|
Page 1 of 1
<br />A`OR0®
<br />���lll...... CERTIFICATE OF LIABILITY INSURANCE
<br />MWDDNYM
<br />DATE 16/2020
<br />D4/16/2D2D
<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 rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Willis Towers Watson Northeast, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />CONTACT Willis Towers Watson Certificate Center
<br />1-877-945-7378 FAX
<br />PWC. No.HONEEI No: 1-088-467-2378
<br />ADD WS certificates(iwillis.coe
<br />INSURERS) AFFORDING COVERAGE
<br />"Co
<br />Nashville, TN 372305191 USA
<br />INSURER A: Hartford Fire Insurance Company
<br />19682
<br />INSURED
<br />Digital Map Product., Inc.
<br />5201 California Avenue, Suite 200
<br />INSURER B: Trumbull Insurance Company
<br />27120
<br />INSURER C: Hartford Casualty Insurance Company
<br />29424
<br />INSURER D: Indian Barber Insurance Company
<br />36940
<br />Irvine, CA 92617
<br />INSURER E :
<br />INSURER F :
<br />COVERAGES CERTIFICATE NUMBER: W16203515 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 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 />ADD
<br />SUER
<br />POLICY NUMBER
<br />POLICYEFF
<br />POLICY
<br />MWDD UPLIMITS
<br />X
<br />COMMERCIAL GENERAL LMBILITI
<br />EACH OCCURRENCE
<br />S 1,000,000
<br />CLAIMS -MADE I —XI OCCUR
<br />DAMAGE TO BEN
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED UP (Any one person)
<br />$ 10,000
<br />A
<br />=
<br />10 OUR HF7379
<br />04/05/2020
<br />04/05/2021
<br />PERSONAL&AM INJURY
<br />$ 1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />GENERALAGGREGATE
<br />$ 2,000,000
<br />X POLICY ❑ JECTT LOC
<br />PRODUCTS-COMPIOP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILELMBILITY
<br />COMBINED SINGLE LIMIT
<br />Ed acnde
<br />$ 1,000,000
<br />BODILY INJURY (Per peman)
<br />S
<br />ANY AUTO
<br />e
<br />OWNED SCHEDULED
<br />AUTO$ ONLYMAUTOS
<br />HIRED NON_OWNED
<br />AUTOS ONLYAUTOS ONLY
<br />10 UUN BF7379
<br />04/05/2020
<br />04/05/2021
<br />BODILY INJURY (Par accident)
<br />S
<br />X
<br />PROPERTY DAMAGE
<br />Per ecdissuI
<br />S
<br />s
<br />C
<br />X
<br />UMBRELLAUAB
<br />EXCESS LIAR
<br />X
<br />OCCUR
<br />CLAIMS -MADE
<br />10 XSU KF6110
<br />04/05/2020
<br />04/05/2021
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />S 5,000,000
<br />DED I X I RETENTIONS 10,000
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYYIN EMPLOYERS' LIABILITY
<br />ANYPROPRIETOWPARTNERIEXECUTIVE
<br />OFFICEWEMBEREXCWDED7 No
<br />(Mandatary In NH)
<br />NIA
<br />10 WE AB2QX4
<br />04/05/2020
<br />04/05/2021
<br />X PER OT
<br />STATUTE ER
<br />E.L. EACH ACCIDENT
<br />$ 11000,000
<br />E.L. DISEASE EAEMPLOYEE
<br />S 1,000,000
<br />Kies, describe under
<br />DESCRIPTION OF OPERAnONSbekw
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Cyber Liability
<br />WP9039676 00
<br />10/29/2019
<br />10/29/2020
<br />Aggregate
<br />$10,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may Im attached If more apace is required)
<br />RE: All Covered Operations
<br />City of Santa Ana, officers, agents, employees, and volunteers are named as Additionally Insureds as respects to
<br />General Liability when required by written contract.
<br />General Liability policy shall be Primary and Non -Contributory with any other insurance in force for or which may be
<br />purchased by Additional Insureds when required by written contract.
<br />By RISK MANAGEMENT
<br />161020
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th FlooEI2AN I f R. VILLAREAL
<br />Santa Ana,, CA 92101
<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 />©1988-2016 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />Ss ID: 19513247 anme: 1650279
<br />
|