DUDEK (6) - Laserfiche WebLink

Home Browse Search

FATE(MM/DDIYYYY) ACORO° CERTIFICATE OF LIABILITY INSURANCE 8/28/202526/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONCT PRODUCER LOcktOri Companies,L.L.0 NAME 444 W.47th Street,Suit AO • PHONE : I Wllrainr In) n P-a Kansas City MO 6411 6 E-MAILo EXt (816)960-9000 ADDRESS: kcaSu LDIocktOri.COmng i e IN URER(S)AFF DING COVERAGE A NAIC# INSURER A:ZU -h a Y e n 3 INSURED DUDEK INSURER B:C)nt.~ient CaSuall C all 0 4 1474583 605 THIRD STREET INSURER C ENCINITAS CA 92024 • I RER C rpxlprR : I -. COVERAGES R A M 37 N M� R XX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW F'-,VF BEEN ISSUED TO HE INSURIET NA E AMOVE FM IE P C ERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITICAN iF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y GLO0146311 8/28/2024 8/29/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE CLAIMS-MADE � OCCUR PREM SESO a occur ence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 POLICY JE� � LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y y BAP0146329 8/28/2024 8/28/2025 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $ XrXrXrXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED RETENTION$ $ XXXXXXX WORKERS COMPENSATION PER OTH- A AND EMPLOYERS'LIABILITY Y/N Y WC0146330 8/28/2024 8/28/2025 XY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1000 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B PROFESSIONAL N N EEH591932835 1NCL POLL 8/28/2024 8/28/2025 PER CLAIM$1,000,000 LIABILITY AGGREGATE$2,000,000 INCLUDES POLLUTION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:THE CITY,ITS OFFICERS,OFFICIALS,EMPLOYEES,AND VOLUNTEERS ARE ADDITIONAL INSURED ON THE---GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT.GENERAL LIABILITY AND AUTO LIABILITY IS/ARE PRIMARY INSURANCE AND ANY OTHER INSURANCE MAINTAINED BY THE ADDITIONAL INSURED SHALL BE EXCESS ONLY AND NON-CONTRIBUTING WITH THIS INSURANCE.A WAIVER OF SUBROGATION APPLIES TO THE GENERAL LIABILITY,AUTO LIABILITY,AND WORKERS COMPENSATION POLICIES IN FAVOR OF THE ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20537415 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PRC H oR N Riek Manage[nent I?ivisum 20 CIVIC CENTER PLAZA --aF AUTHORIZED REPRIESENTATIVF� � REVIEWED br APPROVED BY: SANTA ANA CA 92701 ' ®, Risk Management Specialist CI 9ACORD ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD