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AMERICA ON TRACK (3)
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AMERICA ON TRACK (3)
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Last modified
12/1/2023 4:58:36 PM
Creation date
7/21/2020 8:19:44 AM
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Contracts
Company Name
AMERICA ON TRACK
Contract #
A-2020-043-02
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
3/3/2020
Destruction Year
2027
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Francine R. Digitally signed by Francine R. <br />Villareal <br />Villareal Date: 2021.09.02 09:50:00-07'00' <br />ACCOR " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />os/os/2o21 <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 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 Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services <br />HCNE. (949) 709-1668 <br />(949) 709-8800 FAAc, <br />Ext : No): <br />26429 Rancho Parkway South <br />E-MAIL Jeremy@thecomprehensiveinsurance.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Suite 120 <br />INSURERA: Nonprofits Insurance Alliance of California <br />10023 <br />Lake Forest CA 92630 <br />INSURED <br />INSURER B <br />America On Track <br />INSURER C : <br />600 W. Santa Ana Blvd. <br />INSURER D : <br />Ste' 710 <br />INSURER E : <br />Santa Ana CA 92701 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: CL218505342 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MWDD/YYYY <br />POLICY EXP <br />MWDD/YYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREM SES Ea o.urrrence <br />$ 500,000 <br />MED EXP (Any one person) <br />$ 20,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />2021-06180 <br />09/01/2021 <br />09/01/2022 <br />LAGGREGATE LIMITAPPLIES PERGENERAL <br />AGGREGATE <br />$ 2,000,000 <br />POLICY ElPRO ❑X LOC <br />JECT: <br />MOTHER <br />PRODUCTS-COMP/OP AGG <br />$ 2,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2021-06180 <br />09/01/2021 <br />09/01/2022 <br />BODI LY I NJ U RY(Pe r accide nt) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ElN <br />OFFICER/MEMBER EXCLUDED? <br />/A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Improper Sexual Conduct Liability Social <br />Service Professional Liability <br />2021-06180 <br />09/01/2021 <br />09/01/2022 <br />$2,000,000/1,000,000 <br />$2,000,000/1,000,000 <br />Aggregate/Ea Clm <br />Aggregate/Ocurr <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additionally insured on this policy pursuant to written contract, agreement, or <br />memorandum of understanding per attached endorsement CG2026. Such insurance as is afforded by this policy shall be primary, and any insurance carried <br />by City shall be excess and noncontributory per attached endorsement NIAC E61. 30 day notice of cancellation with 10 day notice of cancellation for <br />non-payment of premium per policy provision. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana <br />ACORD 25 (2016/03) <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 />AUTHORIZED REPRESENTATIVE <br />@ 1988-2015 <br />The ACORD name and logo are registered marks of ACORD <br />HORaN Risk ManagementDivisian <br />REVIEWED & APPROVED BY.- <br />o z <br />Risk Management Analyst <br />
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