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XV SOLUTIONS (4)
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XV SOLUTIONS (4)
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Last modified
6/15/2026 2:38:53 PM
Creation date
2/7/2024 3:39:06 PM
Metadata
Fields
Template:
Contracts
Company Name
XV SOLUTIONS
Contract #
A-2023-200
Agency
Public Works
Council Approval Date
11/21/2023
Expiration Date
11/20/2026
Insurance Exp Date
6/30/2026
Notes
SEE NOTICE OF COMPLIANCE FOR INSURANCE INFO.
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A�'"""��"""�R�" P CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />10/02/2025YYY) <br />10/02/2025 <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 policy(ies) 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 />CONTACT <br />NAME: <br />HONE , Ext : 877 677-0428 AIC, No): 877 677-0430 <br />AUTOMATIC DATA PROCESSING INSURANCE AGCY INC <br />1 ADP BLVD MS 325 <br />ROSELAND, NJ 07068 <br />E-MAIL <br />ADDRESS: spcbicadp@travelers.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />(877) 677-0428 <br />INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURED <br />SERVATECH , INC <br />INSURER B : <br />INSURER C : <br />22013 LAKELAND AVE <br />INSURER D : <br />LAKE FOREST, CA 92630 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 071072816161572 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADDL <br />SUBR <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F7 OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />(Ea COMBINED cident)SINGLE LIMIT <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />N/A <br />)( <br />UB-B9553044-25 <br />09/23/2025 <br />09/23/2026 <br />X STATUTE OTH <br />E.L. EACH ACCIDENT <br />$ 1 ,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 ,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1 ,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA <br />(BLANKET WAIVER), WC 99 03 76 (A), HAS BEEN ATTACHED TO THE POLICY. RE: CITY OF SANTA ANA, ATTENTION: HEIDI CHOU, 215 <br />S. CENTER ST., M-85, SANTA ANA, CA 92701. <br />wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww <br />APPROVED <br />CERTIFICATE HOLDER CANCELLATION By TO Tran Nguyen at °12:32 pm, Oct 03, 2025 <br />CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />RISK MANAGEMENT DIVISION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />M..t r <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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