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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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A� D® CERTIFICATE OF LIABILITY INSURANCE <br />D111191220119Dmrn <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MARSH USA INC. <br />1050 CONNECTICUT AVENUE, SUITE 700 <br />WASHINGTON, DC 20036-5386 <br />CONTACT <br />NAME: <br />PHONE Exp;. AX-JAC No, No <br />E-MAIL <br />ADDRESS: <br />IMSUR1i AFFORDING COVERAGE <br />NAICS <br />INSURER A: ACE American Insurance Connitafty <br />22667 <br />CN102986235-Serof- -2019 <br />INSURED Saw, Inc. <br />INSURER B: AIG Europe Lid. <br />INSURER C : <br />12930 Woddgate Drive <br />Suite 600 <br />Herndon, VA 20170 <br />INSURER O: <br />INSURER E: <br />_ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLE-OOM99800-06 REVISION NUMBER: 11 <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 />�NSR <br />TYPEOFINSURANCE <br />ADDL <br />9UBR <br />POUCYNUMBER <br />PODDfYYY <br />MMIDD� <br />LIMITS <br />77 <br />% <br />COMMERCIALGENERALUABILMY <br />G23866456009 <br />10I31I2019 <br />'10131QO20 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE Ix I OCCUR <br />PREMISES fEa mwnerme <br />$ 500,000 <br />MED EXP(My one Perron) <br />$ <br />PERSONAL&ADV INJURY <br />$ 2,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />POLICY EEC LOC <br />PRODUCTS -COMPIOPAGG <br />$ 2.00g000 <br />$ <br />OTHER: <br />A <br />AUTOMOMULIABILrrY <br />CAL H25285360 <br />10/31(2019 <br />10/3112020 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1000000 <br />% <br />BODILY INJURY(Per person) <br />If <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Per acdBent) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Paraccident) <br />S <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />RETENTION$ <br />8 <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILRY YIN <br />PER TH- <br />STATUTE R <br />O <br />OFPCER,IMEMB RPEXCLUDED?ECUTIVE ] <br />NIA <br />EL EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />(Mandto ary In NH) <br />IT yas, describe undx <br />OrOF OPERATIONS below <br />E,L DISEASE -POLICY LIMIT <br />$ <br />B <br />SERCO GROUP PROFESSIONAL <br />7952631 <br />10/3112018 <br />11115Y2019 <br />UMIT <br />1,000,000 <br />(LIMIT SHOWN IS IN <br />'GREAT BRITISH POUNDS)' <br />RETENTION <br />500,000 <br />DESCRIPTIONOFOPERATIONSILOCATONS/VEHICLES (ACORD101,AddRional Romarb3chadule,maybsattachadifmo soisrequimd) <br />The City, Its officers, employees, agents, volunteers and represematives are included as Additional Insured under the General Liability and Auto Liability policies where required by written contract Coverage is <br />Primary and Non -Contributory. The UmbrellalFxcess Liability policy provides coverage over the underlying General Liability and Auto Liability policies. 30 Days Notice of Cancellation and Notice of Material Change <br />applies as required by written contract. <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division C �O�n THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br />200vic Center Plan J vl ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 *A <br />M. LAMBERT IAUTHORIZED <br />of Mann, USA IncRE$ENTAT VE <br />Manashi Mukherjee -- -- -- 9= <br />©1988.2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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