 <br />A <br />EXCESS LIAB <br />MADE <br />72 SBA IB1832 <br />04/01/2020 <br />04/01/2021 <br />AGGREGATE <br />$1,000,000 <br />ED <br />X I RETENTION $ 10,000 <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />ER <br />ANY YIN <br />PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />W A <br />E.L EACH ACCIDENT <br />E.L DISEASE -EA EMPLOYEE <br />(Mandatory In NH) <br />If yes, descdbe under <br />E.L. DISEASE -POLICY UNIT <br />DESCRIPTION OF OPERATIONS below <br />A <br />FAILSAFE TECHNOLOGY E OR <br />O <br />72 SBA 1B1832 <br />04101/2020 <br />04/01/2021 <br />1 <br />Each Glitch <br />Aggregate <br />$1,000,000 <br />$1.000.000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached irmore 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. n <br />CFRTIFICATF HOLDER CANCFI 1 ATION <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 />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 92701-4058 <br />ED <br />d �. C;r <br />jitV (CYY �" GE -MEN DIVISION C 1988-2015 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (20161W RISk (VIANACI The-ACORD name and logo are registered marks of ACORD <br />joR <br />
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