|
Client#: 467968
<br />PARAGPARTNI
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />12/21/2018
<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 any rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Marsh & McLennan Agency LLC
<br />Marsh & McLennan Ins. Agency LLC
<br />1 Polaris Way
<br />Aliso Viejo, CA 92656
<br />92
<br />CONTACT NAME: Simson Soetanto
<br />PHONE FAX
<br />o Ext): 949-900-1211 a/c, No ,
<br />E-MAIL
<br />ADDRESS: simson.soetanto@marshmma.com
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A : Travelers Company cam an of CT 25682
<br />INSURED
<br />Paragon Partners, LTD
<br />5660 Katelia Avenue, Suite 100
<br />Cypress, CA 90630
<br />_ INSURER B : Travelers Property Casualty Co of Amer 125674
<br />_
<br />--
<br />INSURER C : Underwriters at Lloyd's London 15642
<br />INSURER D:
<br />INSURER E
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />7ypE OF INSURANCE
<br />ADDL
<br />INSR
<br />SUBR
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE �X OCCUR
<br />6308M317170TCT19
<br />1/01/2019
<br />01/01/2020
<br />EACH OCCURRENCE $1000000
<br />pAMAGE T RENTED
<br />PREMISES Ea occurrence $300000
<br />MED EXP (Any one person) s5,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PROT FK LOC
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE LIABILITY
<br />BA8M31236ATCT19
<br />1/01/2019
<br />01/01/202
<br />E0acBINED
<br />cidentSINGLELIMIT $1,000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per accident) $
<br />X' AUTOS ONLY X NON -OWNED
<br />AUTOS ONLY
<br />PROPERTY DAMAGE $
<br />Per accident
<br />B
<br />XI, UMBRELLA LAB
<br />EXCESS LIAB
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />CUP8M325446TIL19
<br />1/01/2019
<br />01/01/2020
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000,000
<br />DED I Xi, RETENTION $10000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? �
<br />N I A
<br />UB8M251072TIL19
<br />1/01/2019
<br />01/01/2020
<br />OTH-
<br />X ISPTEARTUTE I
<br />E.L. EACH ACCIDENT $11,000,000
<br />E.L. DISEASE - EA EMPLOYEE $1,000,000
<br />(Mandatory in NH)
<br />_
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />C
<br />E&O
<br />MPL102807418
<br />5/22/2018
<br />05/22/2019
<br />Per Claim: $2,000,000
<br />Aggregate: $2,000,000
<br />Claims Made: Ret: $15k
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Agreements A-2017-227 and A-2017-229. Agreements A-2011-056-01 and A-2015-164. The City of Santa Ana, its
<br />officers, employees, agents, volunteers and representatives are named Additional Insured for Auto and
<br />General Liability as respects operations of the Named Insured. Coverage is primary and non-contributory.
<br />Endorsement sattached. 30 day NOC and 10 day NOC for non-payment provisions apply on the re erenced Package
<br />Policy # 72UUNHB5671, per the attached.
<br />REVIEWED BY: 4 a EUNICE HEREDIA (PG OF 61
<br />l..t_Ff I IrwFl 1 r MULUrri
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701-0000
<br />ACORD 25 (2016/03) 1 Of 1
<br />#S3869343/M3868942
<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 />AUTHORIZED REPRESENTATIVE
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />WOAQH
<br />
|