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WALK 'N ROLLERS (2)
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Last modified
7/26/2024 12:53:14 PM
Creation date
7/26/2024 12:53:12 PM
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Template:
Contracts
Company Name
WALK 'N ROLLERS
Contract #
A-2022-174-01
Agency
Public Works
Council Approval Date
9/6/2022
Expiration Date
9/5/2025
Insurance Exp Date
10/1/2024
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ACc RD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) <br /> 40.------ 9/22/2023 <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 holder in lieu of such endorsement(s). <br /> PRODUCER DNACONTACT <br /> Arthur J. Gallagher Risk Management Services, LLCME: • lec r Ilman - FAX <br /> 500 N. Brand Boulevard lE t t 1 : o d (A/C,No): <br /> Suite 100 • <br /> ADD Ess: Alec Gf'llman©. ..com <br /> Glendale CA 91203 Ie ` , S}fRE NAICfi <br /> License#:C' ;sbAIjR(S)AFFORDINGCovERAGE <br /> I U I ''Insurance Alliance of CA 10023 <br /> INSURED WAI 1 '0-01 INSURER B: <br /> WalkAl€eve d o <br /> 8800 800 Venice <br /> Be Blvd Suite 301 <br /> Los Angeles CA 900 'NSURER D: <br /> eied Q <br /> D :2024.07.08 <br /> GOVERAGES1141 REVISION NUMBER: <br /> THIS IS TO NDICATED.CERTIFY THAT THE NOTTW NOTWITHSTANDING ANYIES OF REQUIREMEN'I,ITF IM OR CONDI STED TIO V AN� /IliER CORE F DQaL1�dENNT WITHR THE RESPECT TOLICY WHICH PERIOD <br /> THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, I-IF ,NSURANCE 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 ADDL SUER POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYYUMM/DD/YYYY), LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 2023-75250 10/1/2023 10/1/2024 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $500,000 <br /> MED EXP(Any one person) $20,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 <br /> X PRO- <br /> POLICY JECT LOC PRODUCTS-COMP/OP AGG $3,000,000 <br /> OTHER: I $ <br /> A AUTOMOBILE LIABILITY 2023-75250 10/1/2023 10/1/2024 CEOs accident)B DSINGLE LIMIT $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> x HIRED x NON-OWNED PROPERTY DAMAGE - <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ _ <br /> $ <br /> A X UMBRELLA LIAB X OCCUR 2023-75250-UMB 10/1/2023 10/1/2024 EACH OCCURRENCE $3,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANYPROPRIETOR/PARTNERIEXECUTI VE <br /> OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> A Directors&Officers 2023-75250-DO-NPO 10/1/2023 10/1/2024 Each Wrongful Act $1,000,000 <br /> Annual Aggregate $2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) <br /> Policy:Improper Sexual Conduct <br /> Policy Term:10/01/2023 to 10/01/2024 <br /> Policy Number:2023-75250 <br /> Carrier:Nonprofits Insurance Alliance of California <br /> Each Claim:$1,000,000/Aggregate:$2,000,000 <br /> RE:A-2022-174 <br /> Certificate holder is named additional insured with respect to the operations of the named insured.Waiver of Subrogation on General Liability applies in favor of <br /> certificate holder. <br /> CERTIFICATE HOLDER 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 /> City of Santa Ana o�w,rt;P Risk Managenlastnivisinrt <br /> 20 Civic Center Plaza A AUTHORIZED REP ESENTATIVE a i & <br /> ` REVIEWED APPROVED BY: <br /> Santa Ana CA 92702 R /)_-- —'- ( 'I ft� 1� r,�;e <br /> vxAAneti ) <br /> Risk Management Specialist <br /> ©1988-2015 ACORD/ \ <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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