Laserfiche WebLink
0 <br />A� seCERTIFICATE OF LIABILITY INSURANCE <br />oATE(MMloomvv) <br />6/1/2018 <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(les) 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 endorsement(s). <br />PRODUCER TechServe Alliance Services Corp. <br />1420 King Street; Suite 610 <br />Alexandria, VA 22314 <br />NAMA CONTACT <br />_ .. <br />PHONE <br />Eu) 703-997-4271 -.__ inlc. Not: 703.997.7727 <br />MAIL <br />INSURERS) AFFORDINGCOVERAGE <br />NAIC4 <br />INSURERA: Star Insurance Company .- <br />18023 <br />www.techservealliance.org <br />INSURED <br />The Comdyn Group, Inc. <br />569 Rustic Hills Or <br />Simi Valley CA 93065 <br />tsuRERD ProCenturY Insurance Company,__ <br />21903 <br />NsuRERc: <br />INSURER 0: National Speclally Insurance Com an <br />22608 <br />INSURER E : ._ <br />INSURER F: <br />- <br />11M.I.In ATIC MIIRAQ=C• a con RFVISilnN NIIMRFR' <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 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 />TYPE OF INSURANCE <br />ADUL <br />UBR <br />POLICY NUMBER <br />POLICY EPP <br />DD MYY <br />POLIV EXP <br />MM/0 Y Y <br />LIMITS <br />_ <br />COMMERCIALGENERAL LIABILITY <br />CLAIMS-MADEF,—/IOCCUR <br />�/ <br />NDA0791984 <br />6/15/2018 <br />6/16/2019 <br />EACHOCCURRENCE <br />$1000000 <br />DA <br />PRE I8E$0(Eapccurenc <br />$1000,000 <br />MEO EXP tAny one person <br />$10000 <br />PERSONAL &ADVINJURY <br />$1 000 000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: r <br />GENERAL AGGREGATE <br />$2,000,000 <br />PRODUCTS-COMP/OP AGG <br />$2000000 <br />✓ POLICY jECT C]LOC <br />$ <br />OTHER: <br />D <br />AUTOMOBILE LIABILITY <br />✓ <br />NDB0791984 <br />6/15I2018 <br />6115/2019 <br />COMBINED SINGLE LIMIT <br />E <br />$1000 ono - <br />BODILY INJURY IPer person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per acenent) <br />$ <br />-- <br />OWNED HE <br />AUTOS ONLY AUTOS <br />✓ AUTOS ONLY AUTOS ONLY. <br />PPROPERd YpAMAGE <br />$ <br />It <br />D <br />✓ <br />UMBRELLA LIAR <br />,/ <br />OCCUR <br />✓ <br />NDC0791984 <br />6/15/2018 <br />6/15/2019 <br />EACH OCCURRENCE <br />$1000000 <br />AGGREGATE <br />$1000000 <br />EXCESSLIA6 <br />CLAIM&MADE <br />BED <br />I ✓ I RETENTION 10,000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIASILITV <br />ANYPROPRIETOR/PARTNCWEXECUTIVE YI❑N <br />WCo791984 <br />6/15/2018 <br />6/15/2019 <br />SEATUTE ER <br />E.L. EACH ACCIDENT <br />$10000`O__. <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />OFFICERIN15WER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />E.L. DISEASE• POLICY LIMIT <br />$1000000 <br />If yas, tlescribe antler <br />DESCRIP r"0"0FOPERATIONS below <br />D <br />A <br />E&0/Professlonal Liab <br />Crime - 3rd Party Blanket <br />✓ <br />NDA0791984 <br />CR0791984 <br />6/15/2018 <br />6/15/2018 <br />6/15/2019 <br />6/15/2019 <br />$1,000,000 Ea Claim/$1,000,000 Aggregate <br />$100,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />City of Santa Ana, Its Officers, Agents and Employees are Additional Insured as respects to General Liability <br />per attached CG2010 1093 Additional Insured Endorsement. Should any of the above described policies be cancelled or reduced before the expiration <br />date thereof, the Issuing insurer and/or agent will endeavor to mail 30 days written notice the the Certificate Holder, but failure to do so shall <br />impose no obligation or liability lliia�biili;ty�off any kind upon <br />upon tthhe,, Insurer, Its agents or representatives..�� <br />f".C/V`w`tiCK. E✓ A✓�A.1..0. O/r/I,QA �W7 'N <br />City of Santa Ana, <br />its Officers, Agents, and Employees <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <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 />Mark B. Roberts <br />©1988.2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />42309589 1 C..dyn 13C 18-19 Apprvvffi CecLlficatc I Sill HOtron I K/1/2019 3:01:53 ➢M (EDT) I Page 1 Of 2 <br />