URM TECHNOLOGIES - Laserfiche WebLink

Home Browse Search

Francine R. Villareal Digitally signed by Francine R.Villa real Date: 2021.02.1015:20:13-08'00' ACoR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/05/2021 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 policy(ies) 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 CONTACT Esther Cam os NAME: p Rene Williams Agency A CC No Ext : ONE310 317 4433 FAX No): E-MADDRESS: Rwilliams@farmersagent.com 22837 Pacific Coast Hwy Ste D INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: ATAIN SPECIALTY INSURANCE COMPANY Malibu CA 90265-5841 INSURED INSURERB: MID CENTURY EXCHANGE INSURERC : MARKEL AMERICAN INSURANCE COMPANY URM Technologies Inc. DBA United Records Management Inc. INSURER D: LLOYDS OF LONDON INSURANCE Data Microimaging Company Portashred INSURER E : 4961 Capital Road INSURER F : Shafter CA 93263 COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE �X OCCUR DAMAGE TO RENTED EMISES Ea PRoccurrence $ 100,000 X MED EXP (Any one person) $ 5,000 CONTRACTUAL LIABILITY PERSONAL & ADV INJURY $ NOTINCLUDED A Y Y BWPF0002451 02/01/2021 02/01/2022 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY PRO LOC El JECT X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED X SCHEDULED AUTOS ONLY AUTOS Y Y 094299431 02/01/2021 02/01/2022 X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X AGGREGATE $ 3,000,000 C EXCESS LAB CLAIMS -MADE N N EZXS3042890 02/01/2021 02/01/2022 DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ PROFESSIONAL LIABILITY PER CLAIM $1,000,000 D N N PGIARK07476 06/28/2020 06/28/2021 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate Holder is a additional insured under this policy. City of Santa Ana its officers, employees, agents, volunteers and representatives 20 Civic Center Plaza 4th Floor Santa Ana, Ca 92701 Cancellation notices are mailed 30 days prior Non pay cancellations mailed 10 days prior CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ca 92701 A HORIZED REPRESENTATIVE ��r w ,AMwagmerttDiVisiun REVIEWED & APPROVED BY: @ 1988-2015 ACORD C The ACORD name and logo are registered marks of ACORD _ _ Risk Management Analyst