Laserfiche WebLink
.4 CERTIFICATE OF LIABILITY <br />0 <br />DATE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS <br />UPON THE C.QT ICATE �HHOLIDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND R ALJ%R <br />ES <br />REPRESENTATIVE OR PRODUCER, INSURANCEBELOW. THIS CERTIFICATE OF D THE CERTIFICATE CATTE HNOT OLDER. <br />A CONTORAC 7WE�Li NF, IN, UREte- AUTHORIZED <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSI AED pr—'_:_ r De ..,domed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain p Icies may require .tn endor2 KA04v�r lit on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement A-ta. <br />Inc. <br />COVERAGES CERTIFICATE NUMRFRr RFVI31nm 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 />INSR <br />TYPE OF INSURANCE <br />DDL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FA] OCCUR <br />Deductible $0 <br />X <br />72UUNOK7437 <br />04/01/2022 <br />04/0112023 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />(Fa occurrence) <br />300,00PREMISES <br />$ <br />MED EXP (My onePerson) <br />53000 <br />PERSONAL& ADV INJURY <br />S 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY �X JECT �X LOC <br />OTHER: <br />GENERAL AGGREGATE <br />2,000,000 <br />PRODUCTS - COMP/OP AGG <br />2,000,000 <br />Emit Ben. <br />0 <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />W E <br />AUTOS ONLY X AUTOSONL� <br />72UENOL9302 <br />04/01/2022 <br />04/0112023 <br />COMBINEDSINGLE LIMIT <br />11000,000 <br />BODILY INJURY Per Person) <br />$ <br />BODILY INJURY Per accident <br />$ <br />X <br />PROPER 9^DAMAGE <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />72HHUOK7438 <br />04/0112022 <br />04/01/2023 <br />EACH OCCURRENCE <br />2,000,000 <br />AGGREGATE <br />2,000,000 <br />DEO RETENTION$ 0 <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN <br />FFICERIMEMBER EXCLUDED? <br />Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />X <br />ON1187201 <br />1011112021 <br />10111/2022 <br />X PER OTH- <br />E.L. EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />E.L. DISEASE - POLICY LIMB <br />1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Project: Right of Way and Median Landscape Maintenance Services RFP#19-016 <br />*** See Holder Notes attached for additional information **** <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) <br />CITSAN3 <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 />© 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />REvlE 6APPROVED Br. <br />A,1U Aav44 <br />Risk Management Speomint <br />