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RINCON CONSULTANTS, INC. 5 -2014
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RINCON CONSULTANTS, INC. 5 -2014
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Last modified
9/18/2019 3:25:20 PM
Creation date
9/13/2016 2:50:00 PM
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Contracts
Company Name
RINCON CONSULTANTS, INC.
Contract #
A-2014-259
Agency
PLANNING & BUILDING
Council Approval Date
10/21/2014
Insurance Exp Date
9/22/2016
Destruction Year
0
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RINCCON -01 LEACHE <br />4 R° CERTIFICATE OF LIABILITY INSURANCE <br />DATOIYYYV) <br />100/2/21212015 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OE67768 <br />Legends Environmental Ins. Services <br />130 Vantls <br />250 <br />CONTACT Elizabeth Leach <br />NAME: <br />PAHONN Ex .(g00) 992.6999 FAX Nob (800) 999.3987 <br />ADDRESS: Elizabeth.Leach @ioausa.com <br />R:l�i�za6eth.Leach@ioausa.com <br />Aliso Viejo, CA 92656 <br />INSURER(S)AFFOROING COVERAGE <br />NAIC# <br />INSURER A: Crum & Forster Specialty Insurance Company <br />44520 <br />INSURED <br />INSURER B: <br />$ 3,000,00 <br />INSURER C <br />CLAIMS -MADE ❑X OCCUR <br />Rincon Consultants, Inc. <br />INSURER 0: <br />EPK- 105397 <br />210 N Ashwood Ave <br />Ventura, CA 93033 <br />INSURER E: <br />R TED <br />PREMISES —R Ea <br />INSURER F: <br />MED EXP(Any one person) <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 />9 <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIY YY <br />POLICY EXP <br />MMIDDfYYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 3,000,00 <br />CLAIMS -MADE ❑X OCCUR <br />X <br />EPK- 105397 <br />09/22/2014 <br />09122/2016 <br />R TED <br />PREMISES —R Ea <br />$ 50,000 <br />MED EXP(Any one person) <br />$ 10,000 <br />PERSONAL &ADV INJURY <br />$ 3,000,00 <br />GEN% <br />AGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE <br />$ 4,000,00 <br />POLICY JECT E LOC <br />PRODUCTS - COMP /OP AGG <br />$ 4,000,00 <br />Deductible <br />$ 2,50 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />k <br />Per accident <br />BODILY INJURY ( ) <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,00 <br />A <br />X <br />EXCESS LIAB <br />CLAIMS-MADE <br />EFX- 104375 <br />09/22/2015 <br />09/22/2016 <br />AGGREGATE <br />$ 5,000,00 <br />DEL) I X RETENTION$ 10,000 <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICER /MEMBER EXCLUDED? <br />NIA <br />PER OTH. <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />Ifyes, describe a nder <br />DE SCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1 $ <br />A <br />Professional Liab.* <br />EPK- 105397 <br />09/22/2014 <br />09122/2016 <br />Included in Above GL <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />*Professional Liability and Transportation Pollution are written on a Claims Made basis. When required by written contract, the General Liability and Pollution <br />Liability Limits are on a Per Project basis while dedicated; the Professional Liability is on a Per Policy basis. <br />The City of Santa Ana, its officers, employees, agents and volunteers are included as additional Insureds with regard to liability and defense of suits arising <br />from work performed by or behalf of the named insured. General Liability is Primary and Non - Contributor. 30 days notice of cancellation except for 10 days <br />for non - payment of premium. �_- - _— .._____- - _.. .._ --. <br />Vt <br />CERTIFICATE HOLDER CANCELLATION 7 ADZ- A2v J /_ <br />ACORD 25 (2014101) <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <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 />City of Santa Ana <br />/} <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />ACORD 25 (2014101) <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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