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PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (2)
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PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (2)
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Last modified
10/8/2018 2:38:50 PM
Creation date
10/8/2018 2:36:09 PM
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Contracts
Company Name
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY
Contract #
A-2018-179 -01
Agency
Finance & Management Services
Council Approval Date
7/17/2018
Expiration Date
9/30/2021
Insurance Exp Date
1/1/1900
Destruction Year
2026
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AcoRc <br />�- CERTIFICATE OF LIABILITY INSURANCESe <br />tember28,2018 <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 OF A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject <br />to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights <br />to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />One Liberty Plaza, 165 Broadway, Suite 3201 <br />New York, NY 10006 <br />f.s, <br />ONE <br />ao. Nn. Ext): <br />EMAIL <br />ADDRESS: <br />PRODUCER <br />CUSTOMER OF: <br />INSURERS AFFORDING COVERAGE <br />NAIC$ <br />INSURED <br />Prudential Financial, Inc. and its subsidiaries <br />751 Broad StreetINGURER <br />Newark, NJ 07102 <br />INSURER A. ACE AMERICAN INSURANCE COMPANY LEAP <br />22687 <br />INSURER B'. <br />INSURER c: <br />D <br />INGURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />,a. <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFF DATE <br />POLICY EXP DATE <br />LIMITS RETENTIONS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />❑ COMMERCIAL GENERAL LIABILITY <br />PREMISES Lee occurrence <br />13 CLAIMS MADE DOCCUR <br />MED EXP An one person) <br />13 <br />PERSONAL & ADV INJURY <br />O <br />GENERAL AGGREGATE <br />GENL AGGREGATE LIMIT APPLIES PER: <br />GG <br />PRD DUCTS -COMP OP A <br />POLICY O PRO- Q LOC <br />JECT <br />AUTOMOBILE LIABILITY <br />[I ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />❑ ALL OWNED AUTOS <br />❑ SCHEDULED AUTOS <br />BODILY INJURY (Per person) <br />❑ HIRED AUTOS <br />C3 NON -OWNED AUTO <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />(Per eccidenl) <br />❑UMBRELLA UAB OOCCUR <br />EACH OCCURRENCE <br />❑ EXCESS LIAB CLAIMS MADE <br />AGGREGATE <br />❑ CLAIMS <br />MADE <br />❑ DEDUCTIBLE <br />❑ RETENTION <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />WCSTATU- OTHER <br />TORY LIMITS <br />ANY PROPRIETONTARTNERIVermIVE ❑ <br />OFFlCEPIMEMBER EXCLUOEBI <br />E.L. EACH ACCIDENT <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If YYes, descrihe under <br />DESCRIPTION OF OPERATIONS blow <br />E.L. DISEASE -POLICY LIMIT <br />A <br />Insurance Company <br />Professional Liahility <br />G21648346016 <br />Nov.1,2017 <br />Nov. 1, 2018 <br />Atleast $250,000,000 <br />$5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I (AnACR ACORD 101, Additional Remarks Schedule, If more space Is requlred) <br />Sergio Vidal, CPA <br />Assistant Director of Finance <br />Finance and Management Services Agency <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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