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UTILITY ASSOCIATES, INC.
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UTILITY ASSOCIATES, INC.
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Last modified
5/26/2016 8:00:54 AM
Creation date
5/26/2016 7:58:36 AM
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Contracts
Company Name
UTILITY ASSOCIATES, INC.
Contract #
N-2016-076
Agency
POLICE
Insurance Exp Date
8/1/2016
Destruction Year
0
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ACC>RbP CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDDrYYYY) <br />5/9/2016 <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(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 (leu of such endorsement(s). <br />PRODUCERTA <br />Pritchard & Jerdee, <br />95 <br />950 Eastst Paces Ferry Road NE _ <br />Suite 2000 <br />T <br />NAME: arl <br />- <br />PHONE FA% <br />E.t :4 - - 90 A/c N.I. <br />E MAIC <br />ADDRESS: 9[illD a�piins <br />Atlanta GA 30326-1384 <br />INSURER(S)AFFORDING COVERAGE <br />1 NAICN <br />_ <br />INSURERA:Travelers Properly Casualty <br />6161 <br />8/1/2016 <br />INSURED UTILI-1 <br />INSURER a: Techn0100y_tDSU rance i' orn ny <br />42376 <br />— <br />INSURER cPhoenixInsurance Company <br />_ <br />Utility Associates, Inc <br />Jason Blair <br />250 East Ponce Be Leon Avenue <br />INSURER D: <br />-- ------- ----- <br />-- <br />Decatur GA 30030 <br />INSURER E <br />$10,000 <br />INSURER F: <br />CLAIMS -MADE OCCUR <br />COVERAGES CERTIFICATE NUMBER: 871554176 REVISION NUMBER: <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 />ILTR <br />i TYPE OF INSURANCE 'INBR <br />WVD <br />POLICY NUMBER <br />MMIOIDY� <br />POLICY EXP <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />ZLP-15P13297A <br />8/1/2015 <br />8/1/2016 <br />EACH OCCURRENCE <br />$1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />_ <br />DAMAETo RENTED <br />.occurrence) <br />$300,000 <br />_PREMISES( _ <br />MED EXP (Any ane person) <br />$10,000 <br />CLAIMS -MADE OCCUR <br />PERSONAL&ADV INJURY <br />1 $1,000,000 <br />_ <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />---� <br />_ <br />$2,000,000 <br />POLICY i PRO JELOC <br />$ <br />C <br />AUTOMOBILE <br />_ <br />LIABILITY <br />BA -4D299076 <br />8/1/2015 <br />8/1/2016 <br />MB D <br />Ea accitlent $1 000 000 <br />-_ <br />BODILY INJURY (Per person) I$ <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS _ AUTOS <br />BODILY INJURY Per accident $ <br />HIRED AUTOS NON -OWNED <br />-_ AUTOS <br />PROPERTY DAMAGE $ <br />_(Peraccidenll <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />ZUP-15P62981 <br />8/1/2015 <br />8/1/2016 <br />EACH OCCURRENCE $8,000,000 <br />EXCESS UPS <br />CLAIMS -MADE <br />AGGREGATE $8,000,0_00_ <br />DED �X , PET ENTION$ 10,000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />TWC3470727 <br />5/1/2016 <br />5/1/2017 <br />X WC STATU- OTH- <br />ITS E <br />E. L. EACH ACCIDENT $1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />'OFFICER/MEMBER EXCLUDED? <br />NIA( <br />_. _ <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />I (Mandatory in NH) <br />If yes, describe under <br />--- - - <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />1DESCRIPTION OFOPERATIONS below <br />A <br />Technology Errors & Omissions <br />ZPL-15PB2993 <br />8/1/2015 <br />8/1/2016 <br />Ea Wrongful Act $10,000,000 <br />General Aggregate $10,000,000 <br />DESCRIPTION OF OPERATIONSI LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) <br />wNe <br />CERTIFICATE HOLDER CANCFI 1 ATIDN <br />Santa Ana Police Department <br />P <br />60 Civic Center Plaza (M-97) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />,,��4ae1Xe,11a(S <br />© 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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