PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY

Home Browse Search

Digitally signed by Francine R. Francine R. Villareal Villareal A� isCERTIFICATE OF LIABILITY INSURANCE OATS 08/0412021 YYYY 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(les) 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 Marsh USA, Inc. 1166 Avenue of the Americas CONTACT NAME, PHONE AX , END. AllNo: E-MaL ADDRESS, New York, NY 10036 Attn: NmYork.Cens@marsh.com Fax: 212-940500 INSURERS AFFORDING COVERAGE NAICM INSURERA: Travelers Property Casualty Company of America 25674 INSURED PRUDENTIAL FINANCIAL INC. INSURER B: Endurance Assurance corporation 11551 INSURER C 655 BROAD STREET NEWARK, NJ 07102 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-011164643.01 REVISION NUMBER: 1 THIS 15 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 OF INSURANCE ADDLSUTYPE J=rerBR POLICYNUMBER MM/DDYmEFYFY MM/DDYEJ(P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR TC2J-GLSA-8045X417-TIL-21 01/0112021 01/01/2022 URRENCE $ 2,000,000 O RENTED Ea occurrence $ 2,OOD,000 Any one person) $ 5,000 VAGFOREN &ADV INJURY $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: POLICY PEo- LOC OTHER: GGREGATE $ 4,000,000 -COMP/OP AGG S 4,000.000 $ A AUTOMOBILELIABILITY A1NY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY TC2JCAP-8045X045-TIL-21 0110112021 01/0112022 SINGLE LIMIT Ea acddenl $ 2,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE GUF30000914002 01/0112021 01/0112022 EACH OCCURRENCE $ 5.000,000 N AGGREGATE $ 5,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS- LIABILITY YIN ANYPROPRIEFORIPARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER OH - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, ifs officers, employees, agents, and representative are included as additional insured where required by written contract. City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 9=- ©1988.2016 ACORD C ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Msnsgmlmt Division REoEwED & APPROVEDBr 17071111 Risk Management Analyst rc0