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LOS ANGELES SMSA LIMITED PARTNERSHIP (38)
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LOS ANGELES SMSA LIMITED PARTNERSHIP (38)
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Last modified
3/26/2024 11:22:31 AM
Creation date
11/12/2020 8:28:46 AM
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Contracts
Company Name
LOS ANGELES SMSA LIMITED PARTNERSHIP
Contract #
A-2020-047CC
Agency
Public Works
Council Approval Date
3/17/2020
Destruction Year
2035
Notes
LICENSED AREA (ANTPRK_855)
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rrancjne K. FrancineR Villareal <br />Date: 2020.09.02 <br />Villareal <br />10:18:53-07'00' <br />A _ R_ CERTIFICATE OF LIABILITY INSURANCE <br />OAT OW3i/2D/YYVY) <br />0M /DDVY <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 endomement(s). <br />PRODUCER <br />Ann Risk services Northeast, Inc. <br />New York NY Office <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />CONTACT <br />NAME: <br />PHONE 283-7122 <br />(Al.. No. ExO: (866) FNAXC. Na o C800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />INSURER A: National Union Fire Ins co_Of Pittsburgh <br />19445 <br />LOS Angeles SMSA LP <br />dba verizon wireless <br />INSURER B: AID 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 />INSURER E: <br />NSURER F: <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 />EXCLUSIONSAND 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 />INSO <br />WVD <br />POLICY NUMBER <br />MMIOD EF <br />MMIDD`Y1YY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />GL17 <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS -MADE ❑X OCCUR <br />MA ETO <br />PREMISES Ea omuoence <br />$2, 000,000 <br />X <br />MED EXP (Any one person) <br />$10, 000 <br />XCU Coverage is Included <br />PERSONAL B ADV INJURY <br />$2,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO, El JECT 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 accitlent <br />S1,000,000 <br />BODILY INJURY (Per Person) <br />A <br />X ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />NIRED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />MA <br />CA 4594300 <br />VA <br />06/30/2020 <br />06/30/2021 <br />BODILY INJURY (Par accident) <br />PROPERTY DAMAGE <br />Par accident <br />A <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLA LIAR <br />H <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMSMADE <br />AGGREGATE <br />DED <br />RETENTION <br />B <br />DANY <br />WORKERSCOMPENSATIONAND <br />EMPLOYERS' LIABILITY YIN <br />PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICERWEMSER EXCLUDED?NIA <br />WC045886576 <br />ADS <br />WC045886575 <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X <br />PER STATUTE <br />OTH- <br />E <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, desonce under <br />CA <br />E.L. DISEASE POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addkional Remarks Schedule, may be attached R 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 />CERTIFICATE HOLDER CANCELLATION <br />N <br />od <br />m <br />n <br />o <br />o <br />N <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS, <br />City Of Santa Ana AUTHORIZED REPRESENTATIVE I <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana en 92701 USA er�Gl/a/n <br />_ 3... RAMmaaBea od Diaision <br />©1988-2015 ACORD CO M REVrWEn6PRc VEO8Y: <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD �it���. " F'1�Lw:*t �. �L(,�cua� <br />�` Ruk Management Analyst <br />
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