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SEDARU FKA ID MODELING, INC.
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Last modified
6/12/2024 12:10:30 PM
Creation date
4/17/2024 2:52:52 PM
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Contracts
Company Name
SEDARU FKA ID MODELING, INC.
Contract #
A-2024-034
Agency
Public Works
Council Approval Date
3/19/2024
Expiration Date
12/31/2024
Insurance Exp Date
9/30/2024
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,a`oizo° CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />05/08/2024/2024IYYYY) <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: Justin Llizo <br />Marsh USA LLC <br />FAX <br />1717 Arch Street <br />AICONNo Ext : 202-258-5895 No : 202-263-7700 <br />E-MAIL <br />ss: Justin.Llizo@marsh.com <br />Philadelphia, PA 19103-2797 <br />Attn: VeraIto.certrequest@marsh.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Fireman's Fund IndemnityCorp11380 <br />CN 1 42374883-VC-CYBEO-23-24 <br />INSURED <br />SEDARU, INC. <br />INSURER B : <br />INSURERC: <br />168ARROW HWY, SUITE 101 <br />SAN DIMAS, CA 91773 <br />INSURER D <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CLE-007212985-04 REVISION NUMBER: 6 <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 />LTR <br />OF INSURANCE <br />ADDLSUBRTYPE <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYYI <br />POLICY EXP <br />iMMIDDIYYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS-MADE1:1 OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY ā PRO ā LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />L <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? Nā <br />N / A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />CYBER AND E&O LIABILITY <br />USF04732523 <br />09/30/2023 <br />09/30/2024 <br />LIMIT: <br />2,000,000 <br />SIR: <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center Plaza THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PRC <br />% orz,NvF RAMougmumtDiviaian <br />AUTHORIZED REPRESENTATIVE z REVIEWED & APPROVED BY: <br />A' Acevdo <br />%® Risk Management Specialist <br />@ 1988-2016 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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