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DMS FACILITY SERVICES, LLC 2 - 2011
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DMS FACILITY SERVICES, LLC 2 - 2011
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Last modified
3/27/2020 9:34:58 AM
Creation date
7/7/2011 8:43:25 AM
Metadata
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Template:
Contracts
Company Name
DMS FACILITY SERVICES, LLC
Contract #
A-2011-148
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
6/6/2011
Expiration Date
6/30/2012
Insurance Exp Date
3/1/2013
Destruction Year
2018
Notes
2
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OP ID: KU <br />" i?? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD/YVYY) <br /> 02/29/12 <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 endorsements . <br />PRODUCER 714-327-1400 <br /> <br />Andreini 8. Company-South Coast CONTACT <br />NAME: <br /> <br />License 0208825 714-327-1499 PHONE FAX <br />A/C No Est : <br />A/C No): <br /> <br />One MacArthur Place, Suite 1OO _ _ <br />___ <br />A <br />I <br /> <br />South Coast Metro <br />CA 92707 DDR <br />ESS: <br />--- <br />, - _._ __.- - -__ _ <br />PRODUCER DMSFA-1 - <br />CUSTOMER ID #: <br />---.---- . _-- - -._ ___. __ __ INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED DMS Landscaping INSURERA:WaUSaU Underwriters Ins_ Co. 26042 <br />Facility Services, LLC <br /> <br />untington Drive INSURER B: <br /> <br />Monrovia <br />CA 91016 INSURER C <br />____ - __ <br />, __ -_.._-- ___.____ ___ <br /> INSURER D <br />1 I . <br />'?? ? ` 1 -- `?-t?Y <br />\\\ 000 .- - -_.. _ -_- <br />INSURER E <br />_- __..____._ _ - ___.__- _- -_ _.___ __..._ <br /> <br />_. ___ - .. __. _ <br /> INSURER F <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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE DL SUB POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCVRRENCE $ 1,000,00 <br /> <br />A <br />X <br />COMMERCIAL GEN ERA <br />L LIABILITY <br />X <br />YVJ-Z91 X58727-012 <br />03/01/12 <br />03/01/13 aTAGE Y6-FFENTE>? _ _. - _. <br />100 <br />00 <br /> _ PREMISE 1Ea occurrence) . <br />$ <br /> _ -. _ CLAIMS-MADE f-? OCCUR <br />MED EXP (Any one person) <br />$ EXCLUDE <br /> - - -- -.._ _- -_ PERSONALBADV INJURY $ 1,000,00 <br /> - - ----- --- GENERAL AGGR_E_G_ATE_ $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER- <br /> . , PRODUCTS -COMP/OP AGG $ 2,000,00 <br /> POLICY X PRO LOC $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> <br /> <br />A <br /> <br />X <br /> <br />ANYAVTO <br /> <br />ASJ-Z91?58727-022 <br /> <br />03/01/12 <br /> <br />03/01/13 <br />(Ea accitlen[) <br />-- $ 1.000,00 <br /> <br />?------------?---- <br /> <br />ALL OWNED AUTOS BODILY INJURY (Per person) $ <br /> - BODILY INJURY (Per accident) $ <br /> SCHEDULED AUTOS <br /> _ <br />X PROPERTY DAMAGE $ <br /> HIRED AUTOS (Per accitlenp <br /> X NON-OWNED AUTOS $ <br /> <br /> - UMBRELLA LIAR -- OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR CLAIMS_MA_DE ? <br />_ ". _ ? .. _. <br />?' . ' AGGREGATE <br />_._.. -_ __ _-_ $ <br />__ <br /> __ <br />_ <br />DEDUCTIBLE <br />. <br />-_.._.__ <br />_______-- __ ___ <br /> RETENTION $ $ <br />_ <br /> WORKERS COMPENSATION _ <br /> <br />? <br />? _.__ ..__ <br />-'- <br />WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY Y/ N -- <br />- -' ,, ? SQAY II EL2__ _ _ -._ __.___- <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER E%CLU DED? ? <br />N/ A ? '' <br />r <br />E L EACH ACF?sI[{EMt -.: <br />.5 <br /> (Mandatory in NH) <br />If yes <br />describe untler ? E L DISEASE . EA EMPLOYEE $ <br /> , <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT ... _ _ - - __ <br />$ <br /> <br /> 1 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 'IOt, Atldltlonal Remarks Schetlule, IT more apace is required) <br />SEE ATTACHED HOLDER NOTES --- <br />' VAnIrCLLN t IVfV <br />SANSANI <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: Robert Carroll <br />20 Civic Center Plaza (M-30) AUTHORIZED REPRESENTATIVE <br />P.O. Box 1988 ??, ,::': ?.,____?_. /-_., -?_.:.-? <br />Santa Ana, CA 927D1 ? - ?? <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
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