|
ACOR& CERTIFICATE OF LIABILITY INSURANCEDATE(MNPODABoi
<br />s/s/2010
<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 holdar Is an ADDITIONAL INSURED, the policy(les) 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 ondorsementls).
<br />Knight Insurance Services
<br />535 North Brand Boulevard
<br />Suite 1000
<br />Glendale CA 91203
<br />.._S _.._..�..._.._
<br />INSURED
<br />All City Management Services Inc
<br />10440 Pioneer Blvd # 5
<br />f*/ti\106 RF_6C
<br />!egos.
<br />_-�— 01-9') ..
<br />62-4200 LiA� Nm. (662-93]3
<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
<br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED. BY PAID CLAIMS.
<br />TNSR _.._.._..... ._._ .. ...._.._Ao'DC SdeR;-","......_...... ...`....
<br />PuCtY EFF.t POLICY EXP ,
<br />TYPE OF INSURANCE I CY U DER
<br />I I Mlnb! Y Y i LIMNS
<br />$$COMMERCIAL GENERAL DADILITY I
<br />IEACH OCCURRENCE ,$ 1,tlU0000
<br />I 1'bj.MAGE`f'b R€N�'Ed �S 50,_000
<br />CI AIMS MADE K OCCUR
<br />❑
<br />_€
<br />I£ € i FRCM?.SF&.tS9.919RmaLoaJ , .... ,....-
<br />,.
<br />X 11000200593-03
<br />E, 5/1/3D18 1 9/1/2019 MCD EXP(ArL(nakaRrc) ly Excluded.
<br />_.
<br />f
<br />,PERSONAL aADV INJURY isy 11000,000
<br />I GENL AGGREGATE LIMIT APPLIES PER ,
<br />I GENERAL AGGREGATE„ $.. 2,000,000
<br />X�POLICY jE(tT I �' LOC �
<br />1 i ; P}VUOUCib COMPIOr AGG $ 2,000,000
<br />OTTSR
<br />AOTtlMOnILF. L.IAnILITY
<br />is 31000,000
<br />X pANY AUTO
<br />BODILY INJURY.(Lorpomon) $_
<br />B
<br />AUTOVNVRJ �ASCH
<br />UTOSDLEO (ACP306S769436
<br />rALI'I'(08 AUTOS X
<br />_
<br />` 5/1/2ola 5/1/2019 ' BODI I Y INJURY (Lor amident) S
<br />r f .- ...
<br />$
<br />NON ONMED I
<br />4 X HIRED AUTOS X AIITtl.>
<br />i I PROI ERTY OAMAG@
<br />;uIw6RELLA LIAR OCCU(i ` itat. Y,sY¢z (Psine.p,)
<br />EACH. OCCURRENCE I$ 31000,000
<br />I. _9 (
<br />X EXCESS
<br />C 1 I IAO CLAIh16 MADE I `;
<br />n ....... ........ ,.I
<br />, 1 AGGREGATE S 3 OOp 00 D
<br />1
<br />DED X RET TI(N D i a3SXC50T44-01. _
<br />5/1/2015 j 5/1/2019 $
<br />P7WORKERS COMPENSATION ; -
<br />0EMPL.OYE,RVLIABILITYI
<br />......._
<br />MANY PROPRICTORIPARTNEH/ F.CIJrIVE Y/N NnL' Applic¢bl¢
<br />i ikI EACH ACCIOrNT II$
<br />OFFICERIMEMHER FXCIiIDiD? �NIAI
<br />(mandatory In NH} I
<br />PLL L DISEASE CA EMPLOYEE $
<br />Ir sa descrLX1 under
<br />yy M
<br />U1[ON F OPLRATIONIS below
<br />( t EL DISEASE PGJC.Y Lim[ ! $
<br />.E?k
<br />�unamr I
<br />D �l;xceu; Liability I I 12nd Leyar Ise y
<br />'/tm.
<br />t 2010 5/1/2019-{ Each Occurrence In Excess of $5,000,000 Deo.
<br />/
<br />I$O Retention DLD3000G60.9]o0
<br />'$SM Primary 11 $5,000, 000 Aqg
<br />j I t
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rarrai Schedule, may bs attached if more space Is required)
<br />Certificate Holder Completed to Read; City of Santa Ana,
<br />it's officers, employees, agents, volunteers and
<br />rospresentativea.
<br />As respects General Liability and required by written contract; Certificate Holder is named as additional
<br />insured. Insurance is Primary 6, Non -Contributory. Waiver of Subrogation applicable.
<br />City of Santa Ana
<br />20 Civic Center Plaza, M29
<br />Santa Ana, CA 92702
<br />ACORD 25 (2014101)
<br />INS025 (201401)
<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 PROVISIONS.
<br />Mashhoud/NYSGAL
<br />The ACORD name and logo are registered marks of ACORD
<br />. a
<br />�!�"E/� /s1/J-Git'.Qs.✓e� k�e-l.I�v/k'E'f-7E=-/+//'� X --- —
<br />
|