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PLACER LABS, INC.
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Last modified
1/24/2025 11:52:28 AM
Creation date
1/24/2025 11:51:34 AM
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Contracts
Company Name
PLACER LABS, INC.
Contract #
N-2025-012
Agency
Parks, Recreation, & Community Services
Expiration Date
1/1/2027
Insurance Exp Date
7/1/2025
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ACORo® CERTIFICATE OF LIABILITY INSURANCE <br />DATEtMMMDnYYY) <br />`� <br />12/16/2024 <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 />Newfront Insurance Services <br />777 Mariners Island Blvd Suite 250 <br />San Mateo, CA 94404 <br />CONTACT <br />NAME Cert Request <br />PHONE FAX <br />iAM.NQ Exit 650-488-8565 AC No): <br />EMAIL <br />ADDREss: TechCertRe uest newfrontcom. <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: National Fire Insurance Co of Hartford <br />20478 <br />www.newfront.com <br />INSURED <br />Placer Labs, Inc. <br />Placer.ai <br />INSURER B <br />INSURERC: Associated Industries Insurance Company <br />23140 <br />INSURER D: Continental Insurance Company <br />35289 <br />440 N. Barranca Ave #1277 <br />Covina CA 91723 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 83n3548R 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/1'YYY <br />POLICY EXP <br />MM/DDI1'YYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />�/ <br />�/ <br />7063806632 <br />12/5/2024 <br />12/5/2025 <br />EACH OCCURRENCE <br />$1000000 <br />CLAIMS -MADE �✓ OCCUR <br />DAMAGE TO RENTED <br />PREMISES E.. enca <br />$1 000000 <br />MED EXP (Any oneperson) <br />$15 000 <br />PERSONAL &ADV INJURY <br />$1000000 <br />GEN'L AGGREGATE LIM IT APPLIES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />✓ POLICY EdE' LOG <br />PRODUCTS-COMP/OP AGG <br />$2000000 <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accitlent <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />D <br />UMBRELLALIAB <br />OCCUR <br />✓ <br />7063806615 <br />12/5/2024 <br />12/5/2025 <br />EACH OCCURRENCE <br />s3000000 <br />AGGREGATE <br />$3 000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />PER OTH- <br />ISTATUTE ER <br />E.L. EACH ACCIDENT <br />S <br />ANYPROPRIETOMPARTNEWEXECUTIVE ❑ <br />OFFICER/MEMBEREXCLUDEW <br />NIA <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DE SCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />C <br />Emors & Omissions/Cyber Liability <br />✓ <br />ACL1241328 01 <br />12/5/2024 <br />12/5/2025 <br />Limit: $5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are included as additional insured as respects to <br />General Liability, Umbrella Liability and E&O Policy, but only to the extent required by written contract or agreement. General liability is primary & <br />noncontributory, but only to the extent required by written contract or agreement. Waiver — <br />the extent required by written contract or agreement. n PROVED <br />ByCynthiaMora at 9:47 am, Dec 23, 2024 <br />CERTIFICATE HOLDER <br />CANCELLATION <br />City of Santa Ana <br />Attention: Parks, Recreation and Community Service <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza M-23 <br />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Rod Sockolov <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />03n35406 1 24-25 A11 Lines/E&O $5H I Exc1:AU We OT2 OT3 OT4 I Prameela Karipireddy 112/16/2024 10: 30:47 Ae (PST) I Page 1 of 17 <br />This certificate cancels and supersedes ALL previously issued certificates. <br />
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