My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WITTMAN ENTERPRISES, LLC (4)
Clerk
>
Contracts / Agreements
>
W
>
WITTMAN ENTERPRISES, LLC (4)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/6/2025 4:04:47 PM
Creation date
1/6/2025 4:04:35 PM
Metadata
Fields
Template:
Contracts
Company Name
WITTMAN ENTERPRISES, LLC
Contract #
A-2024-208
Agency
Finance & Management Services
Council Approval Date
12/17/2024
Expiration Date
12/31/2027
Insurance Exp Date
4/30/2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
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
Page 1 of 2 <br />. lilb i � CERTIFICATE OF LIABILITY INSURANCE <br />�IY� <br />D08/23ATE //2024Y) <br />OB/23 /2024 <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 />Willie Towers Watson Northeast, Inc. <br />c/o 26 Century Blvd <br />P.O. Box 305191 <br />CONTACT WTN Certificate Center <br />PHONE 1-877-945-7378 FAX 1-888-467-2378 <br />o E AIX No: <br />E-MAIL cesti ficatea6twtwco.com <br />ADDRESS: <br />Nashville, TN 372305191 USA <br />INSURERS AFFORDING COVERAGE <br />NAICIf <br />INSURERA: Citizens Insurance Company <br />URERB:= i <br />of America <br />o <br />11534 <br />INSURED n g i e ve <br />Wittman Enterprises, LLC <br />JH c <br />SURERC. <br />11093 9ua Center Drlve <br />Rancho Cordova, CA 95670 <br />INSURER D: Endurance American Specialty Insurance Core <br />41718 <br />INSURER E : <br />INSURER F : <br />LVVCKAbt3 CEKIIFICAIE NtJMHFR' W.14]d UbZ4 DGI/ICVINI N111aaDCD- <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 />ADDLSUBR <br />INMr, <br />n <br />POLICYNUMBER <br />POLICY BEE <br />MWDDNM) <br />POLICY EXP <br />fMM/DDrYYNY`J <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />71 ❑X <br />DAMAGETO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence <br />$ 1,000, 000 <br />MED EXP(Any one person) <br />$ 10,000 <br />A <br />PERSONAL B ADV INJURY <br />$ 2,000,000 <br />Y <br />ZBY-D673317-10 <br />08/23/2024 <br />08/23/2025 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY PRO- ❑ <br />JECT LOG <br />PRODUCTS-COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />1,000, 000 <br />X <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />H <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AW6-H950401-03 <br />08/23/2024 <br />08/23/2025 <br />BODILY -INJURY (Per accident) <br />HIRED NON -OWNED <br />PROPERTYDAMAGE <br />$ <br />AUTOS ONLY AUTOS ONLY <br />Per accident <br />B <br />X <br />UMSRELLALIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 4,000,000 <br />AGGREGATE <br />$ 4.000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />UH6-J131275-10 <br />08/23/2024 <br />08/23/2025 <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />X <br />ANDEMPLOYERTLIABILITY Y/N <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />e <br />ANYPROPRIETOR/PARTNERIEXECUUVE <br />OFFICER/MEMBEREXCLUDED? <br />NIA <br />WH6-D673252-07 <br />08/23/2024 <br />08/23/2025 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000, 000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />Crime - Employee Theft/ERISA <br />P-001-001165120-02 <br />04/30/2024 <br />04/30/2025 <br />Limit <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Additional Named Insureds: <br />Life Line Billing Systems, LLC <br />SEE ATTACHED <br />U CK I Ir R.AIt KUwtK CANCELLATION <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 PRC <br />City of Santa Ana <br />RiskMomparardDivigm <br />Risk Management Division AUTHORIZED REPRESENTATIVE ;;� REVIEwFn&APPRoveo . <br />q 20 Civic Center Plaza, 4th floor '� <br />Santa Ana, CA 92702 Risk Management specialist©1988-2016 ACORD <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />az ID: 26347216 enxcli: 3593551 <br />
The URL can be used to link to this page
Your browser does not support the video tag.