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DAVID MORSE & ASSOCIATES (2)-2015
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DAVID MORSE & ASSOCIATES (2)-2015
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Last modified
5/18/2017 12:42:20 PM
Creation date
12/16/2015 4:54:39 PM
Metadata
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Template:
Contracts
Company Name
DAVID MORSE & ASSOCIATES
Contract #
N-2015-161-001
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2017
Insurance Exp Date
2/10/2018
Destruction Year
2022
Notes
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"I�'2or5=T(eP-�vl <br />ACbRbs CERTIFICATE OF LIABILITY INSURANCE <br />114 �1 <br />OPTE(MM/DYY, <br />2/8/201166 <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Commercial Lines - (818) 464-9300PHONE <br />Wells Fargo Insurance Services USA, Inc. • CA Llo#: OD08408 <br />15303 Ventura Boulevard, 7th Floor <br />CONAME'N PCT Norah Jacobo <br />�I FAX <br />._818-464.9326 I roc. Not; 866-802.2516 <br />E.MAILRESS, norah.JacoboQwellsfargo.com <br />_ <br />INSURER(SJ AFFORDING COVERAGE NAICR <br />Sherman Oaks, CA 91403.3197 <br />INSURER A: Federal Insurance Company 20281 <br />INSURED <br />DMA Claims, Inc. <br />INSURER Do Employers Insurance Company of Wausau 21458 <br />IN$URER C ; <br />330 North Brand Boulevard, Suite 230 <br />INSURER D: <br />INSURER E i <br />Glendale, CA 91203 <br />1 INSURER F; <br />COVERAGES CERTIFICATE NUMBER: 1U1233(1 REVISION NUMBER: See below <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 />ILTRR <br />TYPE OF INSURANCE <br />P.O. Box 1988 <br />POLICY NUMBER <br />MM% IUmYV <br />MMIODNYYY <br />LIMITS <br />A <br />X COMMERCIALGeNERALQABILITY <br />CLAIMS -MADE X❑ OCCUR <br />X <br />35809642 <br />02/10/2016 <br />02/10/2017 <br />EACH OCCURRENCE $ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Me occurrence $ 1,000,000 <br />MED EXP (Any one person) $ 10,000 <br />X Ded: NII <br />PERSONALS ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 2,000.000 <br />X POLICY ❑ Pft0-JECT @..T<"_I LOC <br />PRODUCTS - COMPIOP AGG $ Included <br />1 $ <br />OTHER <br />1 <br />AUTOMOBILE <br />LIABILITY t;, <br />COMBINED SINGLE LIMIT <br />I 1Ee ecnd.rn $ <br />We <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Peraceidenq $ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTYDAMAGE <br />er ecom t $ <br />UMBRELLA LIAO <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />I RETENTIONS <br />S <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />OANY <br />FFICEFUMEM°ER EXCUDED ECUTIVE FN <br />WCC -Z91.438183.015 <br />EVIDENCE ONLY <br />7/1/2015 <br />7/1/2016 <br />X I DTATUTE I I 'ERT'_ <br />E. L. EACH ACCIDENT $ <br />LE. L. DISEASE -EA EMPLOYEE 5 <br />(Mandatory In NH) <br />Ifdescribe under <br />DESCRIPTION OF OPERATIONS below <br />E.L, DISEASE - POLICY LIMIT S <br />A <br />Errors ✓£ Omissions/Cyber Liab <br />82250149 <br />02/10/2016 <br />02/10/2017 <br />s5,000,000 <br />$60.000 Relenflon <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allachad if mora space is required) <br />Certificate Holder is named as Additlonal Insured for General Liability only as respects operations of the Named Insured. Subject to policy terns, <br />conditions, limitations and exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic City Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS.. <br />P.O. Box 1988 <br />Santa Ann, CA 92702-1988 <br />AUTHORIZED REPRESENTATIVE /1 <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 26 (2014/01) <br />©1988-2014 ACORD CORPORATION. All righty ryd <br />
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