MANAGEMENT DATA, INC. (MDI) - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE(MMMI12024 osrovzoz4 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(les) 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 endorsoment. A statement on this certificate does not confer noble to the certificate holder in lieu of such endorsementlst. Risk Services South, Inc. rvE, My signed anta GA Office rX N.): 0 Lenox Road NE qo E55: to 17GD _ onto GA 30326 USA Angie y Angie INBURER(S)AFFORDING COVERAGE NAICX LOU rtford Insurance Company of Illinois 38288 Claims, LLC suREa e: Hartford underwriters Insurance company 30104 0 Corporate Drive, Suite 210 Acevedo' mi ngham AL 3riv USA NSURER.: COVFRAGFB CERTIFICATE NUMBER: 570105386812 REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 SUBJECTTO ALL THE TERMS, Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL IN50 SUBR WVO POLICY NUMBER FOLIC OFF (POLICY P LICT E%P (MMIODMIYYI UMITS a Y Y 01 SBA AWOULX 02/21/2024 02/21/2025 EACHOCCURRENCE $1,000,000 CIAIMSMADE OCCUR 40MMERDIALOENERALUIRRITY REMEO PREMIGEG (Ea occurtenre( PREMISES $1,000,000 MED EXP(Anycne peraon) $10,000 PERSONALS AOV INJURY $1,000.000 GENLAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE $2,000,00 X POLICY ❑ PRO- JECT LOC PRODUCTS-COMPILP AGO $2,000100 OTHER: If AUTOMOBILE LIABILITY 01 SBA AWOULX 02/21/2024 02/21/2025 COMBINED SINGLE LIMIT(Ea S1,000,000 BODILY INJURY( Per person) ANYAUTO BODILY INJURY (Per actldmO OWNED BCHEOUtED E AI ONLY AUTOS PROPERTY DAMAGE NON -OWNED x HREDA1nO9 % AUTOS ONLY ONLY (Per acGtleM) B X UMBRELLA wB X OCCUR 01 SBA AWOULX 02/21/2024 02/21/2025 EACH OCCURRENCE $4,000,000 EXCESS LAB OIAIMSMADE AGGREGATE $4,000,006 OEO F. RETENTION $10,000 A WORKERS COMPENSATION AND Y 01WECAK4GF9 02/21/2024 02/21/2025 X PER STATUTE oRH- EMPLOYERS' LIABILITY AN YPROPRIETORIPARTNER/ YIN ELEACHACCIDENT $1.000,00 E%ECURVE OFFICER/MEMBEq pearmare". NH) NIA E.L. DISEASE -EA EMPLOYEE $1,000,00 If a affee under DESCRIPTION or OPERATIONS below E- DISEASE -POLICY LIMIT $1,000,000 R Cyber Liability 01 SBA AWOULX 02/21/2024 02/21/2025 LIMIT $2,000,000 (Claims Made) DESCRIPTION OF OPERATION51 LOCATIONS I VEHICLES ACORD 101, Additional Remarim Schedule, may be reached if more space is marine) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. A Waiver of Subrogation is in favor of Certificate Holder in accordance wit the policy provisions of the General granted Liability and Workers' Compensation policies. CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Plaza PO BOX 1988 Santa Ana CA 92702 USA CANCELLATION SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS ©1988-2016 ACORD CORF ACORD 25 (2016103) The ACORD name and logo are registered marks of AGO or O DI timagervardDivislon RBmEwED•' APPR 1Vt3)BY' Risk Management Specialist