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DESMOND, MARCELLO & AMSTER, LLC (2)
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DESMOND, MARCELLO & AMSTER, LLC (2)
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Last modified
7/1/2022 10:14:33 AM
Creation date
7/1/2022 10:12:30 AM
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Contracts
Company Name
DESMOND, MARCELLO & AMSTER, LLC
Contract #
A-2022-077-01
Agency
Public Works
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Insurance Exp Date
8/15/2022
Destruction Year
2030
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, 41CCWT ® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDIYYYY) <br />06/16/2022 <br />THIS S 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 />ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />IMPORTANT: If the certificate holder is an <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 />caNracr Justworks Customer Success <br />NAME: <br />Doug Jones (Justworks) <br />FAX <br />n C Ex (888) 534-1711 plc No <br />E-MAIL <br />ADDREss: support@justworks.com <br />Go Artex Risk Solutions, Inc. <br />P.O. Box 13838 <br />Scottsdale, AZ 85267 <br />IN%IIRERfSl AFFORDING COVERAGE <br />NAIL R <br />INSURER A: American Zurich Insurance Company <br />40142 <br />INSURED <br />Justworks Employment Group LLC Labor Contractor, for co -employees of: Desmontl, <br />INSURER B : <br />INSURER C <br />Marcello & Amster, LLC <br />PO Box 7119 Church Street Station <br />INSURER D <br />INSURER E : <br />New York, NY 10008-7119 <br />INSURERF: <br />ua000. <br />COVERAGES 61=KIIrnIi iia ......... -- --- <br />BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT <br />WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADDL 5UBR POLICY EFF POLICY EXP <br />INSR TYPE OF INSURANCE POLICYNUMBER MMIDD/YYYI' MWDDIYYYY <br />LIMITS <br />TR <br />COMMERCIALGENERAL LIABILITY <br />EACHOCCURRENCE $ <br />D MADE ORE D <br />PREMISES Ea occurrence $ <br />CLAIMS -MADE ❑ OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL& ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GE AGGREGATE LIMIT APPLIES PER: <br />LOC <br />PRODUCTS.COMP/OP AGO $ <br />POLICY❑JEC <br />OTHER: <br />COMBINED SINGLE LIMIT $ <br />AUTOMOBILE LIABILITY <br />Ea acad.ot <br />BODILY INJURY(Par person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS ONLY AUTOS <br />PROPERTY DAMAGE $ <br />HIRED NON OWNED <br />Par accident <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DEO RETENTION$ <br />XI STATUTE ERµ <br />WORKERSCOMPENSATION <br />E.L. EACH ACCIDENT <br />$ 2,000000 <br />AND EMPLOYERS'LIABILITY YIN <br />A <br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑ <br />NIA <br />WC 49-71-032-03 <br />06/01/2022 <br />06/01/2023 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 2,000,000 <br />OFFICEWMEMBEREXCLUDEDP <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE- POLICY LIMIT $ 2,000,000 <br />DESCRIPTION OF OPERATIONS below <br />Location Coverage Period: <br />06/01/2022 <br />06/01/2023 <br />Client# 53146-CA <br />I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />DESCRIPTION OF OPERATIONS I LOCATIONS <br />Desmond, Marcello & Amster, LLC <br />Coverage is provmetl for 222 PACIFIC COAST HIGHWAY 10th Floor <br />only those co -employees <br />El Segundo, CA 90245 <br />of, but not subcontractors <br />to: <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBE <br />THE EXPIRATION DATE THEREOF, RNrA1Rr&tatod Dhitlm <br />ACCORDANCE WITH THE POLICY PROVE,�DLArpgpy®Hr <br />t.,Yi��IL.''%asi rfCTJMr <br />AUTHORIZED REPRESENTATIVE'RukMarwSe,rmraniul Aee <br />ACORD CORPORATION. All rights <br />ACORD 25 (2016103) The ACORD name and Joao are registered marks of ACORD <br />
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