Laserfiche WebLink
�1 <br />'4�� CERTIFICATE OF LIABILITY INSURANCE <br />onrElmmm0 <br />1 va)zo24za <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />American Ins. &Investment <br />448 S 400 E <br />Salt Lake Cithy� UT 84111 <br />`Y <br />CONTACT <br />NAME: AshleyAllen <br />AM.PHON 801-364-3434 FA/C Na : <br />E-MAIL <br />ADDRESS: ashle .allen american-ins.com <br />INSURERS) AFFORDING COVERAGE <br />NAIC C <br />INSURER A: Undermiter5 at Lloyds London <br />15642 <br />INSURED ALTERTE-01 <br />AlterTech Solutions, LLC <br />INSURER B <br />INSURER C: <br />6185 S mount Vernon Dr <br />Murray UT 84107 <br />1 INSURER D <br />INSURER E <br />NSURER F: <br />COVERAGES CER If IGAtt NUMb$tK14H 1733RRn REVISION' N'naI-E-- _ <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 />ILTR <br />TYPE OF INSURANCE <br />ADOL <br />UBR <br />POLICY NUMBER <br />POLICY EFF <br />IMMIDDII'YYYl <br />POLICY EXP <br />IMMJDDfYfYyILIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE rx-1 OCCUR <br />Y <br />Y <br />ESM0139901978 <br />3124/2024 <br />3242025 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$250,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL&ADV INJURY <br />$7A00,000 <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑PRJECT O- ❑ LOC <br />GENERAL AGGREGATE <br />$2.000,000 <br />PRODUCTS-COMP/OPAGG <br />$1,00.Mo <br />$ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />ESM0139901978 <br />3124/2024 <br />32 M,, <br />COMBINED SINGLE LIMIT <br />Eaacoident <br />$ 000000 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Par accident) <br />$ <br />AUTOS AUTOS <br />HIRED AOros X NON -OWNED <br />AUTOS <br />X <br />PROPERTY DAMAGE <br />Per a cidenl <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />E%CESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />1 <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />Y <br />4101201 <br />1012S/2024 <br />10128/2025 <br />X` STATUTE OER" <br />E.L. EACH ACCIDENT <br />$1 OOp,000 <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,o0D,000 <br />(Mandatary in NH) <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1'".W0 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Tech E&O Professional Liability <br />Cyber liability <br />Retro Date: 03a4 023 <br />ESM0139901WB <br />324/2024 <br />324/2025 <br />Unnitof Liability 1,000,000 <br />Aggregate 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The City of Santa Ana, its officers, officials, employees, and volunteers are additional insureds in respect to the general liability per written contract which is <br />Primary and contributory. Waiver or subrogation applies to the general liability and workers compensation per written contract. Endorsement farm to be added <br />for Ten (10) days prior written notice for non-payment and Thirty (30) days prior written notice for policy cancellation shall be provided t0 City <br />7a <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 AUTHORIMD I_ REPRESENTATIVE <br />USA <br />ACORD 25 (2014101) The ACORD name and logo are registered APPROVED <br />8y Cynthia dVlora at 12:27 pna, Nov 14, 21?24 <br />