Laserfiche WebLink
ACO 0® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MWDD/YYYY) <br />09/27QO19 <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: nine 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 endorsmmftntle) <br />PRODUCER <br />Marsh Risk & Insurance Services <br />17901 Von Kansan Avenue, Suite 1100 <br />(949) 399Z800; license H0437153 <br />Irvine, CA 92614 <br />INSURED <br />Econ011M Systems, Inc. INBURER B <br />1250 N. Tustin Avenue INSURER C <br />Anaheim, CA 92807 -- <br />COVERAGF.R r•onr,c,n arm <br />-- -"' LD0iNGJ44VJS-JJ REVISION NUMBER: 18 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW <br />HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />THIS <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />TERMS, <br />INSR BEEN REDUCED BY PAID CLAIMS. <br />AD L UB <br />T <br />LTR TYPE OF INSURANCE S POLICYNUMBPR PULI yMap YOY EXPy <br />1IXry LIMBS <br />A X COMMERCIAL GENERALLIASILITY 6306J492624TCT19 06/2oory 027n020 <br />EACH OCCURRENCE $ <br />T <br />1,000,000 <br />CLAIMS -MADE OCCUR D T E <br />PREMISES Eeoccunance § <br />300,000 <br />MED EXP (Any one peram $ <br />10,000 <br />PERSONAL &ADV INJURY $ <br />GENT AGGREGATE APPLIES PER: <br />11000,000 <br />PRO.LIMI <br />GENERAL AGGREGATE $ <br />X POLICY 1-1JECOT LpC <br />2,000,000 <br />PRODUCTS-COMP/OPAGG $ <br />OTHER: <br />ZOOO.000 <br />C AUTOMOBILELIABILITY 8106J496371TIL19 06/27I2019 § <br />06127/2020 SINGLE MIT <br />X ANY AUTO E. den $ <br />1,000,000 <br />OWNED SCHEDULED BODILY INJURY(Perperem) $ <br />AUTOS ONLY AUTOS BODILY INJURY (Per accltlan0 E HIRED <br />X X AUTOS <br />AUTOS ONLY ONLY PPRO EER,DAMAGE $ <br />tt <br />X LA X OCCUR 8E066071803 06/272019 06/27/2020 <br />EXCESS EACH OCCURRENCE § <br />EXCESS LIAB <br />10,000,000 <br />CLAIMS&fADE <br />AGGREGATE § <br />DED X RETENTION $1O O00 <br />10,000,000 <br />C WORKERS COMPENSATION D 1N4540581914G $ <br />/ 7 / 7 <br />AND EMPLOYERS' LIABILITY X PER OTH- <br />YIN STATUTE ER <br />ANVPROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERMIEMBER EXCLUDED? NIN E.L EACH ACCIDENT $ <br />(Mandatory In NH) <br />1,000,000 <br />ur describe under E.LDISFASE-EAEMPLOVEE $ <br />DESCRIPTION OF OPERATIONS belay <br />1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ <br />1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe <br />attached if more $Pace is re uire Re: Traffic Signal Maintenance. R d1 <br />The City of Santa Ana, its offEsm, employees, agents, volunteers <br />and representatives are included as additional insured where required by written contract with respect to General Liability. This insurance <br />and non-contributory over any existing insurance and limited to liability <br />is primary <br />arising out of the operations of the named insured subject to policy terms and conditions with aspect to general liability. Waver of subrogation h <br />applicable where required by written contract and subject to <br />policy terms and conditions. <br />EVIEW <br />& APPROVE <br />CERTIFICATE HOLDER 1 Ivlcrna, i.a.,, .­_.. <br />City of Sahm Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) <br />12019 <br />M. LAMBERT <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 />AUTHORU:ED REPRESENTATIV E <br />of Marsh Risk & Insurance Services <br />Jessica Boswell <br />©1988.2016 ACi <br />The ACORD name and logo are registered marks of ACORD <br />CORPORATION. All rights reserved. <br />