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Last modified
4/23/2021 3:40:32 PM
Creation date
3/31/2021 3:01:02 PM
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Contracts
Company Name
VALLEY OAK SYSTEMS (AON)
Contract #
A-2009-159-02
Council Approval Date
9/30/2012
Insurance Exp Date
6/1/2012
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ACOR I . <br />� CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />0I26/20, <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, tine policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not center rights to the <br />certificate holder in lieu of such endorselnent(s). <br />PRODUCER <br />ACT Risk Services Central, Inc. <br />Chicago IL Office <br />CONTACT <br />NAME: <br />NE <br />INC.No.E%t): (866) 283-7122 FA)( N.(847) 9S3-5390 <br />200 East Randolph <br />Chicago IL 60601 USA <br />EMAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC C <br />INSURED <br />INSURER A: Lexington Insurance Company <br />19437 <br />Aon corporation <br />(see subsidiary Information Below) <br />200 E. Randolph <br />Chicago IL 60601 USA <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570044212942 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 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 />LTR <br />TYPE OF INSURANCE <br />INSR <br />me <br />POLICY NUMBER <br />MMIDDIYYYV <br />MMIDDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />cOMMERc1AL GENERAL LIABILITY <br />DAMAGE TO RE E <br />PREMISES Ea occunence <br />CLAIM&MADE ❑OCCUR <br />MED ESP (Any one person) <br />PERSONAL & ADV INJURY <br />GENERALAGGREGATE <br />GEN'L AGGREGATE LIMIT APPLIES <br />PER', <br />PRODUCTS - COMPIOP AGO <br />POLICY 1-1 <br />LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY I Per person) <br />ANY AUTO <br />ALL OWNED HE TILED <br />ADroB NON -OWNED <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />APPROVED <br />\� <br />S TO �'l�I2IVS. <br />BODILY INJURY(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />(�Q�, <br />EACH OCCURRENCE <br />EXCESS LIAB <br />H <br />CLAIMS -MADE <br />Laura Stilt <br />Weedy <br />AGGREGATE <br />OED <br />RETENTION <br />AqSimant CiY <br />Attorn <br />.}I <br />WORKERS GOMPENSATIGN AND <br />EMPLOYERS' LIABILITY YIN <br />WC <br />TORV LIMITS ER <br />L. <br />E.EACH ACCIDENT <br />ANY PROPRIETORI PARTNER I EXECUTIVE <br />OFFICERIMEMSER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE.EA EMPLOYEE <br />(Mandatary In NH) <br />It yes, .sorb. under <br />E,L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />A <br />E&O-ProfLiabPri <br />015896134 <br />03/O1/2011 <br />03/01/2015 <br />Each Claim <br />$1,000,000 <br />Errors & omissions <br />Aggregate <br />$1,000,000 <br />SIR applies per policy terns <br />& condi <br />ions <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Adach ACORD 10H Additional Remarks Schedule, If more space is required) <br />RE: Ann eSOlutions Inc., 3350 Riverwood Parkway, Suite 80, Floor Sth, Atlanta, CA 30339. <br />CERTIFICATE HOLDER CANCELLATION <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 />20 Civic Center Plaza, M-30 <br />Santa Ana CA 92701 USA <br />©1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD (Tame and logo are registered marks of ACORD <br />`a <br />w <br />.c <br />a <br />V <br />0 <br />ME <br />
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