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ADR SERVICES, INC. (2)
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ADR SERVICES, INC. (2)
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Last modified
5/23/2023 8:41:09 AM
Creation date
6/30/2022 3:16:47 PM
Metadata
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Template:
Contracts
Company Name
ADR SERVICES, INC.
Contract #
N-2022-181
Agency
Planning & Building
Expiration Date
6/21/2023
Destruction Year
2027
Notes
For Insurance Exp. Date see Notice of Compliance
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O CERTIFICATE OF LIABILITY INSURANCE <br />OgrB/21202YrvY) <br />lk.. _ <br />V AccNl: 2893683 <br />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 />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 />Lockton Companies, LLC <br />3657 Briarpark Dr., Suite 700 <br />Houston, TX 77042 <br />CONTACT g88-828-8365 <br />NAME: <br />PHONE FAX <br />A/C Ho <br />aoralLSS: <br />INSURE S AFFORDINGCOVERAGE <br />NAICN <br />INSURER A: Ace American Insurance Co. <br />22667 <br />INSURED <br />AOR SERVICES, INC. <br />INSURER B : <br />INSURER C <br />1900 AVENUE OF THE STARS STE 200 <br />LOS ANGELES, CA 900674303 <br />INSURER 0 <br />INSURER E : <br />INSURER F : <br />`14 A!11;11021i i= <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />Cl-AIMS-MADE-MADE OCCUR <br />EACH OCCURRENCE <br />$ <br />DRENTED <br />AMAGET <br />PREMISES Ma occurrence). <br />$ <br />MED EXP(My me person) <br />$ <br />PERSONAL& ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCT& - COMPlOP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />- <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO - <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />7 <br />PROPERTY DAMAGE <br />Peractl <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />S <br />. <br />• <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? El <br />iMandatary In NH) <br />If yes, describe under <br />NIA <br />C70212699 <br />10/1/2021 <br />10/1/2022 <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 7,000,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,00g000 <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, Additional Remarks Schedule, may be attached Ifmom space Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />CITY OF SANTA ANA AUTHORIZED REPRESENTATIVP <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92702 10a)rMulagenindDMabrt <br />," �µ°t.. <br />ry .;:1 REVIEV/ED6 APPROVED BY. <br />©1988-2014 ACORD '-!—T�' Risk Management specialist <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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