Laserfiche WebLink
A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(18/20MMMD� <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. <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 certificlde Ider.i li of such endo s men s . <br />PRODUCER <br />Arthur J. Gallagher Risk Management Service LL. ,,1 <br />0 VoazAr..i5baAC2V2CI0 <br />a <br />ve O Date. LOG <br />ie <br />A r I <br />PHONE FAX <br />312.803.6338 aC No: <br />EMAIL <br />A s amber c3.633 a' .com <br />N U FORDING COVERAGE <br />NAIC# <br />INSURER A: Starr Surplus Lines Insurance Company <br />13604 <br />I I <br />0700MLENVWI <br />_ <br />INSURED <br />All Environmental, Inc. <br />2500 Camino Diablo <br />INSURER B: Starr Indemnity & Liability Company <br />38318 <br />INSURER C: <br />INSURER D: <br />Walnut Creek, CA 94597-3998 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 272291806 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 />TYPE OF INSURANCE <br />ADDLSUBR <br />1111111 <br />Wi <br />POLICYNUMBER <br />POLICY EFF <br />MM/DDM <br />POLICY EXP <br />MWDD/YYYY <br />LIMBS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />Y <br />1000065986231 <br />9/14/2023 <br />9/14/2024 <br />EACH OCCURRENCE <br />$2,000,000 <br />CLAIMS-MADErx] OCCUR <br />TO <br />PREMI ES(RENTED <br />PREMISES Ea occurrence) <br />$300,000 <br />X <br />MED EXP (My one person) <br />$ 25.000 <br />Contractors Poll <br />$2M/$4M Limits <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY � jEC LOG <br />GENERALAGGREGATE <br />$4,000,000 <br />GEN'L <br />PRODUCTS -COMPIOPAGG <br />$4,000,000 <br />GL Ded: $5,000 <br />$ <br />X <br />OTHER: CPL Ded $50,000 <br />B <br />AUTOMOBILE <br />LIABILITY <br />1000638062231 <br />9/14/2023 <br />9/14,2024 <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />X <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLYHXAUTOS <br />BODILY INJURY (Per accitlent) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLYAUTOS ONLY <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />X <br />Canso: $1.000 Coll:$1.000 <br />1 <br />A <br />UMBRELLALIAS <br />X OCCUR <br />1000336767231 <br />9/14/2023 <br />9/14/2024 <br />EACH OCCURRENCE <br />$5,000,000 <br />X <br />EXCESS LUIB <br />CLAIMS -MADE <br />AGGREGATE <br />$5,000,000 <br />LED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />100000385506 <br />9/14/2023 <br />9/14/2024 <br />X PER <br />�RH <br />E.L. EACH ACCIDENT <br />$1.000,000 <br />ANWROPRIETOR/PARTNERIEXECUTIVE F—N] <br />OFFICER/MEMBER EXC W DEL? <br />MIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />A <br />Professional Liability <br />1011065186231 <br />9/14/2023 <br />9l14/2024 <br />Each Claim <br />$2.000,000 <br />Claims Made <br />PL Ded: $10.00D <br />grega <br />Agte <br />$4.000.000 <br />DESCRIPTION OFOPERATIONS/LOCATIONS[VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana and City of Santa Ana Public Works Agency is included as Additional Insured, per written contract or agreement, with regards to General <br />Liability per form number CG 20 10 04 13, subject to policy terms, conditions and exclusions. The insurance provided in the General Liability policy is primary <br />and any other insurance shall be excess only and not contributing, per form number SL 023 (6/11) (General Liability) A Waiver of Subrogation in favor of the <br />Additional Insureds applies, per written contract or agreement, with respect to General Liability per form number SL 023 (06111). A 30 Day Notice of <br />Cancellation applies in favor of the Certificate Holder as required by written contract. <br />City of Santa Ana and City of Santa Ana Public Works <br />Agency <br />20 Civic Center Plaza M-83 <br />Santa Ana CA 92701 <br />CANCELLATION <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 PRC <br />ZED REPRESENTATIVE <br />©1988.2015 ACORD <br />Risk EDManagement Dmilion <br />I APPROVED BY.' <br />Al", 4 Ad444 <br />Risk Management Specialist <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />