My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SENSIS - 2016
Clerk
>
Contracts / Agreements
>
S
>
SENSIS - 2016
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/13/2016 4:10:42 PM
Creation date
9/13/2016 11:11:18 AM
Metadata
Fields
Template:
Contracts
Company Name
SENSIS
Contract #
A-2016-154
Agency
POLICE
Council Approval Date
6/21/2016
Expiration Date
6/20/2017
Insurance Exp Date
3/1/2017
Destruction Year
2022
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
A� RO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE 6' <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 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 confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT Carlos Alfaro <br />NAME: <br />PHONE (SlS)781 -8112 AX NO:(BS8)761 -2660 <br />INSURENEX - VN Insurance Services <br />'MAIL .carlos.ea @insurenex.com <br />AOGRE . <br />California Lic. OF23523 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC Yt <br />14402 Haynes Street, Suite 103 <br />INSURER A:Sentinel Insurance Company Ltd <br />11000 <br />Van Nuys CA 91401 <br />INSURED <br />INSURER BAmGuard Insurance Company <br />42390 <br />INSURERCAXi6 Insurance Company <br />37273 <br />Sensis Inc, DBA: Sensis <br />INSURER D: <br />811 Wilshire Blvd. Ste #2050 <br />INSURER E: <br />5 1,000,000 <br />INSURER F: <br />$ 10,000 <br />Los Angeles CA 90017 <br />COVERAGES CERTIFICATE NUMBER:CL163701468 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. <br />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />I <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A <br />C LAIMS -MADE OCCUR <br />DAMAGESI RENTED <br />PREMISES RENT nonce <br />5 1,000,000 <br />MED EXP(Any one person) <br />$ 10,000 <br />X <br />57SBABG5955 <br />5/26/2016 <br />5/26/2017 <br />PERSONAL B ADM INJURY <br />5 1,000,000 <br />AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'L <br />X <br />POLICY ❑JECOT DLOC <br />PRODUCTS- COMPIOPAGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />57SBABG5955 <br />5/26/2016 <br />5/26/2017 <br />BODILY INJURY Feraccident) <br />$ <br />X <br />HIRED AUTOS X N-OWNED <br />PREY AMAGE <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAI MS-MADE <br />LEO <br />RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ -1,000,000 <br />B <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />1111mr Cory In NH) <br />NIA <br />SEWC700298 <br />3/1/2016 <br />3/1/2017 <br />E.L. DISEASE -EA EMPLOYE <br />5 1 000 000 <br />Fps, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ 1 000 000 <br />DESCRIPTION OF OPERATIONS below <br />C <br />Professional Liability <br />MCN000107111501 <br />4/4/2016 <br />4/4/2017 <br />Each Claim 2,000,000 <br />A <br />Business Personal Property <br />85,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Santa Ana Police Department is added as an additional insured to the policy. Coverage is subject to the <br />terms and conditions of the insurance policy. <br />AA <br />APPROVED AS TO FORM <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014/01) <br />INS825 =14nn <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana Police Department <br />60 Civic Center Plaza <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Carlos Alfaro /ME <br />ACORD 25 (2014/01) <br />INS825 =14nn <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.