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HURLEY, PATRICK
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HURLEY, PATRICK
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Last modified
7/29/2024 9:31:58 AM
Creation date
5/3/2024 11:34:32 AM
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Contracts
Company Name
HURLEY, PATRICK
Contract #
N-2024-149
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2025
Insurance Exp Date
1/1/2025
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�AW CERTIFICATE OF LIABILITY INSURANCE <br />DATE(YYYY) <br />08/15/20232023 <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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terns 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 />BIBERK <br />P.O. Box 113247 <br />Stamford, CT 06911 <br />CAMT VT <br />E <br />PHo a ,844-472.0967 PAX 203-654-3613 <br />NC No <br />SNAIL customerservice@biBERK.com <br />INSURER ($) AFFORDING COVERAGE <br />NAI00 <br />INSURER A: Berkshire Hathaway Direct Insurance Company <br />10391 <br />INSUREC <br />Pat Hurley <br />INSURER M: <br />INSURER C: <br />INSURER D: <br />14920 Minnoola Ct <br />Tustin, CA 92780 <br />INSURER E: <br />INSUR P: <br />COVERAGES CERTIFICATE NUMBER: REVISION NDMRERz <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />[NOR <br />TYPEOFINSURANCE <br />DADL <br />SUER <br />POLIOYNUMBER <br />9— <br />POLICYPF <br />POLICY EXP <br />LIMITS <br />COMMERCIALGENERAL LIABILITY <br />CLAIMSMAOE ❑OCCUR <br />EACH OCCURRENCE <br />PREMISES Ea pour a as <br />$ <br />MED EXP(Arry one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENU AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ j LOC <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OP AGO <br />$ <br />$ <br />OTHER: <br />AUTOMOOILELIABILITY <br />COMUINEDSINGLELIMrr <br />Fa amlden _ <br />$ <br />ANY AUTO <br />BODILY INJURY(Par Person) <br />$ <br />OWNED SCHk-nULEU <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOB ONLY AUTOS ONLY <br />BODILY INJURY(Paraorldra) <br />$ <br />PRCPERWDAMAOE <br />er eccldenD <br />$ <br />UMSRELLALIAS <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS-MADe <br />D R TON $ <br />$ <br />WCRRERSOOMPENSATIONTTUTE <br />EMPLOYERS'LIABILITY YIN <br />ANWROPRIET05WARTNEPIEXECU11VE <br />CPPICERIMEMBER EXCLUGEIYf <br />(Mandatory In NH) <br />If you dsealbe under <br />DCMIPTION OF OPERATIONS below <br />NIA <br />- 'ER' <br />E.LEACHACCIDENT <br />$ <br />RL. DISEASE. EA EMPLOYEE <br />$ <br />EL DISEASE. POLICY LIMIT <br />— <br />$ <br />A <br />Profe5slonal Liability (Errors & <br />Omissions): Claims -Made <br />rxt <br />X <br />N9PL761342 <br />09/01/2,023 <br />09/01/2024 <br />Per Occurrence/ <br />Aggregate <br />$1,000,0001 <br />$1,000,000 <br />Clty oflSanta Ana i$Rllsted as additional IInnlsured as It pertains to professio„al liability (seattached <br />endorsement attachetdd))a) <br />A Waiver of Subrogation is Included on the Professional Liability (E&O) pollcyinfavorof Cityof Santa Ana (see endorsement attached) <br />This policy is primary as to losses It covers, and the Insurer will not seek contribution If there is a written agreement between the insured and the certificate <br />6 I <br />Sexual Molestation Is Included On the professional Ilabllity limits at $250,000 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana. <br />THE EXPIRATION DATE THEREOF, NOTICE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />WILL BE DELIVERED IN <br />Risk Management division <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE In <br />Santa Ana, CA 92702 <br />;" _.� <br />.60,, <br />0 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD <br />
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