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PAG WEST, LLC - 2014
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PAG WEST, LLC - 2014
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Last modified
6/4/2014 1:45:05 PM
Creation date
6/4/2014 10:28:17 AM
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Contracts
Company Name
PAG WEST, LLC
Contract #
A-2014-056
Agency
PUBLIC WORKS
Council Approval Date
2/18/2014
Destruction Year
0
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i1CbR'L7 <br />CERTI i I <br />1L1TY INSURANCE <br />ontelaMix��o a rn <br />THIS CERTIFICATE IS ISSUED AS A W R O L <br />ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, <br />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, kKD,THE CERTIFICATE HOLDER. <br />TYPE JF INSURANCE MSV <br />IMPORTANT: If the certificate holder , AIIDITIONALdNSL)i �P„t <br />policy(ies) must be endorsed. If SUBROGATION 15 WAIVED, subjoct to <br />the terms and conditions of the policy C. Lain policies may require an endorsement. <br />A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Ann Risk Services Ce ^Val, Inc. <br />Southfield MI office <br />CONTACT <br />NAME. <br />_ <br />'IIAVn�6) 283 -7122 F'u 800- 363 -0105 <br />INC. Dp. EXO: <br />F-MAL <br />ADDRESS'. <br />3000 Town Center <br />Suite 3000 <br />INSURERIBI AFFORDING COVERAGE <br />NAICS <br />Southfield MI 48075 USA <br />INSURED <br />INSURERA: ACE American insurance Company 22667 <br />INSURER W. Indemnity Insurance Co of North America ,43575 <br />Penske Aut.MQtl Ve Group. Inc. <br />2555 Telegraph Road <br />Bloomfield Hills NI 48302 -0954 USA <br />INSURER C: <br />INSURER 0: <br />D <br />550,000 <br />INSURER E: <br />X COMMERCIAL GENERAL LIABILITY I <br />INSURER F: <br />COVERAG E5 CPRTIFICATE NUMBER: 570052365845 REVISION NUMBER: <br />THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTVVRHSTANDING 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. Limits shown are as requested <br />MRI <br />LTR <br />TYPE JF INSURANCE MSV <br />WAD <br />POLICY NUMBER <br />r1MIDlIr1 �Y— Y <br />LIMITS <br />GENERAL LIABILITY <br />GAR H C—M813987 <br />U�1U1/ZUIqUWUWZU1a <br />EACHOCCURRENCE <br />5S10001000 <br />Garage Liability <br />D <br />550,000 <br />X COMMERCIAL GENERAL LIABILITY I <br />PREMLES IFS ncwnnncn <br />MED EXP(My one Person) <br />Excluded <br />CLAIMS -MADE ❑OCCUR <br />PERSONAL A ADV INJURY <br />$51000,000 <br />m <br />X Car., Li.WIC, <br />m <br />b <br />GENERALAGGREGATE <br />510,000,000 <br />o <br />PRODUCTS- CDMPgP AGO <br />Included <br />GENL AGGREGATE LIMIT WPLIE$PER <br />' <br />X POLICY PRO <br />LOC <br />^ <br />m <br />A <br />GAR NO 8815987 <br />01/01/'2014 <br />01/01/2011 COMBINED BINGLEUmff $5,000,000 <br />(AUTOMOBILE LIABILITY <br />Garage Liability <br />j <br />GODLY INJURY (Per Perapnl <br />0 <br />X ANY AUTO <br />ALL OWNED SCHEOULED <br />BODILY INJURY (Per amdent) <br />.d+ <br />AUTOS AUTOS <br />PROPERTYCAMAGE <br />IS <br />HIRED AUTOS NOW.VNNED <br />fPencddenll <br />r- <br />AUTOS <br />x GALL$1.dao mn <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />U <br />AGGREGATE <br />EXCESS LIPS <br />CLAIM &.MADE, <br />'OED RETENTIDN <br />B <br />WCRNEPS DOMPEN$ATIDN nNO <br />`NLRC4787701 <br />01/O1/1014iU1/01/2U15 <br />X WC $TATU- OLH. <br />TORY UNITS PP <br />• <br />EMPLOYERS' LIABILITY YIN <br />WLRC47877003 <br />01/01/201401/01 /2015 <br />EL. EACH ACGOENT <br />51,000,000 <br />N <br />AFFIcER <br />ylq Workers COmD /CA <br />EL. DIBEASE- EA EMPLOY_E <br />51,000,000 <br />EMSERIPARTHEP!EXEGVTIbE <br />OFFnd.l EMBER :%CLUDEDT <br />(Nmdeloryin NHl <br />WLRC47377027 <br />01/01/2 01401 /01/2015 <br />• <br />1 1 )ra AU under <br />pW Au [Om0 [1 ve <br />— <br />EL CISEASEYOLICY UMIL <br />11.000,000 <br />pE54RIPTIDN GF (1YEMnrIGNS hnlow <br />— <br />�J <br />DESCRIPTION OF OPERATIONS( LOCATIONS VEHICLES(AHecH ACORD Im,AddaipnalRemaMe Scnedale, if men apau is required) <br />•,� <br />Addi ci onal Named insured: PAG west, LLC. City of Santa Ana, M -93 is included as an Additional Insured with respect to the <br />General Liability policy, as required by 'written contract. <br />�J <br />�7 <br />�.J <br />CERTIFICATE HOLDER <br />City of Santa Ana, M -93 <br />20 Civic Center Plaza <br />Santa Ana CA 92702 USA <br />ACORD 25 (2010105) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />01988.2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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