Laserfiche WebLink
SEDAINC-01 ANGELAMERIDETH <br />CERTIFICATE OF LIABILITY INSURANCE <br />OTE <br />A1112211zz1/DD/YYYYI <br />/zo2o <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NFP Property & Casualty Services, Inc. <br />1551 North Tustin Avenue <br />Suite 500 <br />PHONE aC, Na , 714) 975-8966 <br />(A/C, No, Eae : (714) 505-5550 <br />E-MAIL <br />Santa Ana, CA 92705 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Sentinel Insurance Company Ltd <br />11000 <br />INSURED <br />INSURER B: Hartford Accident and IndemnityCO <br />22357 <br />INSURERC: Lloyds of London <br />Al 122J <br />Sedaru, Inc. <br />INSURER D:Admiral Insurance Company <br />24856 <br />168 E. Arrow Hwy, Suite 101 <br />San Dimas, CA 91773 <br />INSURER E : <br />INSURER F : <br />COVERAGES CFRTIFICATF NI IAARFP- ovaneanar ur raannn. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTRINSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLIICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE [g] OCCUR <br />X <br />X <br />72SBABA9623 <br />116/2020 <br />1/612021 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />ESEMISES ed,e <br />$ <br />MED EXP (Any one erson <br />$ 10,000 <br />PERSONAL B ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY jE0 LOC <br />GENERAL AGGREGATE <br />2, 000,000 <br />PRODUCTS -COMPIOPAGG <br />$ 2,000,000 <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />X <br />72UECPX8358 <br />1/6I2020 <br />1I6I2021 <br />—C(EdOMBINED SINGLE LIMIT <br />$ 1,000,000 <br />X <br />BODILY INJURY Per person) <br />BODILY INJURY Par accident <br />ggOPERTYDAMAGE <br />Peraxident <br />$ <br />HIRED NON-0 <br />AUTOS ONLY AUTOSONLV <br />A <br />X <br />UMBRELIALIAB <br />EXCEBS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />72SBABA9623 <br />116/2020 <br />1/6/2021 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />AGGREGATE <br />$ 2,000,000 <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETORIPARTNER/EXECUTIVE ❑ <br />OFFICE BE <br />(MandatoR/ryMEMEXCLUDED? in N <br />If describe under <br />N/A <br />IPER OTH- <br />E.L. EACH ACCIDENT <br />$ <br />E.L DISEASE - EA EMPLOYEE <br />$ <br />E.L DISEASE - POLICY LIMIT <br />$ <br />Dyes, <br />DESCRIPTION OF OPERATIONS below <br />C <br />Cyber Liability <br />1118248 <br />61312019 <br />6/3/2020 <br />Per Claim Limit <br />1,000,000 <br />D <br />E&O/ProfI Liability <br />E0000026632-06 <br />8/3012019 <br />8130/2020 <br />Per Claim/Aggregate <br />2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />If required by written contract, The City, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included as <br />Additional Insureds with Primary/Non-Contributory wording and Waiver of Subrogation as respects General Liability per Endorsement SS00080405 attached. <br />If required by written contract, The City, its elected or appointed officials, boards, agencies, officers, agents, employees and volunteers are Included as <br />Additional Insureds with Primary/Non-Contributory wording and Waiver of Subrogation as respects Auto Liability per Endorsement HA99160312 attached. 30 <br />days Notice of Cancellation with 10-day Notice for Non -Payment in accordance with the policy provision <br />E85_.�.Jit7�.'%y ED :A` i%A'J�9�i.;,n. ;,: }-I:...-rl <br />By Risk AN' EM. Pil <br />City of Santa Ana V V. <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <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 />/AUTH�ORIIZdE'nD REPRESENTATIVE <br />l <br />ALlUKLJ ZO IZUTe/US) 91988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />