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Last modified
3/25/2020 12:15:20 PM
Creation date
8/1/2018 12:09:02 PM
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Contracts
Company Name
SERCO INC.
Contract #
A-2018-158
Agency
POLICE
Council Approval Date
6/19/2018
Expiration Date
6/30/2020
Insurance Exp Date
6/30/2020
Destruction Year
2025
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Ac"Rv CERTIFICATE OF LIABILITY INSURANCE <br />`� 1 <br />DATE (MMiDD Y) <br />1 10/26/2018 <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 <br />PG Genatt Group LLC <br />3333 NEW HYDE PARK RD <br />SUITE 409 <br />CONTACT <br />PHONE FAX <br />. 516-869-8788 A/c No:1-516-706-2973 <br />ADDRESS: <br />NEW HYDE PARK NY 11042 <br />INSURERS AFFORDING COVERAGE <br />NAICN <br />INSURER A: AIG Europe Limited <br />INSURED <br />SERCO INC. c/o Risk Management Dept. <br />12930 Worldgate Drive, Suite 600 <br />INSURER B: Westchester Fire Insurance Company <br />10030 <br />wsuRERc: ACE American Insurance Company <br />22667 <br />INSURER D: Indemnity Insurance Co. of N. America <br />Herndon VA 20170 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 2073674577 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 />R <br />TYPE OF INSURANCE <br />ADDL <br />BURR <br />POLICY NUMBER <br />MM/DDNYVV <br />MMIIODNYVY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />PMG123866456008 <br />10/31/2018 <br />10/31/2019 <br />EACH OCCURRENCE <br />$1,000,000 <br />E( RENTED <br />PREMISESS <br />PREMIBe occurrence) <br />- <br />$500,000 <br />MED EXP (Any one person) <br />$ <br />GEN'L <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />RO- <br />POLICY JECTPRO- LOC <br />OTHER'. <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OPAGG <br />_ <br />$2,000,000 <br />$ <br />C <br />AUTOMOBILELIABILITY <br />X <br />X <br />ANY AUTO <br />ALL OWNED F7 SCHEDULED <br />AUTOS ALL <br />HIRED AUTOS X NAONOSWNED <br />CALH25270551 <br />10/31/2018 <br />10/31/2019 <br />COMBINED SINGLE LIMIT <br />Ea dident <br />$1 000 000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTYDAMAGE <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />7110081 <br />10/31/2018 <br />10/31/2020 <br />EACH OCCURRENCE <br />$1,000,000 <br />AGGREGATE <br />$1,000,000 <br />DED RETENTIONS <br />$ <br />C <br />D <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETORIPARTNER EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WLRO66430782-CA & MA <br />WLRC66430824-AOS <br />SCFC65430361-AK & NJ <br />WCUC85430903-OH <br />6/30/2018 <br />6/30/2018 <br />6/30/2018 <br />6/30/2018 <br />6/30/2019 <br />6/30/2019 <br />6/30/2019 <br />6/30/2019 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$1000,000 <br />E.L. DISEASE - EA EMPLOYE <br />$1000.000 <br />E.L. DISEASE- POLICY LIMIT <br />$1 000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The City, its officers, employees, agents, volunteers and representatives are included as Additional Insured under the General Liability and Auto Liability <br />policies where required by written contract. Coverage is Primary and Non -Contributory. 30 Days Notice of Cancellation and Notice of Material Change applies. <br />// e //49 <br />CERTIFICATE HOLDER CAN Ct`i_tA-TJbN 30 DAY <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 />City of Santa Ana <br />60 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />�j f'd2"n-✓ <br />Santa Ana CA 92701 <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />
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