Laserfiche WebLink
AGENCY CUSTOMER ID: <br />LOC p: <br />-`" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br />AGENCY <br />NAMED INSURED <br />Marsh USA Inc. <br />SimplexGrinnell LP <br />12728 Shoemaker Avenue <br />POLICY NUMBER <br />Santa Fe Springs, CA 90670 <br />United States <br />CARRIER <br />NAIC <br />EFFECTIVE DATE: <br />AUUI I IUNAL KhMAHKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />REGARDING NOTICE OF CANCELLATION TO CERTIFICATE HOLDERS: <br />This endorsement modifies the notice of cancellation of insurance provided hereunder: <br />Should any of the above described policies be cancelled, other than for non - payment of premium, before the <br />expiration date thereof, 30 days advice of cancellation will be delivered to certificate holders in <br />accordance with the policy endorsements. <br />All other terms and conditions of this policy remain unchanged. <br />REGARDING ADDITIONAL INSURED STATUS: <br />In accordance with the policy provisions, SANTA ANA POLICE DEPARTMENT is included as an additional insured <br />under this policy, as a result of any contract or agreement entered into by the named insured and SANTA ANA <br />POLICE DEPARTMENT. <br />In accordance with the policy provisions, coverage afforded to an additional insured will apply as primary <br />insurance where required by contract entered into by the named insured and the SANTA ANA POLICE DEPARTMENT. <br />Any other insurance issued to such additional insured shall apply as excess and noncontributory insurance. <br />Other Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its <br />officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional <br />Insureds ") with regard to libability and defense of suits arising from the operations and uses performed by <br />or on behalf of the named insured. <br />REGARDING WAIVER OF SUBROGATION: <br />In accordance with the policy provisions, the Waiver of Subrogation applies per contract or agreement entered <br />into by the named insured and SANTA ANA POLICE DEPARTMENT. <br />ApPROVEU AS TO FORM <br />1 w <br />Laura A. Rossini <br />AES'istsmt City Attorney <br />FOR QUESTIONS REGARDING THIS CERTIFICATE OF INSURANCE CONTACT: <br />Robert Joyner (Email: rjoyner @Bimplexgrinnell.com Phone: 562- 405 -3851) <br />___________________________ <br />THIS CERTIFICATE OF INSURANCE WAS GENERATED AND DELIVERED BY EXIGIS RlskWorks®rm.Cartificamse <br />Business Process Automation for Risk Management, Insurance, and Trade Finance <br />To learn what EXIGIS can do for your business visit exigia, com or call 800.928.1963 <br />ACORD 101 (2008 /01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />