My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ELITE AUTOMOTIVE SERVICES LLC
Clerk
>
Contracts / Agreements
>
E
>
ELITE AUTOMOTIVE SERVICES LLC
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/21/2025 5:54:45 PM
Creation date
4/19/2024 11:02:09 AM
Metadata
Fields
Template:
Contracts
Company Name
ELITE AUTOMOTIVE SERVICES LLC
Contract #
A-2024-029-04
Agency
Public Works
Council Approval Date
2/20/2024
Expiration Date
2/20/2027
Insurance Exp Date
5/11/2026
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
30
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACOCERTIFICATE OF LIABILITY INSURANCE <br />DATE (YYW) <br />��- <br />07/23/2025R" <br />25 <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 endorsement(s). <br />PRODUCER <br />CONTACT Marsh Affinity <br />y <br />Marsh Affinity <br />PHONE <br />(A/C, o, Ext): 800-743-8130 FAX <br />No): <br />E-MAIL ADPTotalSource@marsh.com <br />ADDRESS: <br />a division of Marsh USA LLC. <br />PO BOX 14404 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC # <br />Des Moines, IA 50306-9686 <br />INSURER A: AIU Insurance Company <br />19399 <br />INSURED <br />INSURER B : <br />INSURER C : <br />ADP TotalSource FL XVI, Inc. <br />INSURER D: <br />5800 Windward Parkway <br />Alpharetta, GA 30005 <br />L/C/F: <br />INSURER E: <br />Elite Automotive Services LLC <br />INSURER F: <br />26801 Vista Terrace <br />LakeForest, CA 92630 <br />COVERAGES CERTIFICATE NUMBER: 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 />INSR <br />LTR <br />TYPEOFINSURANCE <br />ADDLSUBR <br />INSD <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYW) <br />POLICY EXP <br />(MM/DD/YYW) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE ❑OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PELT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESSLIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY Y/N <br />PER OTH- <br />X STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 2,000,000 <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICEA (Mandatory in NH) EXCLUDED? � <br />N/A <br />X <br />WC 063529822 CA <br />07/01/2025 <br />07/01/2026 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 2,000,000 <br />f yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />All worksite employees working for Elite Automotive Services LLC paid under ADP TOTALSOURCE, INC.'s <br />payroll, are covered under the above stated policy. Proprietor/Partner/Executive Officer/Member are <br />not excluded as long as they are in the ADPTS payroll or have completed the SEI Participation <br />Addendum. WAIVER OF SUBROGATION IN FAVOR OF CERTIFICATE HOLDER AS RESPECTS OF JOB PERFORMED BY Elite <br />Automotive Services LLC AS REQUIRED BY WRITTEN CONTRACT. <br />APPROVED <br />By Tu Tran Nguyen at 12:16 pm, Ju129,202 5 <br />rGOTlPlrnTG unl nGo rAKIrPI I ATlnNl <br />City of Santa Ana <br />c/o: PWA- Fleet <br />20 Civic Center Plaza M-11 <br />Santa Ana, CA 92701 <br />ACORD 25 (2016/03) <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 _1 .. - <br />© 1988-2015 ACORD CORPOFj( ION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.