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LIDGARD AND ASSOCIATES (2) -2016
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LIDGARD AND ASSOCIATES (2) -2016
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Last modified
4/22/2020 11:52:04 AM
Creation date
11/8/2016 2:48:44 PM
Metadata
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Template:
Contracts
Company Name
LIDGARD AND ASSOCIATES
Contract #
A-2016-284
Agency
PUBLIC WORKS
Council Approval Date
10/4/2016
Expiration Date
10/5/2019
Insurance Exp Date
3/4/2018
Destruction Year
0
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A� D' CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDNYYY) <br />3/30/2017 <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(les) 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 endorsemen s . <br />PRODUCER <br />Commercial Management Insurance Services Inc. <br />CA License OD85858 <br />22875 Savi Ranch Pkwy, Suite X <br />Yorba Linda CA 92887 <br />NAMfi f ph,, Wi1COX <br />PHO E (714)414-1167 (AIFAQ 0:(714)414-1195 <br />ADDRUSS,pwilcox@Cmis-ins.com <br />INSURERS AFFORDING COVERAGE NAIL# <br />INSURERA:National Fire Insurance of Hartford 20478 <br />INSURED <br />Lidgard & Associates Inc. <br />2592 N Santiago Blvd <br />Orange CA 92867 <br />INSURERB:Continental Casualty Company 20443 <br />INSURERC: <br />INSURERD: <br />INSURER E : <br />INSURER P: <br />COVERAGES CERTIFICATE NUMBER:17-18 MASTER 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 />AD <br />SUSH <br />POLICY NUMBER <br />POLICYEPF <br />POLICYEXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Ej] OCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />PREMISES Ean� $ 300,000 <br />MED EXP (Any one person) $ 10,000 <br />X <br />B402299839S <br />3/4/2017 <br />3/4/2018 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />GEITL AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,000 <br />X POLICY ❑ PRO-JECT F-1LOC <br />PRODUCTS-COMP/OP AGO $ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SIN LE LI IT $ 11000,000 <br />Me accident <br />BODILY INJURY (Per person) $ <br />A <br />X <br />ANY AUTO <br />AAtLLLOWNED SSCCHTEDDULED OS <br />HIRED AUTOS AtOjT SWNED <br />B4022998431 <br />3/4/2017 <br />3/4/2018 <br />BODILY INJURY (Per axident) $ <br />Parr IOPERQ DAMAGE $ <br />Uninsured motorist 81 s lit limit $ <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE $ 3,000,000 <br />AGGREGATE i $ 3,000,000 <br />B <br />EXCESS LIAR <br />I CLAIMS -MADE <br />DED I X I RETENTION 10,000 <br />$ <br />84022998526 <br />3/4/2017 <br />3/4/2018 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />NIA <br />WC422998476 <br />3/4/2017 <br />3/4/2018 <br />X I STA ORFI- <br />E.L. EACH ACCIDENT $ 11000,000 <br />E.L. DISEASE - EA EMPLOYE $ 11000,000 <br />^ <br />EL. DISEASE - POLICY LIMIT 1 $ 1,000,000 <br />Ifes, describe under <br />DESCRIPTION OF OPERATIONS below <br />REVIEWED BY: EUNICE HEREDIA (PG GFJ I ) <br />L i L.- I/ I I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSUREDS <br />WITH REGARD TO GENERAL LIABILITY AND DEFENSE OF SUITS ARISING FROM THE OPERATIONS AND USES PERFORMED BY OR <br />ON BEHALF OF THE NAMED INSURED AND WITH RESPECT TO CLAIMS ARISING OUT OF THE OPERATIONS AND USES <br />PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS PER THE ATTACHED SB -300113-C 06 11. GENERAL LIABILTIY <br />IS PRIMARY AND NON-CONTRIBUTORY WITH ANY OTHER INSURANCE CARRIED BY OR FOR THE BENEFIT OF THE ADDITIONAL <br />INSURED AS PER THE ATTACHED SB -146935-C 06 11. THIS INSURANCE APPLIES SEPARATELY TO EACH INSURED AGAINST <br />WHO CLAIM IS MADE OR SUIT IS BROUGHT EXCEPT RESPECT TO THE COMPANY'S LIMITS OF LIABILITY. THE INCLUSION <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <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 />Wakely/PHYLL <br />(5 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS025 (201401) <br />
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