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SLS PROPERTY SOLUTIONS, INC. - 2017
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SLS PROPERTY SOLUTIONS, INC. - 2017
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Last modified
8/19/2024 1:55:03 PM
Creation date
8/29/2017 1:51:45 PM
Metadata
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Template:
Contracts
Company Name
SLS PROPERTY SOLUTIONS, INC.
Contract #
A-2017-219
Agency
PUBLIC WORKS
Council Approval Date
8/15/2017
Expiration Date
8/15/2020
Insurance Exp Date
7/28/2025
Destruction Year
2024
Notes
MISSING CGL, WC, E&O INSURANCE
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e�n►� CERTIFICATE OF LIABILITY INSURANCE <br />D08/15/201 YY) <br />09/1x/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 pollcy(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 Ileu of such endorsement(s). <br />PRODUCER Jose Gastelum, Agent Lia# 0010779 <br />1780 F McFadden Ave SiE 114 State Farm Insurance <br />statehr11i <br />_ Santa Ana, CA 9270)5 <br />NAME: JOSe Gasteiurn, Agent <br />P"714 SS7-9344 /AX No,7M4.827-plea <br />AL <br />; Jose,gasteium,L8LS@gtotefarm,cam <br />INSURERS AFFORDING COVERAGE NAIL p <br />INS RERA:State Farm Mutual Automobile Insurance Company 28170 <br />INSURED <br />SLS Property Solutions, Inc. <br />919 B Santa Ana Blvd <br />Santa Ana, CA 92701 <br />INSURER B; <br />INSURER c: <br />iNSURER01 <br />INSURER E; <br />INSURER Ft <br />EACH OCCURRENCE $ <br />VVYLr{lRVG7. VCR 1 Ir ala iC IV{JIY16om: WW1/141rlm MIIMQQGr <br />THIS IS TO CE=RTIFY 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 OF -SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTRR <br />TYPE CF(NBURANCB <br />ADD <br />AUTHORIZED PRESENTATIVE <br />OLIOY UMBER <br />MetIOIC E <br />P <br />POl pY M", <br />LIMITS <br />COMMERCIALOENLRALLIABILITY <br />OLAiMS-MADE; D OCCUR <br />EACH OCCURRENCE $ <br />GE 11) RENTED <br />PREM l8atro accti rte) <br />WO EXP (Any gne peEoon s <br />PERSONAL& AOV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY Rcoi F LOC <br />GENRRAL AGGROGATE $ <br />PRgDUCTS -CCMPIOPAGO S <br />S <br />OTHER: <br />A <br />AUTOMOBILEUABILITY <br />Y <br />5355136 -F01 -75A <br />07/06/2011 <br />12/01/2017CCMBII <br />L I <br />nt $ 1,044,Q04 <br />SOOILY INJURY (Porperson) S <br />Ix <br />ANY AUTO <br />ATSNEOkUTSULEpUOAO <br />HIREDAUTOS AUTOS <br />473 3384 -F13 -75C <br />06/1312017 <br />12113/2017 <br />BODILY INJURY (Per00dent) $ <br />P OPER�YDAMAGE $ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />At3GRCdATE $ <br />DED RETENTIONS <br />$ <br />WORHERSCOMPSNSATION <br />AND EMPLOYERS' LIABILITY Y f N <br />ANY PROPRIETORAPARTNER/EXECUTIVE <br />OFFICERIMEMREREXCLUOEp? Ej <br />(Mandatory In NH) <br />If yyes, dIElfIQ under <br />DF.SCRIR ION OF PERA IO 5lrotaw <br />NTA <br />I P9RpT . <br />STA"UTE ER <br />E,LEACHACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE s <br />E.L. DISEASE -POLICY LIMIT s <br />A <br />2 Fard F250 SD <br />1FTS=PD6E8$02W <br />Y <br />838 5138 -F01 -75A <br />07105/2017 <br />1210112017 <br />2000 Fvrd F150 Pickup <br />IFTZX1728YNE81176 <br />4733354 -F13 -75C <br />06113/2017 <br />12113/2017 <br />o6SORIPTION OF OPERATIONS I LOCATIONS I GHICLUS (ACORD 101, Addillonal Rennarks 90001e, may be att shad If more apace Is required) <br />2006 Ford F250 SD & 2000 Ford FISO Pickup: Hired autos is only for rented vehicles <br />Certificate holder, Its officers, agents, and employees are named as Additional Insured In regards to Automobile Liability per Automobile Qeclaration page to <br />follow, <br />10 days notice of cancellation for non-payment <br />REVIEWED BY EUNICE HEREDIA PG F <br />CERTIFICATE HOLDER f`.ANr`FI 16n'Ir'lAl <br />City of Santa Ana <br />Attn: Purchasing Department <br />20 Civic Center Plaza <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 88 CAN09LLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL IBE DIE LIVeREO IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED PRESENTATIVE <br />91888-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001488 132848,4 02-04-2014 <br />
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