My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
STERLING HEALTH SERVICES
Clerk
>
Contracts / Agreements
>
S
>
STERLING HEALTH SERVICES
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/15/2022 3:35:50 PM
Creation date
12/11/2019 4:29:58 PM
Metadata
Fields
Template:
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
25
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
ACOR& CERTIFICATE OF LIABILITY INSURANCE <br />pA05 az0220 <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(les) 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 />NONE T Wendy Benitez <br />Winton Ireland Strom & Green <br />PHONE (209) 667-0995 /209) 667-7142 <br />A/c. Nor <br />Lkernsei10596517 <br />nODRE55: wbenitez@wisg.com <br />INSURERS AFFORDING COVERAGE <br />NAIC K <br />P.O. Box 3277 <br />Turlock CA 95381 <br />INSURERA: Travelers Casualty Insurance Company of America <br />1904c <br />INSURED / <br />INSURER B: Oak River Insurance Company <br />3463C <br />INSURER c: AXIS Insurance Company <br />37273. <br />Sterling H.S.A., Inc., DBA: Sterling Health Services, Inc. ✓ <br />INSURER o: Evanston Insurance Company <br />PO Box 71107 <br />NSUSURERERE: <br />INR,: <br />Oakland CA 94612 <br />COVERAGES CERTIFICATE NUMBER: 2020 GL/E80/CyberlWC REVISION 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />tPOLICYIEFF <br />Mtwo DrynnY <br />MMIDOIYYYY I <br />LIMITS <br />COMMERCIAL GENERALLWBILITY <br />EACH OCCURRENCE <br />111 2,000,000 <br />CWMS-MADE ® OCCUR <br />PREMISES (Ea cocurraccal <br />300•000 <br />MED ExP (my one raon <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />A <br />6809C803856 <br />05/141220020 <br />05/14/2021 <br />GENL AGGREGATE LIMITAPPLIES PER <br />GENERALAGGREGATE <br />$ 4,000.000 <br />❑JECT <br />PRODUCTS - COMPIOPAGG <br />$ 4,000.000 <br />POLICY LOD <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMIMNED SINGLE LIMIT <br />(Ea accickent) <br />$ Included in GL <br />ANYAUTO <br />BODILYINJURY(Perperson) <br />S <br />A <br />OWNED SCHEDULED <br />8809CK3856 <br />05114/2020 <br />05114/2021 <br />BODILY INJURY (Per acclderin <br />$ <br />AUTOSONLY AUTOS <br />MIRED NON-0WNED <br />PROPERTY DAMAGE <br />AUTOS ONLY AUTOS ONLY <br />(Per wident <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIMB <br />CLAIMS -MADE <br />DIED <br />I I RETENTION <br />WORKERS COMPENSATION <br />>< PER OTH <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT <br />1,000,000, <br />B <br />NY <br />APROPRIETORIPARTNERIFJ(ECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />STWC140324 <br />05/14/2020 <br />05/14/2021 <br />E.L.OISEASE-EAEMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />/ <br />✓ <br />✓ <br />1,000,000 <br />de$Qi1 antler <br />Dyea, <br />DESCRIPTIONN OF OPERATIONS delta <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />E&O Limit: <br />$2.000.000 <br />C: Professional E80 Liability <br />L// <br />GD <br />D: Cyber Liability! Data Breach <br />P0020001224.14` 02 <br />05/1412020 <br />061 4/2021 <br />E&O Retention <br />$25,000 <br />MKLV5PDB000030 <br />05/14/2020 <br />05/14/2021 <br />Cyber Limit/ Deductible <br />1 $1,000,000/$2.500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD fill, Additional Remarks Schedule, may W attached Nmore space Is required) <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />Y 6 2029 <br />ANGIE ACEVEdc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Insured's Purposes ACCORDANCE WITH THE POLICY PROVISIONS. <br />—Proof of Insurance only... <br />AUTHORIZED REPRESENTATIVE <br />1QRR_9n15 Ar.rg; n rnRPr1RATIr1N All rinhtc rnccrund <br />ACORD 25 (2016103) 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.