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Last modified
4/12/2022 10:36:33 AM
Creation date
1/28/2022 4:26:22 PM
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Template:
Contracts
Company Name
AMERICANS FOR THE ARTS
Contract #
N-2022-025
Agency
Community Development
Insurance Exp Date
4/6/2023
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Tori Pierson og'e:20 01261L5424e0'00' <br />ACU �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMz02) <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. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). <br />PRODUCER <br />CONTACT Diane Bamiem <br />NAME: <br />AssuredPartners of New Jersey LLC <br />PHONE (732) 574-8000 F^X (732) 574-8001 <br />A/C No E,d: A/C No: <br />20 Commerce Drivel Suite 200 <br />-MAIL Diane.Barriero@assuredpartners.com <br />ADORES: <br />INSURERS AFFORDING COVERAGE <br />NAIC 0 <br />Cranford NJ 07016 <br />IN$URERA: Massachusetts Bay Insurance Co <br />22306 <br />INSURED <br />INSURER B: Hanover Insurance Company <br />22292 <br />Americans For The Arts <br />INSURERC: Harford Mutual Insurance Company <br />14141 <br />1000 Vermont Avenue NW <br />INSURER D : <br />6th Floor <br />INSURER E <br />Washington DC 20005 <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL2142733635 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />Um <br />TYPE OF INSURANCE <br />AUULhUBR <br />INSD <br />We <br />POLICYNUMBER <br />POLICYIEFF <br />MMIDDIYYYY <br />POLICYEXP <br />MMIDDIYYYY <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS.MAOE 19 OCCUR <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES Ea occummce <br />$ 100,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL$ADV INJURY <br />$ 1,000,000 <br />A <br />Y <br />ZDY 906496311 <br />04/06/2021 <br />04/06/2022 <br />GENLAGGREGATE LIMITAPPLIES PER: <br />POLICY JEQ [g LOC <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OPAGG <br />$ Included <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000.000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />I{ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ZDY 906496311 <br />04/06/2021 <br />04/06/2022 <br />BODILY INJURY (Per accident) <br />$ <br />x <br />HIRED NON -OWNED <br />AUTOS ONLY H AUTOS ONLY <br />PROPERTY DAMAGE <br />Peraccident <br />$ <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000.000 <br />B <br />Ezcess LIAB <br />CLAIMS -MADE <br />Y <br />UHY D56416904 <br />04/06/2021 <br />04/06/2022 <br />DED <br />X RETENTION $ 0 <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YINSTATUTE <br />ANY PROPRIETORMARTNEWEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? El (Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />Y <br />10 WEC ALOWID <br />04/O6/2021 <br />0410fiI2022 <br />PER I I OTH- <br />Eft <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />Cityof Santa Ana, its officers, employees, agents, and representatives are Included as Additional Insured where required by written contract as respects <br />General Liability and Umbrella Liability, per the attached endorsements subject to the policies'tenns, conditions, and exclusions. General Liability coverage <br />is provided on a primary and non contributory basis. A Waiver of Subrogation applies to the Workers Compensation coverage. 30 Days Notice of <br />Cancellation, except 10 days for Non -Payment of Premium applies <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />CA 92702 I ,J / <br />W ' Rb4Mmigg ernmlwtlnn <br />©1988.2015 ACORD COE k <br />e <br />The ACORD name and logo are registered marks of ACORD 7au pcatdrt <br />Rbk Managemmr Umml Pide <br />
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