My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SWAYZER CORPORATION (3)
Clerk
>
Contracts / Agreements
>
S
>
SWAYZER CORPORATION (3)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/29/2021 11:12:20 AM
Creation date
12/15/2020 4:45:29 PM
Metadata
Fields
Template:
Contracts
Company Name
SWAYZER CORPORATION
Contract #
A-2020-229
Agency
Public Works
Council Approval Date
11/17/2020
Expiration Date
8/19/2022
Insurance Exp Date
1/1/1900
Destruction Year
2027
Document Relationships
SWAYZER CORPORATION
(Amends)
Path:
\Contracts / Agreements\S
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
22
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
ACORtf CERTIFICATE OF LIABILITY INSURANCE <br />111 <br />DATE(MMIDD/YYYY) <br />1 06/18/2020 <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 />CONTNAME ACT Automatic Data Processing Insurance Agency, Inc. <br />Automatic Data Processing Insurance Agency, Inc. <br />PNHCONN Ext: 1-800-524-7024 <br />E-MAIL <br />ADDRESS: <br />1 Adp Boulevard <br />Roseland NJ 07068 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC If <br />INSURER A: NorGUARD Insurance Company <br />31470 <br />INSURED Swayzer Corporation <br />INSURER B: <br />INSURER C <br />OBA: Swayzer Landscapes <br />INSURER D <br />1665 E. Del Anne Blvd <br />INSURER E <br />Carson CA 90746 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: lbbbb6U RFVIBION NIIMRFR- <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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />MO <br />POLICY NUMBER <br />POLICYEFF <br />MMIDDIYYYYI <br />POLICY EXP <br />I (MMsDD[YfYY1 <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE1:1 OCCUR <br />EACH OCCURRENCE <br />$ <br />E TE <br />PREMISES Ea fs"Ti <br />$ <br />GEN'L <br />MED EXP(Anyone person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO <br />JECT LOC <br />OTHER <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLYLY <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERWbAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />DED <br />I <br />I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY OFFICERIMEMBEER EXCLUDED?ECUTNE � <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />N <br />SWWC139132 <br />05/16/2020 <br />05/16/2021 <br />X I PER OTH- <br />STATUTE ER <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />S 1,000,000 <br />E.L. DISEASE- POLICY LIMIT <br />$ 1,000,oao <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CITY OF SANTA ANA <br />Attn: Risk Management Division, 4th Floor <br />20 CIVIC CENTER PLAZA <br />Santa Ana CA 92702 <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 />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />ItskMmugmlmtDitieion <br />IiEvEWED 6 APPROVED BY: <br />Risk Management Analyst <br />
The URL can be used to link to this page
Your browser does not support the video tag.