PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (2)

Home Browse Search

A� ®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMID BYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Edgewood Partners Insurance Center 3 Landmark Square, 4th Floor(Ale,No Stamford CT 06901-2515 NAME, CONTACT Rusty Briante PHONE FAX Ext: 203-658-0511 LAIC, NO), aooaess: rusty.briante@epicbrokers.com INSURER(S) AFFORDING COVERAGE NAICM COMMERCIAL GENERAL LIABILITY INSURER A: Travelers Prop Casualty Co of America 25674 INSURED PRUDEN2069A Prudential Financial, Inc. 751 Broad Street INSURER B: The Phoenix Insurance Company 25623 INSURER C: INSURER O: Newark NJ 07102 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1367737038 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR R OF INSURANCE ADDLTYPE JN=SUID POLICY NUMBER POLICY EFF MMIDD IYYYY) POLICY EXP (MMIDDiff"i LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURV $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ JECT PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMB/ NEO SINGLE LIMIT $ Es accident BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO RETENTION$ $ A A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNEWEXECUTIVE TWXJ-UB-120D3053AS TRJ-UB-2031`102&18 TC2N-UB-12101840-18 1/1/20101/1/2019 1/1/2018 1/1/2018 1/1/2019 1/1/2019 STATUTE OTRH. E L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Location Address: 20 Civic Center PLaza, M-17 Santa Ana, CA 92701 CERTIFICATE HOLDER CANCELLATION © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I , L'ere %3 y #I-✓ r6 � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Finance and Management Services Agency City of Santa ACCORDANCE WITH THE POLICY PROVISIONS. Ana AUTH RIZEO REPRESENTATIVE 1 r�r+�,t/./'/�aaQ. 20 Civic Center PLaza, M-17 Santa Ana CA 92701 © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I , L'ere %3 y #I-✓ r6 �