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RENEE ESCARIO DBA RE CONSULTING - 2017
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RENEE ESCARIO DBA RE CONSULTING - 2017
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Last modified
6/27/2019 8:36:36 AM
Creation date
11/27/2017 11:15:58 AM
Metadata
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Contracts
Company Name
RENEE ESCARIO DBA RE CONSULTING
Contract #
A-2017-265-01
Agency
Planning & Building
Council Approval Date
10/3/2017
Expiration Date
11/7/2020
Insurance Exp Date
10/8/2019
Destruction Year
2025
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C 2C7 CERTIFICATE OF LIABILITY INSURANCE <br />°ATE,MM,°° YY) <br />14- <br />1113012017 <br />_ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES: NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES <br />NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: Ifthe certificate holder Is an ADDITIONAL INSURED, the poliuy(les) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS <br />WAIVED, subject to 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 endorsamerd s . <br />PRODUCER <br />CS&SIBIZINSURE LLC <br />PO BOX 958489 <br />CONTACT <br />NAME: <br />PHONE <br />PHO ENo, Ext: <br />FAX <br />(AID, No <br />LAKE MARY, FL 32746.8989 <br />EMAIL <br />Phone - 415.704.1408 <br />ADDRESS: <br />Fax - 877-763-5122 <br />INSURER SI AFFORDING COVERAGE <br />NAIQ <br />NSURERA: Valley Forgo Insurance Company <br />20508 <br />INSURED <br />RENEE ESCARIO DBA RE CONSULTING <br />INSURERS: <br />5742 CALLE POLVOROSA ,1 <br />INSURER D: <br />j/INSURERc' <br />SAN CLEMENTE, CA 92673 <br />INSURE E: <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 FORTHE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE: INSURANCE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEOTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS _. <br />lase <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POJ,lQY9FF <br />MMIDOIYYYV <br />POLICY UP <br />MMICONYW) <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />IAIMS-MADE Z OCCUR <br />Y <br />N <br />6020765876 V <br />10/08/2017 <br />10108-2018 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />PRE ISES Seowurrence <br />300,000 <br />DEXP(Any onepersen) <br />10,006 <br />--�-•- <br />--- <br />PERSONAL BADVINJURY <br />1,000,060 <br />GENL <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑PRO. <br />JECT © LOC <br />OTHER <br />GENERAL AGGREGATE <br />_ <br />2,000,060 <br />PRODUCTS - COMPIOP AGG <br />2,000,005 <br />A <br />AUTOMOBILE LIABILITY <br />A AUTO. <br />WNED SCHEDULED <br />AUTO, ONLY P AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />N <br />N <br />6020765876 <br />10/08/2017 <br />10/08/2018 � <br />W <br />COMBINED SINGLE LIMIT <br />Benl <br />11000,000 <br />EO INJURY(Perperean) <br />T <br />OOILV INJURVjPer accident) <br />PROPERTY DAMAGE <br />{Per accldem) <br />UMBRELLA LAB <br />EXCESS LIAR <br />OCCUR <br />CLAIM, -MADE <br />I <br />I <br />EACH OCCURRENCE <br />AGGREGATE <br />DEO RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTNE YIN <br />OFFICERtMEMBER EXCLUDED? Il�� <br />(Mandatory in LJ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />V <br />PER <br />STATUTE <br />OTH• <br />E.L. EACH ACCIDENT <br />E:L, DISEAASE - EA EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Addli.b.1RemarIO Schedule,may Ne aitachod if more space is required) <br />Certificate Holder is Named as Additional Insured - Designated Person or Organization. (From attached) <br />eVJ <br />20 Civic Center Center Plaza <br />Santa Ana, CA 92701 <br />Ill <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 />W�a <br />©196&2015ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD cac6930 <br />M <br />M <br />
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