CANNON - Laserfiche WebLink

Home Browse Search

Digit Tori Tori Pierson Datea2102 DJRb11:03:3e ACORO® CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDDIYYYY) 1 7/6/2022 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(ies) 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 AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 CONTACT NAME: Brlltlni AlbertPHONE FAX ac Na: ADORESs: Bdtlini.Alberty@AssuredPartners.com INSURERS AFFORDING COVERAGE NAIL# INSURERA: Continental Insurance Company 35289 License#: 6003745 INSURED CANNCOR-02 Cannon Corporation 1050 Southwood Drive INSURERS: Valley Fore Insurance Company 20508 INSURERC: Beazley Insurance Company Inc 37540 INsuRER D: HARTFORD INSURANCE COMPANY 38288 San Luis Obispo CA 93401 NSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 2021888608 REVISION NIIMRFR- THIS IS 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. ILTR TYPE OF INSURANCE ADOL 1111511.1118MPOLICY SUBR NUMBER POLICY EFF MMIDOIYYYY POLICYEXP MWeI LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y Y 6079204724 9/l/2021 9/1/2022 EACH OCCURRENCE $1.000.000 DAMAGE TO RENTED PREMISES Ea occurrence $500,000 X MED EXP (Any one person) $15,000 Contractual Liab Included PERSONALS ADV INJURY $1.000,000 AGGREGATE LIMIT APPLIES PER: POLICY PEa LOG GENERALAGGREGATE $2,D00,000 GEN'L PRODUCTS-COMP/OP AGO $2,000,000 8 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ao kleo $ BODILY INJURY (Par person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident) ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR Y Y 6079210751 9/1/2021 9/12022 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DEO X RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y 17VIEOLBHIH 9/1/2021 911,2022 X I STATUTE ERH E.L. EACH ACCIDENT $1.000.000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1.000,000 (Mandatary in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1.000,000 DESCRIPTION OF OPERATIONS below C Professional Liability V27737210301 9/12021 9/1/2022 Per Claim $2,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) Umbrella Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. RE: Well 29 Rehabilitation Improvements Construction Management and Inspection Services RFP No. 21-135 City of Santa Ana, its officers, employees, agents and representatives are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. General Liability and Auto Liability are Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached. 30 Days Notice of Cancellation Umbrella (or Excess) Liability policy is a follow -farm to underlying General Liability/Auto Liability/Employers Liability. City of Santa Ana Risk Management Division 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. AUTHORIZED REPRESENTATIVE a' ,b Rhk Me,egaaed ONWm REvO:V.TD 6 APPROV® BY: Cf'n.{t.i gtat..e 4'aa�-- { ' %au �ienaaa 010111_2016 ACr1Rn rr Iesk Mam,9 ecr rCmal Aide q V ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD