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STERLING HEALTH SERVICES, INC
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Last modified
12/3/2024 8:18:21 AM
Creation date
12/3/2024 8:18:13 AM
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Contracts
Company Name
STERLING HEALTH SERVICES, INC
Contract #
A-2024-197
Agency
Human Resources
Council Approval Date
11/19/2024
Expiration Date
10/31/2027
Insurance Exp Date
5/14/2025
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ACORO CERTIFICATE OF LIABILITY INSURANCE GATE (MM DDMY� <br />Dsns/zoza <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 />IMPUR IAN 1: IT me Certificate nOloer Is an ADUI I IUNAL INbLi the pollcypes) must nave 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 CONTACT Kristin Larsen, CISR, CLIC <br />ME: <br />Winton Ireland Strom & n g i e D I 2 FAx (209) 867-7142 <br />PAX Net: <br />License#0596517 - arsen g.com <br />ADDRESS: <br />P.O. Box 3277 <br />V VERAGE NAICX <br />Turlock CA 9 35 / INSURE v er I I ompany ofAmerica 19046 <br />INSURED E fti r c pany 34630 <br />sterlinH Se <br />Ste ng <br />POBle v e d oD11a: AER I' r mPan y <br />19489 <br />- <br />Oakland CA 94612 1 ts,c,twFw F. <br />COVERAGES <br />CERTIFICATE NUMBER: <br />REVISION NUMBER - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWKAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUER <br />INSD <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DDIYYY <br />POLICY EXP <br />MMIDDIYYI'Y <br />LIMITS <br />x <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMSMADE FRI OCCUR <br />PREMISES Eaoccumence <br />$ 300,000 <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL a ADV INJURY <br />$ 2,000,000 <br />A <br />Y <br />Y <br />680OR4236162442 <br />05/14/2024 <br />05/14/2025 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 4,000,000 <br />X POLICY ❑ PRO- <br />JECT LOC <br />PRODUCTS-COMP/OPAGG <br />$ 4,000,000 <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LIMIT <br />aociaen[ <br />$ Included in OILEa <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />6800R4236162442 <br />05/14/2024 <br />05/14/2025 <br />BODILY INJURY (Par accident) <br />$ <br />AUTOS ONLY AUTOS <br />!� <br />HIRED NON -OWNED <br />!� <br />PROPERTY DAMAGE <br />$ <br />AUTOS ONLY AUTOSONLY <br />Perarddent <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMBMADE <br />DED <br />I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />v PER OTR- <br />ANDEMPLOYERS'LIASILITY YIN <br />/� STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />B <br />ANY PROPRIETORIPARTNERIFxECUTIVE ❑N <br />NIA <br />STVVC561943 <br />05/14/2024 <br />05/14/2025 <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory, In NH) <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRI PINION OF OPERATIONS below <br />E.L.DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />Professional Liability <br />$2,000,000 <br />Professional E &O Liability <br />r0511412024 <br />C <br />03133872 <br />05/14/2025 <br />Aggregate <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />The City of Santa Ana, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability <br />arising out of work or operations performed by or on behalf ofthe Contractor including materials, parts, or equipment furnished in connection with such work <br />or operations per attached CGD1050494, Primary & Non -Contributory wording applies (Form to Follow) <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza, 4th Flr <br />Santa Ana <br />CA 92701 <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 PRO) <br />AUTHORIZED REPRESENTATIVE <br />01988-2015 ACOI <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />e� <br />Lwf,%TEM'. <br />yEG& A PRavlvldan <br />REVIEWED 6APPROV®BY: <br />� <br />Risk Management Specialist <br />
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