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PMW PRODUCTIONS INC.
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Last modified
4/23/2021 4:19:27 PM
Creation date
10/22/2020 4:19:44 PM
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Contracts
Company Name
PMW PRODUCTIONS INC.
Contract #
A-2020-158-28
Agency
City Manager's Office
Expiration Date
12/31/2020
Insurance Exp Date
6/2/2021
Destruction Year
2025
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°►�� CERTIFICATE OF LIABILITY INSURANCE <br />FrancineR. Fr <br />Vill <br />DAM (MM/DD/riYY( y <br />10/21 /2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />HAYS COMPANIES INC/PHS <br />42620333 <br />NAME: <br />PHONE (866)467-8730 <br />(A/C, No, EA): <br />FAX (888)443-6112 <br />(A/C, No): <br />The Hartford Business Service Center <br />3600 Wiseman Blvd <br />E-MAIL <br />San Antonio, TX 78251 <br />ADDRESS'. <br />INSURER(S) AFFORDING COVERAGE NAIL# <br />INSURED <br />INSURERA: Sentinel Insurance Company Ltd. <br />11000 <br />PMW PRODUCTIONS INC <br />INSURER B: <br />20 SARATOGA <br />INSURER C: <br />NEWPORT BEACH CA 92660-6152 <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.NOTWITHSTAN DING 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY UP <br />LIMITS <br />I <br />INSR <br />MD <br />MM/DD/YYYY <br />MM/DD/YYYY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$2,000,000 <br />CI -AIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />$1,000,000 <br />PREMISES Ea occurrence <br />X <br />MED EXP (Any one person) <br />$10,000 <br />General Liability <br />A <br />X <br />X <br />42 SBM BV2340 <br />06/02/2020 <br />06/02/2021 <br />PERSONAL &ADV INJURY <br />$2,000,000 <br />GENUAGGREGATE LIMITAPPLIES PER <br />GENERAL AGGREGATE <br />$4,000,000 <br />POLICY ❑ ECT PROi LOD <br />PRODUCTS - COMP/OPAGG <br />$4,000,000 <br />OTHER'. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL 01 SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />HIRED NON-OVirtJED <br />PROPERTY DAMAGE <br />AUTOS AUTOS <br />(Per accident) <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />EXCESS LIAB <br />MADE <br />X <br />X <br />42 SBM BV2340 <br />06/02/2020 <br />06/02/2021 <br />AGGREGATE <br />$1,000,000 <br />DED <br />X <br />RETENTION$ 10,000 <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />ER <br />E.L. EACH ACCIDENT <br />ANY YIN <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E. L. DISEASE-EAEMPLOYEE <br />(Mandatory in III <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be altached'R more space is required) <br />Those usual to the Insured's Operations. Please see Additional Remarks Schedule Acord Form 101 attached. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />SANTA ANA CA 927DIA058 <br />U(�ilezi 1- i LG10 > <br />© 1988-2015 ACORD COR <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Rime Mallaganent Division <br />rREVIEWED &{APPR�O�V�m By., <br />o_llliJ _II.IPJ-z' rAs6HlM�e ram. U�RRE/t¢bl. <br />® Risk Management Analyst <br />
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