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LOS ANGELES SMSA LIMITED PARTNERSHIP (10)
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LOS ANGELES SMSA LIMITED PARTNERSHIP (10)
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Entry Properties
Last modified
11/10/2020 3:24:38 PM
Creation date
11/10/2020 3:23:03 PM
Metadata
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Contracts
Company Name
LOS ANGELES SMSA LIMITED PARTNERSHIP
Contract #
A-2020-047Q
Agency
Public Works
Council Approval Date
3/17/2020
Expiration Date
3/31/2030
Insurance Exp Date
6/30/2021
Destruction Year
2035
Notes
LICENSED AREA (HENPRK_506)
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rranane ri. Francine R. Villareal <br />Date: 2020.09.02 <br />Villareal <br />10:18:53-07�00� <br />"� �` CERTIFICATE OF LIABILITY INSURANCE <br />OATO(8/31/2020 n <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />AOn Risk Services Northeast, Inc. <br />New York NY Offce <br />i <br />One Liberty ,Plazasuite 3201 <br />Broadway, <br />CONTACT <br />NAME: <br />INCNN o.Eag: (866) 283-7122 FAX (800) 363-0105 <br />AIC. Nc.: <br />E-MAIL <br />ADDRESS: <br />New <br />rvew York NY 10006 USA <br />006U <br />INSURER(S) AFFORDING COVERAGE <br />NAIC M <br />INSURED <br />LOS Angeles SMSA LP <br />dba verizon wireless <br />INSURERA: National Union Fire Ins CO of Pittsburgh <br />19445 <br />INSURER B: ATU insurance Company <br />19399 <br />INSURER C: American Home Assurance Co. <br />19380 <br />1095 Avenue Of the Americas <br />New York NY 10036 USA <br />INSURER D: New Hampshire xnsurance company <br />23841 <br />.SURER E: <br />INSURER F: <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. Limits shown are as requested <br />INLTR TYPE OF INSURANCE AINSO WVD UCYNUMBER PULICYEFF POLICYEXv <br />MMIDDIYYYY MIMIDDyiYYY1 LIMITS <br />A <br />X <br />COMMERCIAL GENERALLIABILITY <br />I <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE OCCUR OCCUR <br />ET U <br />PREMISES Ea occurrence <br />$2,000, 000 <br />X <br />MED EXP (Any one person) <br />$10, 000 <br />XCU Coverage is Included <br />PERSONAL B ADV INJURY <br />$2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PR0. <br />X POLICY JECT LOC <br />GENERALAGGREGATE <br />$5,000,000 <br />PRODUCTS-COMPIOPAGG <br />$5,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />C, 4594298 <br />ADS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,000,000 <br />BODILY INJURY( Per Person) <br />A <br />X ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED AUTOS LED <br />AUTOS ONLY <br />RED AUTOS NON -OWNED <br />HIR <br />ONLY AUTOS ONLY <br />H <br />MA <br />CA 4594300 <br />VA <br />06/30/2020 <br />06/30/2021 <br />BODILY INJURY (Per amidenp <br />PROPERTY DAMAGE <br />Per amident <br />A <br />1 5ee Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELIALM <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />IDED1 <br />IRETENTION <br />B <br />CANY <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICERIMEMBER EXCLUDED] N <br />(Mandatory in NH) <br />If yes, describe under <br />NIA <br />wc045886576 <br />ADS <br />WCO45iS66SIS <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X <br />I PER STATUTE <br />I <br />OTH- <br />eR <br />E. L. EACH ACCIDENT <br />$1,000,000 <br />EL. DISEASE -EA EMPLOYEE <br />$1, 000, 000 <br />E.L. DISEASE POLICY LIMIT <br />$1, 000, 000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AEdiRonal Remarks Schedule, may be attached if more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, <br />officers and employees are included as Additional Insured with respect to the General Liability policy. The General Liability <br />policy shall apply as Primary and Non -Contributory insurance to each Additional insured listed herein. where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees <br />listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy <br />and, as further limited by written contract between the parties. <br />CERTIFICATE HOLDER CANCELLATION =-1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City Of Santa Ana AUTHORIZED REPRESENTATIVE <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 USA <br />©1988-2015 ACORD <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />REVIEWED 6 APPROVED BY: <br />Z VA-VAI <br />Risk Management Analyst <br />
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