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EEC ENVIRONMENTAL (3)
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EEC ENVIRONMENTAL (3)
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Entry Properties
Last modified
8/19/2024 9:24:02 AM
Creation date
3/1/2021 11:00:14 AM
Metadata
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Template:
Contracts
Company Name
EEC ENVIRONMENTAL
Contract #
A-2021-009
Agency
Public Works
Council Approval Date
1/19/2021
Expiration Date
1/18/2021
Insurance Exp Date
5/24/2025
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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AGENCY CUSTOMER ID: <br />LOC #: <br />ACORO� AnnITIMIA1 REMARKS Sr-wi=nm F Paae of <br />AGENCY <br />NAMED INSURED <br />GMGS Risk Management &Insurance Services <br />EEC Environmental <br />dba Enviromental Engineering Contracting Inc., <br />One City Boulevard West, Suite 1800 <br />POLICY NUMBER <br />Orange CA 92868 <br />CARRIER <br />CODE <br />TAIC <br />77 <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) <br />HOLDER: City of Santa Ana Risk Management Division <br />ADDRESS: 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 <br />RE: Job #W-1424.12T - Every Drop Counts - Santa Ana WDR; Agreement A-2020-139 and <br />A-2021-009 <br />As respects General Liability coverage, City of Santa Ana, its officers, employees, agents <br />and representatives are added as Additional Insured per CG20101219 and CG20371219 <br />attached, and this insurance is primary per CG20011219 attached. <br />As respects General Liability coverage, 30-day written notice of cancellation (10 days for <br />non-payment of premium) applies per IL00171198 attached. <br />As respects Automobile Liability coverage, City of Santa Ana, its officers, employees, <br />agents and representatives are added as Additional Insured, and this insurance is primary <br />per AC85430618 attached. <br />As respects Automobile Liability coverage, 30-day written notice of cancellation (10 days <br />for non-payment of premium) applies per IL00171198 attached. <br />As respects Workers' Compensation coverage, 30-day written notice of cancellation (10 days <br />for non-payment of premium) applies per WC040601A attached. <br />ACORD 101 (2008/01) © 2008 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />61969354 1 20-21 G/A/UMB/POLL/E&O 21-22 WC I Jennifer Barton 1 5/26/2021 10:30:41 AM (PDT) I Page 2 of 11 <br />�oRaN RAMmRgementDiviaian <br />REVIEWED & APPRG'VED BY. <br />3 z <br />Risk Management Analyst <br />
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