|
L Dlgltally signed byTorl
<br />y
<br />TOYI PI2YSOPlcnon
<br />(1'Dete: 2022D6.0912:43:12 Page 1 of 2
<br />CERTIFICATE OF LIABILITY INSURANCE q eD
<br />DATE (M
<br />05/31/20YYY)
<br />/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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<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 endorsements .
<br />PRODUCER
<br />Willis Towers Watson Northeast, Inc.
<br />c/o 26 Century Blvd
<br />P.O. Box 305191
<br />CONTACT
<br />NAME:
<br />Willis TOwera Watson Certificate Center
<br />PHONE
<br />FAX
<br />1-877-945-7378 1-888-467-2378
<br />No;
<br />E-MAIL certificatas8willia.com
<br />ADDRESS:
<br />INSURERS AFFORDING COVERAGE
<br />NAIC0
<br />Nashville, TN 372305191 USA
<br />INSURER A: Great Northern Insurance Company
<br />20303
<br />INSURED
<br />Language Line solutions, Inc.
<br />attn: Turie Cavaliere
<br />INSURER B: Federal Insurance Company
<br />20281
<br />INSURER C: Vigilant Insurance Company
<br />20397
<br />INSURER D: Westchester Surplus Lines Insurance Compan
<br />10172
<br />One Lower Ragsdale Drive
<br />Building 2
<br />Monterey, CA 93940
<br />INSURER E:
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER: WZ4945676 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 />IN,SR
<br />TYPE OF INSURANCE
<br />ADDLSUBR
<br />POLICYNUMBER
<br />POLICY EFF
<br />flMMIDDfyyYY1
<br />POLICY EXP
<br />fiMMIDPrYNYYiLIMITS
<br />X
<br />COMMERCIALGENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />CLAIMS -MADE %�I OCCUR
<br />GE 0 HENTED
<br />PREMISES Ea occurrence
<br />$ 1,000,000
<br />MED EXP (Any one parson)
<br />$ 10,000
<br />A
<br />y
<br />3595-61-78
<br />06/01/2022
<br />06/01/2023
<br />PERSONAL&ADV INJURY
<br />$ 1,000,000
<br />GENT AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 20000FOOO
<br />X POLICY PRO-
<br />JECT ❑ LOC
<br />PRODUCTS - COMP/OP AGG
<br />$ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILELIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />ANYAUTO
<br />B
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />(22)7357-61-09
<br />06/01/2022
<br />06/01/2023
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />HIRED X NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />PROPERTYDAMAGE
<br />Per accident
<br />$
<br />$
<br />e
<br />X
<br />UMBRELLALIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,000
<br />AGGREGATE
<br />$ 5,000,000
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />7987-71-21
<br />06/01/2022
<br />06/01/2023
<br />DED I1
<br />1
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANYPROPRIETORJPARTNEWEXECUTIVE YIN
<br />OFFICERIMEMBEREXCLUDEDT
<br />(Mandatory In NH)
<br />NIA
<br />(23) 7174-35-69
<br />O6/Ol/2022
<br />O6/Ol/2023
<br />X STATUTE ERH
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000, 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1, 000, 000
<br />D
<br />Errors & Omissions
<br />G21654711 020
<br />06/01/2022
<br />06/01/2023
<br />Each Claim
<br />$10,000,000
<br />Aggregate
<br />$10,000,000
<br />Retention
<br />$100,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
<br />Professional Liability coverage includes coverage for contingent bodily injury, property damage and wrongful acts such
<br />as the disclosure of confidential information. Coverage is true worldwide.
<br />The City of Santa Ana, its officers, officials, employees, and volunteers are included as Additional Insureds as
<br />respects to General Liability.
<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 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 />..- 6
<br />©1988.2016 ACORD
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />sR 1e, 22634270 eATca, 2544225
<br />
|