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DESMOND, MARCELLO & AMSTER, LLC
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Last modified
7/1/2022 9:53:44 AM
Creation date
7/1/2022 9:51:18 AM
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Contracts
Company Name
DESMOND, MARCELLO & AMSTER, LLC
Contract #
A-2022-077-06
Agency
Public Works
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Insurance Exp Date
8/15/2022
Destruction Year
2030
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />GATE mmiDomw) <br />06116/2022 <br />THIvRTIFICATE 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 />DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />BELOW. THIS CERTIFICATE OF INSURANCE <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />INSURED, the must have ADDITIONAL INSURED provisions or be endorsed. <br />IMPORTANT: If the certificate holder is an ADDITIONAL policy(ies) <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 endorsement(s). <br />CONTACT Justworks Customer Success <br />NAME: <br />PRODUCER <br />Doug Jones (Justworks) <br />p/ NN Ex (888) 534-1711 1 A/C Rol, <br />p'DMAIL : support@justworks.com <br />DRESS <br />c/o Artex Risk Solutions, Inc. <br />P.O. Box 13838 <br />Scottsdale, AZ 85267 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURERA: American Zurich Insurance Company <br />40142 <br />INSURED <br />Justworks Employment Group LLC Labor Contractor, for co -employees of Desmond, <br />INSURER B: <br />INSURER C: <br />Marcella & Amster, LLC <br />PO Box 7119 Church Street Station <br />W su RER D <br />INSURER E: <br />New York, NY 10008-7119 <br />INSURER F : <br />raanvn. <br />COVERAGES ChKLJI-16AIC —'------------ - <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />EXCLUSIONS <br />INSR ADDLSUBR POLICY EFF POLICY EXP <br />POLICY NUMBER MM/ODIYYYY MM/DOIYYYY <br />LIMITS <br />LTR TYPED P INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />C:LAIMS-M.ADE0 OCCUR <br />D AGETO RENTED <br />PREMISES Ea occurrence $ <br />MED EXP (Any one parson) $ <br />PERSONAL& ADV INJURY $ <br />GENERALAGGREGATE $ <br />GEN'LAGGREGATE LIMB APPLIES PER: <br />JEC LOC <br />PRODUCTS - COMP/OP AGG $ <br />POLICY <br />OTHER: <br />COMBINED SINGLE LIMIT $ <br />AUTOMOBILE LIABILITY <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />BODILY INJURY(Per accident) $ <br />AUTOS ONLY AUTOS <br />PROPERTYDAMAGE $ <br />HIRED NON -OWNED <br />Per-ml -nt <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACHOCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE <br />$ <br />DED RETENTION$ <br />OT <br />X STATUTE ERN <br />WORKERS COMPENSATION <br />E.L. EACH ACCIDENT <br />$ 2,000000 <br />AND EMPLOYERS'LIABILITY YIN <br />ANYPROPR IFrORPARTNEWEXECUTIVE <br />NIA <br />WC 49-71-032-03 <br />06/0112022 <br />O60 <br />A <br />OFFICERIMEMBEREXCLUDED? <br />E.L. DISEASE -EA EMPLOYEE <br />A 2,000,000 <br />(Mandatory in NH) <br />If Y. describe under <br />E.L DISEASE - POLICY LIMB $ 2,000,000 <br />DESCRIPTION OF OPERATIONS below <br />Location Coverage Period: <br />06/01/2022 <br />06/01/2023 <br />Client# 53146-CA <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Desmond, Marcello & Amster, LLC <br />Coverage is provided for 222 PACIFIC COAST HIGHWAY 10th Floor <br />only those co -employees El Segundo, CA 90245 <br />9 <br />of, but not subcontractors <br />to: <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBE <br />THE EXPIRATION DATE THE <br />REOF,n <br />ACCORDANCE WITH THE POLICY PROVI.y�py®Rf; <br />/�:a�ei�x��rnn� iari f�ineorc <br />AUTHORIZED REPRESENTATIVE `--R6kbNm9eme»r Clmeilnide <br />n 19SR-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) <br />The ACORD name and Joao are registered marks of ACORD <br />
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