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INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMENT CORPORATION (ICMA) (EXECUTIVE MANAGEMENT) 1D
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INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMENT CORPORATION (ICMA) (EXECUTIVE MANAGEMENT) 1D
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Last modified
8/24/2022 11:47:21 AM
Creation date
5/14/2015 10:24:02 AM
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Contracts
Company Name
INTERNATIONAL CITY MANAGEMENT ASSOCIATION RETIREMENT CORPORATION (ICMA) (EXECUTIVE MANAGEMENT)
Contract #
A-2015-022
Agency
PERSONNEL SERVICES
Council Approval Date
1/20/2015
Expiration Date
1/20/2020
Insurance Exp Date
6/30/2023
Destruction Year
2025
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AFRO® CERTIFICATE OF LIABILITY INSURANCE <br />°OM6120s°"r`Y' <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer Rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MARSH FRAINC. <br />TO Inner <br />NAME: <br />PHONE FAC <br />1050 CONNECTICUT AVENUE, SUITE700 <br />No: <br />F-MAIL <br />ADDRESS: <br />WASHINGTON, DC 200365386 <br />INSURERS AFFORDING COVERAGE <br />BRIG# <br />INSURER A: Phoenix lncumnae Compbnv <br />25623 <br />ON101976702JMULTI GOUT 17-18 <br />INSURED IOMA RETIREMENT CORP. <br />INSURER e: N/A <br />N/A <br />INSURERC: Dbndord Fire lncuAnce Compbnv <br />19070 <br />ATTN. D'JUANATHOMAS <br />INSURER D: Federal Insurance Com on <br />20281 <br />777 NORTH CAPITOL ST., NE <br />WASHINGTON, DC 20002 <br />INSURER E: TAvelers ObsubITTAndCre CompbnV OfAn iae <br />31194 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLEY06041484T6 REVISION NUMBER: 5 <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. NOTWTH STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH 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 />R <br />TYPE OF INSURANCE <br />AIRISH OOL <br />BUBBPOLICY <br />WHO <br />POLICYNUMBER <br />Err <br />shommIYYYY <br />POLICY ESP <br />MN MORYYY <br />LIMITS <br />A <br />X <br />COMMERCIALGENERALLIABIUtt <br />6306F588W5 <br />08N1201] <br />08N12018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CIAIMSMADE � OCCUR <br />PREMISEDAMAGES Es occurrence <br />$ 1,000,000 <br />X <br />M ED EXP(Any one person) <br />$ 10,000 <br />CONTRACTUALCOV INCL <br />PERSONAL 4ADV INJURY <br />$ 1,000,000 <br />GEN'LAGGREGATE <br />LIM IT APPLIES PER <br />GENERALAGGREGATE <br />$ 2,000,000 <br />POL�JEpC �LOC <br />X <br />PRODUCTS-COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHERICY <br />AUTOMOBILE LIABILITY <br />Eaaccidenl <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHULED <br />AUTOS ONLY AUTOSED <br />BODILY INJURY(Peraccident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />HIRED NON OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESSHAD <br />CIAIM SMAIDE <br />LIED <br />I I RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY <br />ANYPROPRIETOWPARTNEWEXEWTIVE YIN <br />OF FICEWM EMBER EXCLUDED') [N] <br />(Mantldory in NH) <br />NIP <br />U75087794 <br />08N12018 <br />X STATUTE E0 IT <br />R <br />EL EACHACCIDENT <br />$ 1,000,000 <br />EL DISEASEBeEMPLOYEE <br />$ 1000000 <br />Idescribe under <br />RIPTION OF OPERATIONS below <br />ELDISEASE -POLICY LMIT <br />$ 1,000,000 <br />D <br />BANKERS PROF. LW9 <br />8211E261 <br />06,202018 <br />06,202019 <br />$7,500,000 p/o$12,500,000 <br />E <br />SIR.$1000000 <br />106758967 <br />06,202018 <br />06,202019 <br />$5000000 p/o$12500000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD RE Adi itional Becomes Schedule, mW be dlabed if more more is required) <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTAANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />ATTN. EXECUTIVE DIRECTOR OF PERSONNEL SAN <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 CIVIC CENTER PLVTA MP 4 <br />ACCORDANCE W IT1 THE POLICY PROVISIONS. <br />SANTAANµ CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />of Manor USA Inc. <br />Manashi Mukherjee ..] u — -- <br />© 1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016)3) The ACORD name and logo are registered marks of ACORD <br />
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