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PDS TECHNICAL SERVICES 3
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PDS TECHNICAL SERVICES 3
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Last modified
3/25/2024 4:03:51 PM
Creation date
11/4/2010 11:16:03 AM
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Contracts
Company Name
PDS TECHNICAL SERVICES
Contract #
A-2010-195
Agency
PUBLIC WORKS
Council Approval Date
10/4/2010
Insurance Exp Date
9/1/2011
Destruction Year
2019
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ACORID° <br />li*....r-- CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />1/1/2011 8/30/2010 <br />PRODUCER Lockton Companies, LLC-1 Kansas City <br />444 W. 47th Street, Suite 900 <br />Kansas City MO 64112-1906 <br />(816) 960-9000 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED pDS TECH, INC <br />1332031 1925 W JOHN CARPENETER FWY SUITE 550 ri m "� <br />IRVING TX 750630-322 �-� . <br />-2q <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURER B : Westchester Fire Insurance Company <br />21121 <br />INSURERC: <br />INSURER D : <br />INSURER E : <br />COVERAGES FBIS 1 hU 1 13P In7a t.en IItIOA I t OF H INSUANGLI <br />VES OES NOT CON5TINTE A CONTRACT BETWEEN THE ISSUING <br />ta�tto�e,�i e <br />GRllrl Wit VCR. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN RED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />ADVL <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DDIYY) <br />POLICY EXPIRATION <br />DATE (MM/DDlYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1 000 000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Fi OCCUR <br />GL09298949-10 <br />9/1/2010 <br />911/201 1 <br />DAMAGE TO RENTED <br />PREMISES Ea occurence <br />s 500 000 <br />MED EXP (Any ona person) <br />s 2,500 <br />PERSONAL IS ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY FIJECT I ILOC <br />PRODUCTS-COMPIOP AGG <br />$ 1,0002000 <br />A <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />BAP9298947_10 <br />9/1/2010 <br />9/1/2011 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1,000000 <br />> <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />APPROVED <br />AS TO FORM <br />' O <br />M <br />BODILY INJURY <br />(Per person) <br />S XXXXXXX <br />BODILY INJURY <br />(Per accident) <br />$ XXXXXXX <br />n <br />LS St <br />t S11Zdy(Per <br />PROPERTY DAMAGE <br />accident) <br />$ XXXXXXX <br />GARAGE LIABILITY <br />ANY AUTO <br />ASSI nt C <br />NOT APPLICABLE <br />ty Attorney <br />AUTO ONLY • EA ACCIDENT <br />$ XXXXXXX <br />OTHER THAN EA ACC <br />$ XXXXXXX <br />AUTO ONLY: AGG <br />$ XXXXXXX <br />B <br />EXCESSIUMBRELLA LIABILITY <br />X OCCUR CLAIMS MADE <br />G2198534A006 <br />9/12010 <br />9/1/20l 1 <br />EACH OCCURRENCE <br />S 1,000,000 <br />AGGREGATE <br />$ 1000 000 <br />S XXXXXXX <br />UMBRELLA <br />❑ <br />DEDUCTIBLE X FORM <br />S XXXXXXX <br />S XXXXXXX <br />RETENTION $ <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y/ N <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICERMIEMBER EXCLUDED? T1 <br />WC9298950-10 <br />9/1/2010 <br />9/12011 <br />X T RYTtIAIAIUr OTH <br />ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000 000 <br />� <br />(Mandatory in NH) <br />n yes, oeacrlEe u.ger <br />SPECIAL PROVISIONS bellow <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />OTHER <br />B <br />PROF. LIABILITY <br />F-005943050-01 <br />l/l/2010 <br />I/l2011 <br />SIMCLAIM/SIM LIAR <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />CERTIFICATE HOLDER 1S ADDITIONAL INSURED AS MAY BE REWUIRED BY WRITTEN CONTRACT BUT ONLY AS RESPECTS OPERATIONS OF <br />THE NAME INSURED. <br />10974243 <br />CITY OF SANTA ANA <br />ATTN: TAIG HIGGINS <br />20 CIVIC CENTER PLAZA, M-36 <br />SANTA ANA CA 92701 <br />ACORD 26 (2009101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />988-2009 JCCFD CORPORATION. All rights reserved <br />t le r,t.vrct� name ana logo are reDlSTerea marKS OT AGIJKLI <br />For ouestions r rdine Ibis ceniacele. tonGtt tide m bur listed In the'I teetlOn abaw and soec:P, the cHeM code'PDSTE01 '. <br />
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