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WESTERN A/V & SECURITY (2)
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WESTERN A/V & SECURITY (2)
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Last modified
6/15/2026 2:40:15 PM
Creation date
10/27/2025 1:08:06 PM
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Contracts
Company Name
WESTERN A/V & SECURITY
Contract #
A-2022-107-01
Agency
Public Works
Council Approval Date
6/21/2022
Expiration Date
6/20/2027
Insurance Exp Date
6/16/2026
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ACC?R6r CERTIFICATE OF LIABILITY INSURANCE <br />`.� <br />DATE(MMIDDlYYYY) <br />0710912025 <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 />$tateFaarm Javier Misiego <br />j 227 20th St Suite 104 <br />Al <br />Al <br />NAMEACT Melanie Duarte <br />PHONE 714-772-3838 FAX A1C No : 714-808 6431 <br />E-MAIL s: Melanie.a.duarte.vadk7j@statefarm.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Newport Beach CA 92663 <br />INSURER A : State Farm Mutual Automobile Insurance Company <br />25178 <br />INSURED <br />INSURER B : State Farm Fire and Casualty Company <br />25143 <br />WESTERN AIV INC <br />INSURER c: State Farm General Insurance Company <br />25151 <br />1592 N BATAVIA ST STE 2 <br />INSURER D: <br />ORANGE, CA 92867 <br />INSURERE: <br />INSURER F t <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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSM <br />WVn <br />POLICY NUMBER <br />MMIDDIYYYY POLICY EFF <br />MMIDDY� <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />EACH OCCURRENCE <br />5 2,000,000 <br />CAMA(3 TO RENTED <br />PREMISES Ea occurrence) <br />500.000 <br />MED EXP (Any one person) <br />3 5,000 <br />PERSONAL s ADV INJURY <br />s 1,C00,000 <br />C <br />Y <br />Y <br />92-GY-D812-0 <br />10/31/2024 <br />10/3112025 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOG <br />GENERAL AGGREGATE <br />s 4,fl00,000 <br />PRODUCTS-COMPfCPAGG <br />S 4,000,000 <br />S 248,400 <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />Y <br />Y <br />661 2954-E13-75 <br />05/1312026 <br />11/13/2025 <br />COMBINED eISINGLE LIMIT <br />s 1,000,000 <br />BODILY INJURY {Per person) <br />S <br />I <br />OWNEDIxSCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />S <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraceldenl <br />$ <br />S <br />X <br />UMBRELLA LIAR <br />M <br />OCCUR <br />EACH OCCURRENCE <br />S 5,000,000 <br />C <br />EXCESS LIAR <br />CLAIMS -MADE <br />N/A <br />N/A <br />92-XC-0351-6 <br />12/14/2023 <br />12114/2025 <br />AGGREGATE <br />S <br />QED RETENTIONS <br />S <br />1 <br />B. <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I NFIR <br />OFFICERIMEMBEERANY /EXCLUDED7ECUTfVE ❑ <br />NIA <br />Y <br />92-MW-H114-6 <br />01101/2025 <br />01/01/2026 <br />X STATUTE OTH <br />E.LEACHACCIDENT <br />S 1,o9fl,l?Ofl <br />E.L.DISEASE - EA EMPLOYE <br />S 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />SURETY BOND <br />B <br />92-KN-M222-7 <br />06/16/2025 <br />06/1612027 <br />$25,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) ofgl[aI sinned <br />AUDIO VISUAL SYSTEMS INTEGRATION Tu Tran byrk Trzn <br />Nguyen <br />Business Location 1592 N Batavia St., Ste 2, Orange, CA 92867 Nguyen nate.2025.10.03 <br />1634:58 -07'00' <br />It is agreed that is is the intention of the Company to provide 30 days written notice prior to the cancellation of the policy designated in this certificate. However, <br />the Company assumes no liability for failure to do so, <br />�APPROVED <br />By Tu Tran Nguyen at 4:34 pm, Oct 03, 2025 <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Water Resources M85 <br />220 S Daisy Ave Bldg A <br />Santa Ana, CA 92703 <br />CANCELLATION <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 />AUTHORIZED REPRESENTATIVE <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />199148 132849.13 04-22-2020 <br />
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