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LOS ANGELES SMSA LIMITED PARTNERSHIP (65)
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LOS ANGELES SMSA LIMITED PARTNERSHIP (65)
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Last modified
2/11/2021 1:08:50 PM
Creation date
2/11/2021 1:06:57 PM
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Contracts
Company Name
LOS ANGELES SMSA LIMITED PARTNERSHIP
Contract #
A-2020-047LLL
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 (CNTCTY_071)
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rranane K. Francine R Villareal <br />Villareal Date: 1020.09.02 <br />10:18:53-07'00' <br />ACORN <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MWDDPlYYY) <br />DBJ,lzozo <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 />CONTACT <br />NAME:PHONE <br />(gfi6) 283-7122 FAX (800) 363-0105 <br />(AID, No. EX): Me No.: <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />E-MAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA: National Union Fire Ins Co of Pittsburgh <br />19445 <br />Los Angeles SMSA LP <br />dba verizon Wireless <br />INSURER B: AIU Insurance Company <br />19399 <br />INSURER C: American Home Assurance Co. <br />19380 <br />1095 Avenue of the Americas <br />rvew York NY 10036 USA <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 5700837381356 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. Limits shown are as requested <br />INSR LTR <br />TYPE OF INSURANCE <br />INSO <br />VIVID <br />POLICY NUMBER <br />MMI00 <br />MMIDO <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />y <br />Y <br />GL <br />EACH OCCURRENCE <br />$2, 006_ 0 <br />CLAIMS -MADE ❑X OCCUR <br />PREMISES EaEoccu ante <br />$2, 000, 000 <br />X <br />MED EXP (Any one person) <br />$10, 000 <br />XCU Coverage is Included <br />PERSONAL a ADV INJURY <br />$2,000,000 <br />GENtAGGREGATE LIMITAPPLIES PER: <br />GENERALAGGREGATE <br />$5,000,000 <br />X POLICY ❑ PET LOC <br />PRODUCTS AGG <br />$5,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />CA 4594298 <br />AOS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />Ea ardident) <br />$1,000,000 <br />BODILY INJURY( Per person) <br />A <br />X ANYAUrO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />N <br />MA <br />CA 4594300 <br />VA <br />iSee Next Page <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />H <br />CLAIMSMADE <br />AGGREGATE <br />DED <br />RETENTION <br />B <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYIERS' LIABILITY YIN <br />ANY PROPRIETOR I PARTNER, EXECUTIVE <br />OFFICER'MEMBER EXCLUDED' <br />(Mandatory in NH) <br />NIA <br />wc04S886576 <br />ADS <br />wC045886575 <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X PER STATUTE I <br />JOT.- <br />ER <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />EL. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if 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 />`D <br />c <br />0 <br />V <br />�O <br />O <br />2 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE J <br />POLICY PROVISIONS. <br />City of Santa Ana AUTHORIZED REPRESENTATIVE <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92701 USA eC/1/ <br />Rb{L Mouge ux[Divisim <br />©1988-2015 ACORD CO Re EWErf 6 APPRav®8r. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ,u+ F'I+ i" Z VA4,&J <br />® RnRManagemern Malys' <br />
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