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
• Digitally - <br />A� CERTIFICATE <br />YY) <br />I I I URANC <br />os/2o/2022 <br />g IQ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONOMS NO RIGHTS UPON " H,' 64VI C <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAG : AF,ED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTI <br />TE A CONTRACT BETWEEN TH IS .DING h ) I <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOL]� <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURE <br />is s m e ITI , L I � pt� G' <br />7b etlabr/t o�01 If SUBROGATION IS WAIVED, subject to the terms and conditions oft a po Icy, certain pollcles :na, require an ry�� l� <br />this certificate does not confer rights to the certificate holder in lieu <br />of such endorsement(s). <br />PRODUCER <br />CONTACT Priscilla Ramirez <br />NAME: <br />Winton Ireland Strom & Green <br />(209) 667-0995 a/c, (209) 667-7142 <br />ACNE. Ext : No): <br />License# 0596517 <br />E-MAIL pramirez@wisg.com <br />com <br />ADDRESS: <br />P.O. Box 3277 <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />Turlock CA 95381 <br />INSURERA: Travelers Casualty Ins Co of America 19046 <br />INSURED <br />INSURER B : Allied World Surplus Lines Insurance Company <br />24319 <br />Sterling H.S.A., Inc. <br />INSURER C : <br />DBA: Sterling Health Services, Inc. <br />INSURER D : <br />PO Box 71107 <br />INSURER E : <br />Oakland CA 94612 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 2022 GL/E&O/Cyber/Auto/ REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW FIAVE 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 />INSR <br />LTR <br />TYPE OF INSURANCEAUULbUbil <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE <br />DAMAGE TO RENTED <br />PREMISES <br />$ 300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />680OR423616 <br />05/14/2022 <br />05/14/2023 <br />AGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />OLICY ❑ PRO ❑ LOC <br />JECT: <br />ITHER <br />PRODUCTS-COMP/OP AGG <br />$ 4'000'000 <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ Included in GL <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />680OR423616 <br />05/14/2022 <br />05/14/2023 <br />BODILY INJURY (Pe r accide nt) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X HIRED �/ NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />PDICESS <br />AGGREGATE <br />$ <br />LAB <br />CLAIMS -MADE <br />D RETENTION $ <br />$ <br />AOFFICER/MEMBER <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y/N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />EXCLUDED? <br />(Mandatory in NH) <br />N /A <br />STWC352048 <br />O5/14/2022 <br />O5/14/2023 <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1000000 <br />$ ,, <br />B: Professional E&O Liability <br />C: Cyber Liability / Data Breach <br />P00100012245403 <br />05/14/2022 <br />05/14/2023 <br />C yber Limit: <br />E&O Limit: <br />$1,000,000 <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability <br />arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work <br />or operations per attached CGD1050494, Primary & Non -Contributory wording applies (Form to Follow) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th Flr <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 E Risk Muagment DiMsian <br />REVIEWED & APPROVEDBY: <br />© 1988-2015 ACOF °( '. e Aeevaa <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ir_ Risk Management specialist <br />
The URL can be used to link to this page
Your browser does not support the video tag.