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Last modified
12/3/2024 8:05:33 AM
Creation date
12/3/2024 8:05:10 AM
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Contracts
Company Name
RE CONSULTING (RENEE ESCARIO)
Contract #
A-2023-194-27
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
10/8/2025
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r- <br />R CERTIFICATE OF LIABILITY INSURANCE <br />Ro� AC o <br />DarE1) <br />08/10/I2024 <br />024 <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 <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A <br />statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />CONTACT <br />CS&S/BIZINSURE LLC <br />PO BOX 958489 <br />NAME: <br />PHONE <br />INC, No. Ext : <br />FAX <br />I= No)'. <br />EMAIL <br />ADDRESS: <br />Lake Mary, FL 32746.8989 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />1-877-724.2669 <br />INSURER AContinental Casual Company20443 <br />' <br />INSURED <br />INSURER B: <br />INSURER C: <br />RENEE ESCARIO DBA RE CONSULTING <br />INsuRER D. <br />5742 CALLE POLVOROSA <br />INSURERS <br />SAN CLEMENTE, CA 92673 <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. NOTWITHSTANDINGANY 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 />TYPE OF INSURANCE <br />ADDL <br />IMen <br />9UeR <br />WVD <br />POLICY NUMBER <br />POLICYEFF <br />MMIDOMY <br />POLICY EXP <br />MMIDDIYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE N OCCUR <br />Y <br />6020765876 <br />10/08/24 <br />10/08/25 <br />EACH OCCURRENCE <br />S 1,000,000 <br />PREn SEGE E (Ea -I <br />S 1,000,000 <br />MED EXP (Any one person( <br />S 10,000 <br />PERSONAL &ADV INJURY <br />S 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />s 2,000,000 <br />POLICY -EC-T X LOC <br />PRODUCTS-COMPIOPAGG <br />S 2000000 <br />OTHER <br />A <br />AUTOMOBILE <br />LIABILDY <br />6020765876 <br />10108124 <br />10/08/25 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />s 1,000,000 <br />BODILY INJURY(Per person) <br />S <br />ANY AUTO <br />OWNED AUTOS SCHEDULED <br />ONLY AUTO$ <br />BODILY INJURV(Par accident)S <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />XHIRED <br />AUTO$ �/ NON -OWNED <br />ONLY X AUTOS ONLY <br />S <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAB <br />CUIIMS-MADE <br />DED <br />I RETENTION S <br />S <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER <br />STATUTE <br />OTH- <br />ER <br />ANY PROPRIETOWPARTNEWEXEC.UTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />EL EACH ACCIDENT <br />S <br />E.L DISEASE EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes. describe under <br />E.L. DISEASE POLICY UNIIT <br />S <br />DESCRIPTION OF OPERATIONS below <br />OTHER <br />PER <br />STATUTE <br />OTH- <br />ER <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />E.L. nISFASF- POLICY LIMIT <br />S <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAcord 101, Additional Remarks Schedule, may be attached If more space is regdred) <br />Certificate Holder is named as Designated Person <br />Location #1 5742 CALLE POLVOROSA, SAN CLEMENTE, CA, 92673 APPROVED <br />By Cynthia Mora at 9:57 am, Nov 25, 2024 <br />CEK I R-ICA It HULUEK CANCELLATION <br />THE CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA, CA 92701 AUTHORIZED REPRESENTATIVE <br />®1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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