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XANADU SERVICE SYSTEM (FNA BELL BUILDING MAINTENANCE INC.) 3D -2016
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XANADU SERVICE SYSTEM (FNA BELL BUILDING MAINTENANCE INC.) 3D -2016
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Last modified
6/23/2016 11:12:10 AM
Creation date
6/22/2016 12:16:54 PM
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Contracts
Company Name
XANADU SERVICE SYSTEM (FNA BELL BUILDING MAINTENANCE INC.)
Contract #
A-2016-121
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
5/17/2016
Expiration Date
5/31/2017
Insurance Exp Date
9/15/2016
Destruction Year
2022
Notes
A-2014-105;A-2014-105-01B; A-2015-288
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n <br />CERTIFICATE OF LIABILITY INSURANCE r i? '3o 1 s <br />mla �cK UrICA E 1 3 1 33 UED AS A MATTER OF INFORMATION N LY AND CONFERS IVO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T H E COVERAGE AFFORDED EVY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BENIBEN THE ISSUING INSURE R ( I. AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(I.,) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and cantlitlons of tho- policy, CeRair. pplktas may regDire an endorsement. A statement on this certificate does not confer rights to the <br />oe rtificat, holder In Ilan of such "clorswmwwflel <br />PRODUCER <br />INSURANCE LAND INSURANCE SERVICES <br />4032 WILSHIRE BLVD <br />STE 309 <br />LOS ANGELES CA 90010 <br />INSURED -- -- <br />XANADU SERVICE SYSTEM, INC. <br />10002 PIONEER BLVD., STE 101 <br />SANTA FE SPRINGS CA 90670 <br />roorm, <br />ar cNe�E,u.213- 388.5505 I aX•Na1.213- 388 -7148 <br />"E -.MAIL INSURANCELA47DQSHCGLOHAL. NET <br />ADDFE 9.5_ <br />COLONY INSURANCE COMPANY <br />O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDENAIMEDA80VE8 FOR THE POLICY PERIOD�I <br />D. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />CONTRACT OR OCHER DOCUMENT WITH RESPECT TO WHICH THIS <br />ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN <br />—___. <br />TO ALL THE TERMSNS <br />REDUCED BY PAID CLAIMS.. <br />ADDIS elC R• <br />TYPE OF INSURANCE I <br />_ <br />I POLICY�FP (( PPOLICYNUMBER MIDryYYY L1MIT;1 <br />L LIABILITY <br />F1W <br />- <br />MMERCIAL GENERALLIABILITY <br />zags 09/15/201fi EACI CCCURRENCE 5 1 000,000 <br />CLAIM9 -MADE OCCUR <br />DAMAOE 1E4rp PREMI. B aa,, u,rerca , 6 100j 000 <br />! T L , <br />A <br />5i 000 <br />EH <br />L x AOV INJURY s 1,000,000 <br />_ <br />1$ <br />.. - - <br />EN LAGGREGAT LIMIT APPLIES PER. <br />ENERLLAOGRE�A 2 DOD, 000 <br />' U ICY F LOC <br />PRODLCTS - CCMPIOP OGIS 1 000,000 <br />- <br />r0 <br />AUTOMOBILE LIABILITY <br />2003172$88 <br />i <br />OMBINLL SINCL INIT <br />:06/04/2015 0 6 /q4/2016 I rlCNMI <br />_ ANY AUTO <br />C ALL OWPIEO SCHEDULED <br />tlgOIL !'URY Pqr uers I > <br />.. <br />.AUTOS AUTOS <br />NON- OVMJEC <br />EGLILY NJUk'r( ar deuoonq 5 <br />HIRED AUTOS AUTOS <br />_ <br />PRS.TY Di\.YT UHF. <br />P_r,accmnnt. § <br />S <br />UMBRELLA LIPS OCCUR <br />EXCESS ! <br />CACH rI fUIPRENCE :{ <br />LIPS JCL <br />_. - <br />' <br />At CREGArS <br />TO NI <br />R@ P7 Nl':UPlS i <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN EIG 1663447 02 <br />ANYPROPRIETORI EXECUTIVE <br />04/02/2015 04/02/2016 [ gLTATU- 0[[H I__. _ <br />r- <br />B OFFICER/MEMBER eXCLUDE01 NIA <br />EXCLUDE <br />(Mandatory In NH) <br />CL EACH ACC DE IT <br />��E. <br />1as, dgicrica under <br />,CRIPTION JF OPERA7ICN5 bamw <br />FL CIStASE EA ' "MPLOYRE 1�0�00 <br />- - - <br />E.. DISEASE - PnLUY UMIT 11i 11000,OGG <br />DESCRIPTION <br />OF OPERATIONS: LOCATICNS I VEHICLES (Attach ACORD 101, Addldanal Remade 661udWa, It Mora apace is required] /C', <br />v <br />r� <br />CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. <br />S <br />CERTIFICATE HOLDER <br />CLERK OF THE COUNCIL <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (14-30) <br />SANTA ANA <br />ACORD 25 (2010105) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION QATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE Wfdfl jHE POLICY PROVISIONS, <br />AUTHORIZED <br />CA 92701 I J �. <br />The ACORD name and logo are <br />of ACORD <br />TION. All rights reserved. <br />
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