Laserfiche WebLink
1 =t, I K-7 <br />,44 oRo CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />O5/1112020 <br />020 <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 endorsemen s . <br />PRODUCER 860-793-9601 <br />Associated Insurance Services <br />106 West Main Street <br />P.O. Box 630 <br />Plainville, CT 06062-0630 <br />M. TACT Associated Insurance Services <br />ac No.ErL: 860-793-9601 A�No;860-747-3580 <br />E-M L <br />INSURERIS1AFFORDING COVERAGE <br />NAIC R <br />Associated Insurance Services <br />INSURER A: Scottsdale Insurance Company <br />INSUREDIt <br />76331ntlus, Avenue <br />Pico Rivera, A90660 <br />I u ERB: Philadelphia Insurance Company <br />18058 <br />LIO d3 <br />INsu ERc: Y <br />INSURER D <br />INSURER E <br />INSURER F <br />COVFRAr.FR rVPTIFIr ATF MIIMIDFD- <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 />INSR <br />IJ&LIMITS <br />TYPE OF INSURANCE <br />IDL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY E%P <br />IS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />. <br />PHPK2066252 <br />11/2212019 <br />11122/2020 <br />EACH OCCURRENCE <br />1,000,000 <br />DAMAGE TO RENTED <br />100,000 <br />MED EXP (My onePerson) <br />51000 <br />PERSONAL A ADV INJURY <br />11000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />g <br />POLICY JEL4T LOC <br />GENERAL AGGREGATE <br />2,000,000 <br />GEN-L <br />PRODUCTS-COMPIOP AGO <br />2,000,000 <br />OTHER: <br />Emp Ben. <br />1,000,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />1,000,000 <br />ANY AUTO <br />OWNED <br />AUTOS ONLY X SCHEDAUTO,ULED <br />PHPK2066245 <br />11/22/2019 <br />1112212020 <br />BODILY IWURY (Per arson <br />BODILY INJURY Per amidenl <br />��qq FIp p <br />AI/TODS ONLY AUTOS ONLY <br />ROPCENRd.YI AMAGE <br />$ <br />A <br />X <br />UMBRELLA LIAS <br />EXCESS LIAR <br />X <br />OCCUR <br />CLAIMS -MADE <br />LS0113287 <br />02/2212020 <br />1112212020 <br />EACHOCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />51000,000 <br />DEO I I RETENTION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PRgqO��PRIETO�RR)PARTNERIEXECUTIVE <br />(mentlaloryln NEft E%CLUDEpP <br />styes, describe unMd)er <br />E RI TI OF OPERATIONSWow <br />NIA <br />PER OTH- <br />E.L. ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />E.L.D Y LIMIT <br />S <br />C <br />Cash In Transit <br />B0901EE1906409000 <br />08/2712019 <br />08/27/2020 <br />Transit <br />10,000,000 <br />Vault <br />10,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addl0ona1 R.m.rk. Schedule, may be U.h.d N more .Pecs Is ,equlred) <br />The City of Santa Ana, officers, employees, and volunteers are Included as <br />additionally insured In regards to General Liability per written agreement REVIEWED & APPROVED <br />on a primary and non-contributory basis. 30 Days notice of Cancellation. By Risk MANAGEMENT DIVISION <br />A2 <br />CERTIFICATE HOLDER r.ANr.FI I ATInN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana <br />Risk Management Division <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FI <br />AUTHORIZED REPRESENTATIVE <br />// V _ <br />Santa Ana, CA 92701 <br />ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />