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SERCO INC.
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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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AcoRbP CERTIFICATE OF LIABILITY INSURANCE <br />`,,..-" <br />DATE(MMIDDIYYYY) <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 />CONTA T <br />NAME: <br />PHONE . 516-869-8788 arc No: 1-516-706-2973 <br />E111L <br />EA/C-MAINo <br />ADDRESS: <br />NEW HYDE PARK NY 11042 <br />INSURER'S) AFFORDING COVERAGE <br />NAIL# <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 />INSURER C : ACE American Insurance Company <br />22667 <br />INSURER o : 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 />ILTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />ItLaul <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY <br />LIMITS <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />PMG123866456008 <br />10/31/2018 <br />1013112019 <br />EACH OCCURRENCE <br />$1000,000 <br />DAMAGERENTED <br />PREMISESSIce occurrence <br />$SOD,000 <br />GEN'L <br />MED ESP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY1:1 JECT PRO- � LOC <br />OTHER: <br />GENERAL AGGREGATE <br />$2,00g000 <br />PRODUCTS - COMP/OP AGG <br />_ <br />$2,000,000 <br />$ <br />C <br />POM051LE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS X NON -OWNED <br />HIRED AUTOS AUTOS <br />_ <br />CALH25270551 <br />10/31/2018 <br />10/31/2019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1 000000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(Per accitlent) <br />$ <br />PROPERTY DAMAGE <br />Per accitlent <br />$ <br />A <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />1 X <br />rl <br />1 OCCUR <br />CLAIMS -MADE <br />7110081 <br />10/31/2018 <br />ICJ3112020 <br />EACH OCCURRENCE <br />$1, 000,000 <br />AGGREGATE <br />$1, 000,000 <br />LED RETENTION$ <br />$ <br />C <br />D <br />C <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDEDY <br />(Mandatory in NH) <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WLRC65430782-CA & MA <br />WLRC65430024-AOS <br />SCFC65430861-AK & NJ <br />WCUC85430903-OH <br />6/30/2018 <br />e/30/2018 <br />6/30/2018 <br />6/30/2018 <br />6/30/2019 <br />61302019 <br />6/30/2019 <br />6/30/2019 <br />X PER OTH- <br />STATUTE ER <br />E L. EACH ACCIDENT <br />_ <br />$1000,000 <br />EL. DISEASE - EA EMPLOYE <br />$1000, 000 <br />E.L. DISEASE -POLICY LIMIT <br />1 $1000,000 <br />DESCRIPTION OF OPERATIONS I LCCATIO NS I VEHICLES (ACORD 101, Additional Remarks Schad ule, 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 />�0,941 „®e® <br />CERTIFICATE HOLDER CANC9'LLA-T.IbN 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 />Santa Ana CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />A& <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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