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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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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />01 /16/2026 <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 Melanie Duarte <br />NAME: <br />StateFarm Javier Misiego <br />AHOEICNNo Ext : 714-772-3838 A/� No): 714-808-6431 <br />227 20th St Suite 104 <br />ADDRESS: Melanie.a.duarte.vadk7j@statefarm.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: State Farm Mutual Automobile Insurance Company <br />25178 <br />Newport Beach CA 92663 <br />INSURED <br />INSURER B: State Farm Fire and Casualty Company <br />25143 <br />INSURER C : State Farm General Insurance Company <br />25151 <br />WESTERN A/V INC <br />INSURER D : <br />1521 E ORANGETHORPE AVE STE A <br />INSURER E: <br />FULLERTON CA 92831 <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. 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 />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />C <br />CLAIMS-MADE1:1 OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑ PRO ❑ LOC <br />JECT <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />661 2954-E13-75 <br />11/13/2025 <br />11/13/2026 <br />COMBINEDINGLELIMIT <br />a <br />Ea ccidents <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X ANY AUTO <br />A <br />X OWNED �/ SCHEDULED <br />/� AUTOS ONLY /� AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X HIRED X NON -OWNED <br />AUTOS ONLY /� AUTOS ONLY <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />C <br />EXCESS LIAB <br />CLAIMS -MADE <br />N/A <br />N/A <br />92-XC-0351-6 <br />12/14/2025 <br />12/14/2026 <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />NIA <br />Y <br />g2-MW-H628-7 <br />01/01/2026 <br />01/01/2027 <br />X PER STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <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 />B <br />SURETY BOND <br />92-KN-M222-7 <br />06/16/2023 <br />06/16/2026 <br />$25,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />AUDIO VISUAL SYSTEMS INTEGRATION <br />Business Location 1521 E ORANGETHORPE AVE STE A FULLERTON CA 92831 <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 />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Attention: Heidi Chou <br />215 S. Center St. M-85 <br />Santa Ana CA 92701 <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 (2016103) The ACORD name and logo are registered marks of ACORD <br />1001486 132849.13 04-22-2020 <br />
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