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PLUMBERS DEPOT INC.
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Last modified
5/30/2024 2:24:31 PM
Creation date
5/30/2024 2:23:38 PM
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Contracts
Company Name
PLUMBERS DEPOT INC.
Contract #
A-2024-029-09
Agency
Public Works
Council Approval Date
2/20/2024
Expiration Date
2/20/2027
Insurance Exp Date
7/12/2024
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A`CCW?a CERTIFICATE OF LIABILITY INSURANCE AccM: 2793272 <br />DATE(MMMONYYY) <br />1 3/14/2024 <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 />Lockton Companies, LLC <br />3657 Briarpark Dr., Suite 700 <br />Houston, TX 77042 <br />CONTACT 888-828-8365 <br />PHONE FAX <br />ac No <br />E-MAIL <br />ADDRESS: INSPERn"YCERTS LOCKTONAFFINDY.COM <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Indemnity Insurance CO. Of North America <br />43575 <br />INSURED <br />PLUMBERS DEPOT INC. <br />INSURER B : <br />INSURER C : <br />3921 W 139TH ST <br />HAWTHORNE, CA 90250.7404 <br />INSURER 0 <br />INSURER E <br />INSURER F <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 />INBR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />MMIOUYEFF <br />MO�p UP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence)$ <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 JET LOC <br />PRODUCTS -COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIREDAUTOS AUTOS <br />H <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />1 <br />1 <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOWPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />X <br />C55951378 <br />101112023 <br />10/112024 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1.000.000 <br />E.L. DISEASE - EA EMPLOYE <br />g 1,000,000 <br />(Mandatary In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />I <br />IT <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />30-DAY NOTICE OF CANCELLATION <br />WAIVER OF SUBROGATION IN FAVOR OF CRY of Santa Ana WHEN REQUIRED BY WRITTEN CONTRACT. <br />HOLDER <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY- FLEET SERVICES <br />215 S. CENTER ST., BLD. J, M-83 <br />SANTA ANA, CA 92703 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE <br />AUTHORIZED REPRESENTATN <br />cW RrEAipJu MwgDneAPPROVED,By., <br />` <br />r A+u Acwro(a <br />link Management spedalist <br />or <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of <br />
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