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LOS ANGELES SMSA LIMITED PARTNERSHIP (16)
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LOS ANGELES SMSA LIMITED PARTNERSHIP (16)
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Entry Properties
Last modified
11/10/2020 3:34:23 PM
Creation date
11/10/2020 3:32:56 PM
Metadata
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Contracts
Company Name
LOS ANGELES SMSA LIMITED PARTNERSHIP
Contract #
A-2020-047K
Agency
Public Works
Council Approval Date
3/17/2020
Expiration Date
3/31/2030
Insurance Exp Date
6/30/2021
Destruction Year
2035
Notes
LICENSED AREA (HENPRK_199)
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rranane K. Francine R.-Villareal <br />Date: 2020.09.02 <br />Villareal <br />10:1 B:53-07'00' <br />'� CERTIFICATE OF LIABILITY INSURANCE <br />°ATE081331=0 Y) <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NY Office <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />CONTACT <br />NAME: <br />(AIc No. Ext): (866) 283-7122 FAX (800) 363-0105 <br />EMAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURERISI AFFORDING COVERAGE <br />NAIC Al <br />INSURED <br />LOS Angeles SMSA LP <br />dba Verizon wireless <br />INSURER A: National Union Fire Ins CO of Pittsburgh <br />19445 <br />INSURERB: AIU Insurance Company <br />19399 <br />INSURER C: American Home Assurance Co. <br />19380 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />INRER E: <br />INSURERSUF: <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. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />VND <br />POLICY NUMBER <br />POLICYYYY <br />MMIDYDI4YYY <br />LlMlts <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />Y <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />AMA RENTS <br />PREMISES Ea occurrence <br />$2,000,000 <br />X <br />MED EXP (Any one person) <br />$10, 000 <br />XCU Coverage is Included <br />PERSONAL& ADV INJURY <br />$2,000,000 <br />GENIAGGREGATE LIMITAPPLIES PER: <br />❑JECTPRP ❑ <br />% POLICY ROr LOG <br />GENERALAGGREGATE <br />$5,000,000 <br />PRODUCTS -COMPIOPAGG <br />$5,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 4594298 <br />ADS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY( Per person) <br />A <br />ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIREDAUTDS NON -OWNED <br />ONLY AUTOS ONLY <br />MA <br />CA 4594300 <br />VA <br />06/30/2020 <br />06/30/2021 <br />BODILY INJURY (Per amident) <br />PROPERTY DAMAGE <br />Par eccitlent <br />A <br />'I <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS UAB 11 <br />CLAIMS -MADE <br />AGGREGATE <br />DED <br />RETENTION <br />B <br />0 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICERA EMBER EXCLUDED? <br />(Mandatory m NH) <br />It yes. describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WC045886576 <br />A06 <br />WC045886575 <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X PERSTATUTE <br />I <br />OTH- <br />ER <br />E.L.EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />EL.DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached a more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana, its council members, <br />officers and employees are included as Additional Insured with respect to the General Liability policy. The General Liability <br />policy shall apply as Primary and Non -Contributory insurance to each Additional Insured listed herein. where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees <br />listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy <br />and, as further limited by written contract between the parties. <br />`m <br />CERTIFICATE HOLDER CANCELLATION <br />-' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE J <br />POLICY PROVISIONS. <br />City Of eAnd AUTHORIZED REPRESENTATIVE <br />2- <br />Risk management <br />nt Division AUT- <br />0 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 USA <br />IQCM <br />RiskMuugormlt Division <br />©1988-2015 ACORD COS REVIEWED &APPROV®Or. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD o',,. �M1f F',• F�L�ac:*t �.. �:.�.cu� <br />RMX Management Analyst <br />
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