My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PDS TECHNICAL SERVICES 4 - 2012
Clerk
>
Contracts / Agreements
>
_PENDING FOLDER
>
READY TO DESTROY IN 2019
>
PDS TECHNICAL SERVICES 4 - 2012
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/7/2016 1:14:31 PM
Creation date
9/25/2012 9:19:59 AM
Metadata
Fields
Template:
Contracts
Company Name
PDS TECHNICAL SERVICES
Contract #
A-2012-097
Agency
PUBLIC WORKS
Council Approval Date
5/21/2012
Insurance Exp Date
9/1/2014
Destruction Year
2019
Notes
Amended by A-2012-097-01
Document Relationships
PDS TECHNICAL SERVICES 4A - 2012
(Amended By)
Path:
\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2019
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
A`� ° CERTIFICATE OF LIABILITY INSURANCE 9n2oI2 <br />° "12/20 /2011 <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(ISs) must be endorsed. M 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 Lockton Coanies, LLC-1 Kansas City <br />444 W. 47th Smptreet, Suite 900 <br />Kansas City MO 64112.1906 <br />(816) 960-9000 <br />TYPE OF INSURANCE <br />PACT <br />FAX <br />Na Eat ; Arc 14o ): <br />aaaB <br />INSURERfin AFFORDING COVERAGE <br />e <br />INSURER A: Zurich American Insurance Company <br />16535 <br />INSURED POS TECH, INC <br />1332031 1925 W JOHN CARPENETER FWY SUITE 550 <br />IRVING TX 750630 -371 <br />INSURER a: RSUI Indemnity Conany <br />22314 <br />NSURERC: Steadfast Insurance Company <br />26387 <br />9/1/2011 <br />91111012 <br />EACHOCCURRENCE <br />) OOO000 <br />INSURER F: <br />500000 <br />COVERAGES PDSTF.O1 RF CERTIFICATE NUMBER: 10974243 REVISION NUMBER: XXXXXXX <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 />INSR <br />ILTR <br />TYPE OF INSURANCE <br />AODI <br />POLICY NUMBER <br />POLICY EFF <br />P LILY EI(P <br />LIMITS <br />A <br />GENERAL LIABILITY <br />N <br />N <br />GL09298949 -11 <br />9/1/2011 <br />91111012 <br />EACHOCCURRENCE <br />) OOO000 <br />0 AA <br />PREMI Eeorarr_ <br />500000 <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS- MADEFx7OCCUR <br />MED EXP tAry one rwn <br />2,500 <br />PERSONAL a ACV INJURY <br />s 1,000,000 <br />GENERAL AGGREGATE <br />s 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER-. <br />PRODUCTS - CONIFYOP AGG <br />S 1,000,000 <br />P...yr7 PR T LOC <br />I <br />s <br />A <br />AUTOMOBILE <br />LIABILITY <br />N <br />N <br />BAP9298947.11 <br />9/1(1011 <br />911/1012 <br />K=S'NrLE LIMIT <br />S 1,000,000 <br />BODILY INJURY (P. P—) <br />s XXXXXXX <br />X <br />ANYAUTO <br />ALL UEOULED <br />BODILY NJURY(PereiftM <br />S XXXXX XX <br />X <br />HIRED AUTOS 04WNEO <br />ft AMAGE <br />s XX)CXXXX <br />e 7{X)Cxxxx <br />Li <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />N <br />N <br />NHAO57526 <br />9/1/1011 <br />9/1/1011 <br />EACH OCCURRENCE <br />$ 1000000 <br />AGGREGATE <br />s 1,000,000 <br />EXCESS LIAS <br />ClA1M5 -MADE <br />DED I I RETENTION 11 <br />s XXXXXXX <br />A <br />AND EMPLOCYOEMRS• LIABILITY YIN <br />AWPkOPR1EETI9IXIXAflTNERW=1 UT1VE FNJ <br />NIA <br />N <br />WC9299950 -11 <br />9/1/2011 <br />9(1/20(2 <br />X TAI OTH <br />E- L.MMACCIDBIT <br />s 1,000,000 <br />6L. WEAW - FA EMPLOYEE <br />1 1,000,000 <br />IMyy+ccnssdMnY H NRI <br />IOESCW PTo. OF OPERATIONS Oebx <br />i ICYLIMT <br />1 1,000,000 <br />C <br />IT &INTERNET PROF. <br />LIABILITY <br />N <br />N <br />E005943050 -03 <br />l /1/2012 <br />1/12013 <br />SIMCLAIM/SIMLIAR <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(AtteycchAAA,CORD 101, Additional Remade Scbrdub, a more space Is n�Yreo <br />THE CITY REPRESENTATIVES ES ARE 20 <br />AMED ADDITIONAL INSUItEDSTWITH REGARD TO LIABi&Y AND OFFICERS EFENCE OF EMPLOYEES <br />UITS VOLUNTEERS AND FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED, PDS TECH, INC, THE GENERAL LIABILITY POLICY <br />IS PRIMARY AND NON - CONTRIBUTORY. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL I E DELIVERED IN <br />/ �-. •--- ..... <br />10974243 <br />1,3U[" <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />A N�AGHIGGINS Ac;is[, i:ir r Il r <br />20 CIVIC CENTER PLAZA, M-36 <br />SANTA ANA CA 92701 <br />1 <br />1 Awjywk� <br />ACORD 25 (2010/D6) O 8 -2010 AC ORPORATION. All rights reserved <br />
The URL can be used to link to this page
Your browser does not support the video tag.