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XV SOLUTIONS (3)
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Last modified
9/26/2023 10:33:32 AM
Creation date
9/9/2022 4:57:54 PM
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Contracts
Company Name
XV SOLUTIONS
Contract #
A-2019-179-01
Agency
Public Works
Council Approval Date
10/1/2019
Expiration Date
9/30/2024
Destruction Year
2029
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" b In <br />AG OR CERTIFICATE OF LIABILITY INSURANCEPierson 1D2:0019-07001DA06/032022Y) <br />06/031 022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />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 not <br />confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />BIN INSURANCE HOLDINGS LLC/PHS <br />46505301 <br />PHONE (866)467-8730 <br />(AIC, No, Ext): <br />FAX (888)443-6112 <br />(A/C, No): <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />E-MAIL <br />San Antonio, TX 78251 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: Sentinel Insurance Company Ltd. <br />11000 <br />SERVANDO VARELA DBA XV SOLUTIONS <br />INSURER B : <br />PO BOX 28373 <br />INSURER C : <br />SANTA ANA CA 92799-8373 <br />INSURER D : <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />1MMIDDIYNYYl <br />POLICY EXP <br />fMMIDONYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$2,000,005 <br />CLAIMS -MADE �OCCUR <br />DAMAGE TO RENTED <br />$1,000,000 <br />PREMISES IE o cur n <br />X <br />MED EXP(Any one person) <br />$10,000 <br />General Liability <br />A <br />X <br />X <br />46 SBM UN0237 <br />06/30/2022 <br />06/30/2023 <br />PERSONAL B ADV INJURY <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$4,000,005 <br />POLICY❑PRO- JECT Fx_1LOC <br />PRODUCTS - COMP/OP AGG <br />$4,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea acc dent) <br />$2,000,000 <br />ANY AUTO <br />BODILY INJURY (Per person) <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X <br />46 SBM UN0237 <br />06/30/2022 <br />06/30/2023 <br />BODILY INJURY (Per accident) <br />X <br />HIRED X NON -OWNED <br />AUTOS AUTOS <br />PROPERTY DAMAGE <br />(Pe,mxuenl) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />AGGREGATE <br />OE <br />I RETENTION $ <br />WORMERS COMPENSATION <br />IPER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />I STATUTE <br />E.L. EACH ACCIDENT <br />ANY YIN <br />PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER 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 />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. <br />Risk Management Division 4th Floor <br />20 CIVIC CENTER PI 7 <br />SANTA ANA CA 92701-4058 <br />ACORD 25 (2016/03) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CJ u�"Gln oa. r�C1Dir��2> <br />©1988-2015 ACORD CORF r °"* wM".gaaadDwaimn <br />•� �+neAID6 MPItOJ®Br. ,;; <br />The ACORD name and logo are registered marks of ACORD %#u Drcwan <br />�s <br />Risk MarvgemmrOaial Aide �. <br />
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