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AON RISK INSURANCE SERVICES WEST, INC
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Last modified
9/24/2024 12:09:26 PM
Creation date
9/24/2024 12:08:56 PM
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Contracts
Company Name
AON RISK INSURANCE SERVICES WEST, INC
Contract #
N-2024-322
Agency
Human Resources
Expiration Date
6/30/2025
Insurance Exp Date
6/1/2025
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CERTIFICATE OF LIABILITY INSURANCE <br />DAT 1097 21D2024�Y� <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 />AOn Risk Service5 Central, Inc. <br />Chicago IL Office <br />Chicago <br />CONTACT <br />NAME: <br />(ACNNo.Exq: (666) 283-7122 FAX $00-3b3-0165 <br />EMAIL <br />ADDRESS: <br />200 East Randolph <br />Chicago IL 60601 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: XL Specialty Insurance CO <br />37895 <br />AOn Corporation <br />(see Subsidiary Information Below) <br />200 E. Randolph <br />Chicago IL 60601 USA <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E! <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBEH: b/01013134632 HEVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIFS 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 CCNTRACT 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. Limits shown are as requested <br />INSR <br />LTR TYPF OFINSVRANCE INSD WVD POLICY NUMBER MMIDDlYYYY MMlODfYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE <br />CLAIMS -MADE ❑ OCCUR DA TO <br />P REAd35ES Ea occurrence <br />G ENt AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO <br />JECT <br />F7 LOC <br />OTHER: <br />AUTOMOBILE LIABILITY <br />ANYAUTO <br />OWNED <br />SCHEDULED <br />AUTOS ONLY <br />H <br />AUTOS <br />HIRED AUTOS <br />NON -OWNED <br />ONLY <br />AUTOS ONLY <br />AGED EXP (Any one person) <br />PERSONAL& ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS-COMPiOPAGG <br />COMBINED SINGLE LIMIT <br />EEa acddentI <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />UMBRELLA LIAB <br />I <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS L€AB <br />HOCCUR <br />CLAIMS -MADE <br />DED I RETENTION <br />WORKERS COMPENSATION AND <br />PEH STATUTE I JOTI <br />EMPLOYERS' LIABILITY YIN <br />ER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR! PARTNER! EXECUT IVE <br />C)FFICERIVEMBER EXCLUDED' <br />❑ <br />N r A <br />EL. DISEASE -EA EMPLOYEE <br />(Mandatory In NH) <br />f yes, describe under <br />DESCRIPTION OF CPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />A <br />E&O - Professional Liability <br />US0008736SE024A <br />03/01/2024 <br />03/01/2028 <br />Each Claim <br />- Primary <br />Errors & Omissions <br />Aggregate <br />SIR applies per policy terms <br />& condi <br />ions <br />DESCRIPTION Or OPERATIONS f LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />RE: ADD Risk insurance services West, Inc., PO Box 849832. <br />CERTIFICATE HOLDER <br />City of Santa Ana <br />Attn: Aarti Kaushal <br />20 Civic Center Plaza <br />Santa Ana CA 92701 USA <br />�, RfsEC Munugsmsn[pi��sion <br />R,sk [.i,�nnFci <br />�4,000, <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />AUTHORzFD(REEPPPRRESENTAAT�IVE <br />[3C[G�d eJ1�G �Gtiz4�,D ��ll���eJ7�Gt <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />N <br />Cl) <br />va <br />c1 <br />0 <br />0 <br />r <br />
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