LOS ANGELES SMSA LIMITED PARTNERSHIP (39)

Home Browse Search

rranane K. Francine RVillareal Date: 2020.09.02 Villareal 10:18:53 -07'00' '44C4:>"iDrCERTIFICATE OF LIABILITY INSURANCE OAT08131 IYVYY) B/51/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT Risk Services Northeast, Inc. New York NY Office One Liberty PlazaE-MAIL 165 Broadway,,Suite 3201 CONTACT NAME: INC NNo. Eat): (966) 283-7122 FAX No.)(110) 363-0105 A C. : ADDRESS: New New York NV 10006 USA INSURER(S) AFFORDING COVERAGE NAIC q INSURED LOS Angeles SMSA LP dba Verizon wireless INSURER A: National union Fire Ins CO of Pl2tabUrgh 19445 INSURER B: Aid InsUranCe Company 19399 INSURER C: American Home Assurance Co. 19380 1095 Avenue of the Americas New York NY 10036 USA INSURER D: New Hampshire Insurance Company 23841 INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF CIYYYY PULI YOIYYYY MM LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GL EACH OCCURRENCE $2,000,000 CLAIM&MADE ❑X OCCUR GA S( ...cuRENTE PREMISES Ea ccu,rence $2, 000, 000 X MED EXP (Any one person) $10, 000 ICU Coverage is Included PERSONAL a ADV INJURY $2,000,000 GEN'LAGGREGATE UNITAPPLIES PER: X POLICY PRO JECT LOC GENERALAGGREGATE $5,000,000 PRODUCTS - COMPIOPAGG 00 $5,000,0 OTHER' A AUTOMOBILE LIABILITY CA 4594298 ADS 06/30/2020 06/30/202 1 COMBINED SINGLE LIMIT Ea accident E1, 000,000 BODILY INJURY( Per person) A X ANYAUTO CA 4594299 06/30/2020 06/30/2021 A OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUrOS NON -OWNED ONLY AUTOS ONLY P MA CA 4594300 VA 06/30/2020 06/30/2021 BODILY INJURY (Per accident) PROPERTY DAMAGE Per amident A I See Next Page 06/30/2020 06/30/2021 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMSMADE AGGREGATE DED RETENTION B D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERIMEMBER EXCLUDED' N/A wc045886576 A05 wC045886575 06/30 2020 06/30/2020 06/30/2021 X PER STATUTE I I OTH- ER E.L. EACH ACCIDENT $1, 000, 000 (Mandatory In NH) If yes, under CA E.L. DISEASE -EA EMPLOYEE $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION RIIPTION OFF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aMached I more space is required) The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, officers and employees are included as Additional insured with respect to the General Liability policy. The General Liability policy shall apply as Primary and Non -Contributory Insurance t0 each Additional Insured listed herein. where permitted by law, the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy and, as further limited by written contract between the parties. CERTIFICATE HOLDER CANCELLATION Lo m In 0 N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Santa Ana AUTHORI REPRESENTATIVE - Risk Management Division 20 Civic Center Plaza, 4th Floor Santa Ana CA 92701 USA st�n p J R'IA Morgmmt Division ©1988-2015 ACORD COILIF REV E41ED & APPROVED Sr' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Fur.,:.. P. VJ6,wL( ® Ruk Management Analyst