My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ADR SERVICES, INC.
Clerk
>
Contracts / Agreements
>
A
>
ADR SERVICES, INC.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/16/2022 10:12:50 AM
Creation date
3/1/2022 3:01:45 PM
Metadata
Fields
Template:
Contracts
Company Name
ADR SERVICES, INC.
Contract #
N-2022-051
Agency
Planning & Building
Expiration Date
5/22/2022
Insurance Exp Date
8/30/2022
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
40
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />2893683 3/2/2022 <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 />CONTACT <br />PRODUCER <br />888-828-8365 <br />NAME: <br />Lockton Companies, LLC <br />FAX <br />PHONE <br />(A/C, No): <br />(A/C, No, Ext): <br />3657 Briarpark Dr., Suite 700 <br />E-MAIL <br />ADDRESS: <br />Houston, TX 77042 <br />INSURER(S) AFFORDING COVERAGENAIC # <br />22667 <br />Ace American Insurance Co. <br />INSURER A : <br />INSURED <br />INSURER B : <br />ADR SERVICES, INC. <br />1900 AVENUE OF THE STARS STE 200 INSURER C : <br />LOS ANGELES, CA 90067-4303 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER: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. <br />ADDLSUBR <br />INSRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCELIMITS <br />POLICY NUMBER <br />LTR(MM/DD/YYYY)(MM/DD/YYYY) <br />INSDWVD <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE$ <br />DAMAGE TO RENTED <br />CLAIMS-MADEOCCUR$ <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person)$ <br />PERSONAL & ADV INJURY$ <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />PRO- <br />POLICYLOCPRODUCTS - COMP/OP AGG$ <br />JECT <br />$ <br />OTHER: <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY$ <br />(Ea accident) <br />BODILY INJURY (Per person)$ <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />BODILY INJURY (Per accident)$ <br />AUTOSAUTOS <br />NON-OWNED <br />PROPERTY DAMAGE <br />$ <br />HIRED AUTOS <br />(Per accident) <br />AUTOS <br />$ <br />UMBRELLA LIAB <br />EACH OCCURRENCE$ <br />OCCUR <br />EXCESS LIAB <br />CLAIMS-MADEAGGREGATE$ <br />$ <br />DEDRETENTION$ <br />PEROTH- <br />WORKERS COMPENSATION <br />X <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br /> 1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />AC7021269910/1/202110/1/2022 <br />OFFICER/MEMBER EXCLUDED? <br /> 1,000,000 <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br /> 1,000,000 <br />E.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />INACCORDANCE WITH THE POLICY PROVISIONS. <br />CITY OF SANTA ANA <br />AUTHORIZED REPRESENTATIVE <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 <br />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 25 (201/0) <br />
The URL can be used to link to this page
Your browser does not support the video tag.