My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SMARTCOVER SYSTEMS
Clerk
>
Contracts / Agreements
>
S
>
SMARTCOVER SYSTEMS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/20/2023 2:35:27 PM
Creation date
12/18/2018 2:19:20 PM
Metadata
Fields
Template:
Contracts
Company Name
SMARTCOVER SYSTEMS
Contract #
A-2018-266
Agency
PUBLIC WORKS
Council Approval Date
11/20/2018
Expiration Date
11/19/2021
Destruction Year
2026
Notes
For Insurance Exp. Date see Notice of Compliance
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
63
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
A- yolS ' 2-& (o <br />�.- • CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDOIYYYY) <br />12/21/2018 <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 SUBROGATIONIS WAIVED, subject to the <br />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 />CONTACT <br />PAYCHEX INSURANCE AGENCY INC/PHS <br />NAME: <br />PHONE (877)287-1312 <br />(A/C, No, Ext): <br />FAX (888)443-6112 <br />INC, No): <br />76210756 <br />150 SAWGRASS DRIVE <br />E-MAIL <br />ROCHESTER NY14620 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />INSURER A: Hartford Fire and Its P&C Affiliates <br />00914 <br />INSURED <br />INSURER B : <br />HADRONEX INC DBA SMART COVER SYSTEMS <br />INSURER C: <br />2067 WINERIDGE PL ST E <br />INSURER D: <br />ESCONDIDO CA 92029 <br />INSURER E: <br />INSURER F <br />CERTIFICATE 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSF <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />IN R <br />SUBF <br />Ivan <br />POLICY NUMBER <br />POLICY EFF <br />MM <br />POLICY EXP <br />MM <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIM&MADE ❑OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrn <br />MED EXP (Any one person) <br />PERSONAL S ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO- ❑ LOC <br />JECT <br />GENERAL AGGREGATE <br />PRODUCTS - COMP/OP AGO <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person) <br />AOSCHEDULED <br />AUTOS AUTOS <br />_ <br />BODILY INJURY (Per accident) <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident) <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION$ <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />ANDEMPLOYERS'LIABILITY <br />STATUTE <br />X <br />ER <br />A <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBEREXCLUDED' <br />(Mandatory In PIN) <br />NIA <br />76WEGGH3220 <br />10/01/2018 <br />10/01/201g <br />E.L. EACH ACCIDENT <br />X <br />E.L. DISEASE -EA EMPLOYEE <br />d�$1,000,00 <br />$1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,00 <br />DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Those usual to the Insured's Operations. Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to Recover From <br />Others Form WC040306 attached to this policy. <br />CITY YARD - WATER RESOURCES <br />220 S DAISY AVE # M-85 <br />SANTA ANA CA 927034334 <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 />AUTHORIZED REPRESENTATIVE <br />PAGE <br />F i <br />© 1988-2015 AC�6RP RA its reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.