Laserfiche WebLink
ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD/YYYV) <br /> 4a/....---- 4/11/2025 4/10/2024 <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. <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 certificate f older in lieu of suchprgernnddoorsement(s). p <br /> PRODUCER Lockton Insurance Brokers,LLC Dig i to I I yA ►I An g-(_e__ <br /> CA LlCense#OF 767 PHO I FAX <br /> An9eIrcavu' Acevedq/C.No,ES : (A/C,No): <br /> nteve O DDRESS:)568-4000 Date: 2O2 e I �INQ�l7p NAIL# <br /> INSURER A:Ber Cley 1 attona]-lnsurancce Company 38911 <br /> INSURED INVOICE CLOUD, INC INSURER B:Riverport Insurance Company 36684 <br /> 1540728 30 Braintree Hill Office Park Suite 303& 101 INSURER C: <br /> Braintree MA 02184 INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES ENGSM01 CERTIFICATE NUMBER: 20490044 REVISION NUMBER: XXXXXXX <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 LTR TYPE OF INSURANCE INSD L SUBR END POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM1D0 (MMIDD/WYYL <br /> A X COMMERCIAL GENERAL LIABILITY I Y N TCP 7025831-10 4/11/2024 4/11/7075 EACH OCCURRENCE $ 1,000,000 <br /> 1 DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 1,000,000 <br /> MED EXP(Any one person) $ 15,000 <br /> PERSONAL&ADV INJURY $ 1 000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: 1 GENERAL AGGREGATE $ 2,000,000 <br /> POLICY JEc i LOC PRODUCTS-COMP/OP AGG $ 2,000 000 <br /> OTHER: 1 i $ <br /> A AUTOMOBILE LIABILITY N N 1 TCP 7025831-10 ! 4/11/2024 4/1 1/2025 COMBINED SINGLE LIMIT $ <br /> _(Ee acciden0 1,000,000 <br /> ANY AUTO 1 BODILY INJURY(Per person) $ XXXXXXX <br /> AOUTOS ONLY AUTOSWNED ULED BODILY INJURY(Per accident) $ XXXXXXX <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ XXXXXXX <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> $ XXXXXXX <br /> A x UMBRELLA LIAB OCCUR N N I TCP 7025831-10 4/11/2024 4/11/2025 EACH OCCURRENCE $ 15,000,000 <br /> 7 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 15,000,000 <br /> DED RETENTION$ $ XXXXXXX <br /> B <br /> WORKERS COMPENSATION N TWC 7025832-10 4/11/2024 4/11/2025 STATUTE ER <br /> I PER H <br /> AND EMPLOYERS'LIABILITY Y/N I <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> /M OFFICEREMBER EXCLUDED? N N/A - <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE:Agreement:A-2020-028. City of Santa Ana its/are an Additional Insured to the extent provided by the policy language or endorsement issued or approved by the <br /> insurance carrier. <br /> CERTIFICATE HOLDER CANCELLATION See Attachment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20490044 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC` <br /> Risc Management Division e�°^+"',e �tDW .. <br /> 20 Civic Center Plaza,4th Floor AUTHORIZED REPR E ATIVE ?' A... REVIEWED&APPROVED By: <br /> Santa Ana CA 92701 gIttls \i3 .i:1 <br /> I - Risk Management 9 ement Specialist <br /> ©1988-2015 ACORD / <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />