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Last modified
6/15/2022 3:35:50 PM
Creation date
12/11/2019 4:29:58 PM
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Contracts
Company Name
STERLING HEALTH SERVICES
Contract #
N-2019-252
Agency
HUMAN RESOURCES
Expiration Date
10/31/2022
Insurance Exp Date
5/14/2023
Destruction Year
2027
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%cooRUr CERTIFICATE OF LIABILITY INSURANCE I DAM <br />(MMIDDY" <br />05/18/2 <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 />INI [AN I: IT the cermicate holder is an AUUI I IUNAL INSUKhU, me POIICy(teS) must have AUUI I IUNAL IN5UKEU 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 CONTACT Wendy Benitez. CIC, CISR <br />NAME: <br />Winton Ireland Strom & Green PHONE (209) 667-0995 Ax (209) 667-7142 <br />AIC, No <br />License# 0596517 -Mall wbenitez@%visg.com <br />ADOREaS. <br />P.O. Box 3277 INSURERS AFFORDING COVERAGE NAIL a <br />Turlock CA 95381 INSURERA: Travelers Casualty Insurance Company of America 19046 <br />INSURED / INSURERS: <br />Sterling H.S.A., Inc., DBA: Sterling Health Services, Inc. y INSURER C: <br />PO Box 71107 .....ewe ,, . <br />I Oaktand CA 94612 1 INSURER F: <br />COVFRAGFR CFRTIFICATF NIIMFi CL205846749 DM¢Iryu mIUDFR• <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 />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MMIDDIYYYY <br />MMIDD/YYYY <br />LIMITS <br />x <br />COMMERCIAL GENERALUABILnY <br />CLAIMS -MADE ® OCCUR <br />EACH OCCURRENCE <br />E 2,000,000 <br />PREMISES occurrence)$ <br />300,000 <br />MEDEXP An one on <br />$ 5.000 <br />PERSONAL$ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />6809C803856 <br />05/14/2020 <br />05/14/2021 <br />GENLAGGREGATE LIMITAPPUES PER: <br />POLICY ❑ PRO- <br />JECT LOC <br />GENERALAGGREGATE <br />$ 4,000,000 <br />PRODUCTS-COMPIOPAGG <br />E 4,000,000 <br />1 <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea Accident) <br />$ <br />BODILY INJURY Per person) <br />$ <br />AWAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per acckenU <br />E <br />HIRED NON�OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per acc,clentl <br />$ <br />E <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAR <br />CLUNS-MADE <br />DED <br />I I RETENTION $ <br />VIORKERS COMPENSATION <br />I PER OTH- <br />ANDEMPLOYERS'LIABILITY YIN <br />E.L. EACH ACCIDENT <br />E <br />ANY PROPRIETORIPARTNERIFJ(ECUT VE <br />OFFICER/MENIBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />I $ <br />(Mandatory In NH) <br />Nyes,descdbeunder <br />E.L. DISEASE -POLICY LIMIT <br />s <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 11001,EAAd'"diitionalalfRemarksSchedule. may be attached If more space M regolrad) <br />`(ACORD <br />Cert?Irate holder is included as Additional Insfir <br />,14ry,It 16DI&nIi Ip4l9r11"fQrkl included in regards to General Liability per forms CGD105 0494 <br />attached. ✓ By RISK MANAGEMENT DIVISION <br />6 2020 <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza, 4th Fir <br />Santa Ana <br />CA 92701 <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 />AUTHORISED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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