Laserfiche WebLink
0 DATE (MM/DD/YYYY) <br />AC � <br />AC� CERTIFICATE OF LIABILITY INSURANCE 6/28/2019 <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 CONTACT <br />NAMC <br />PG Genatt Group LLC PHONE FAX <br />3333 NEW HYDE PARK RD O.VrLNo, UO; 516-869-8788 No • 1-516-706-2973 <br />SUITE 409 ADDAILSS <br />NEW HYDE PARK NY 11042 INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED <br />SERCO INC. c/o Risk Management Dept. <br />12930 Worldgate Drive, Suite 600 <br />Herndon VA 20170 <br />Kul►I�:7.•rNXy <br />C'FRT'IFIf'ATF NI IRRFtFR• 1n?RRdn7R3 <br />INSURERA: AIG Europe Limited <br />INSUnftB. Westchester Fire Insurance Company 10030 <br />INSURERC. ACE American Insurance Company 22667 <br />INSURER D : Indemnity Insurance Company of North America 43575 <br />INSURER E : <br />INSURER F : <br />RFVISION NUMRFR- <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 />INSR1 TYPE OF INSURANCE ADDL SUBR POLICY OFF POLICY EXP LIMITS <br />LTR POLICY N /DD YY DD <br />B <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PMG123866456008 <br />10/31/2016 <br />10/31/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO RENTE e <br />$ 500.000 <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ 2,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY PRO JECT A LOC <br />PRODUCTS - COMP/OP AGG <br />$ 2.000,000 <br />$ <br />OTHER: <br />C <br />AUTOMOBILE <br />LIABILITY <br />CALH25270551 <br />10/31/2018 <br />10/31/2019 <br />COMBINaidED SINGLE LIMIT <br />$ 1 OQ 00 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per accident) <br />$ <br />JX <br />ALL OWNED SCHEDULED <br />AUTOS <br />SAUTOS <br />PROPE en DAMAGE <br />$ <br />HIRED/X NON -OWNED <br />AUTOS <br />A <br />UMBRELLA LIAB <br />OCCUR <br />7110081 <br />10/31/2018 <br />10/31/2020 <br />EACH OCCURRENCE <br />$1,000,000 <br />X <br />NX <br />AGGREGATE <br />$ 1,000 000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />D <br />WORKERS COMPENSATION <br />WLRC65891153 <br />6/30/2019 <br />6/30/2020 <br />PER OTF1- <br />C <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />WCUC6589127A <br />6/30/2019 <br />6/30/2020 <br />E.L EACH ACCIDENT <br />$ 1.000,000 <br />D? OFFICER/MEMBER EXCLUDE ❑NIA <br />(Mandatory In NH) <br />E.L. DISEASE - EA EMPLOYEd <br />$ 1.000.000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1 $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City, fts 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 />REVIEW( APPROVED <br />Risk M N gEMEvT DiVisiON <br />CFRTIFIRATF HOI nFR j _ CANCELLATION 30 DAY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />AMaN� <br />City of Santa Ana A Mr LAM13Ffa <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE <br />