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POWER DMS - 2016
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POWER DMS - 2016
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Entry Properties
Last modified
7/7/2016 10:26:47 AM
Creation date
6/14/2016 11:01:48 AM
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Contracts
Company Name
POWER DMS
Contract #
A-2016-119
Agency
POLICE
Council Approval Date
5/17/2016
Insurance Exp Date
6/30/2017
Destruction Year
0
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CERTIFICATE OF LIABILITY INSURANCE C10010n a YY) <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 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(s1. <br />PRODUCER <br />iylant - Orlando <br />?50 International Pkwy, Ste 330 <br />.ake Mary FL 32746 <br />INSURED POWEDMS -01 <br />Power DMS Inc. <br />101 S. Garland Ave #300 <br />Orlando FL 32801 <br />COVERAGES CERTIFICATE NUMBER: 1966301311 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 />INSR <br />LTR <br />rypE OF INSURANCE <br />ADDL <br />INSR <br />UBR <br />Me <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDA'YYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />21SBABX5336 : <br />6/30/2016. <br />6/30/2017 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurrence <br />$1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE F-1 OCCUR <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />'I. <br />$ <br />POLICY <br />F7 PRO LbC <br />1 <br />A <br />AUTOMOBILE <br />LIABILITY <br />21SBABX5338 <br />6/30/2016 <br />6I30I2017 <br />Ea accident <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />: <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />i <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />- <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />218BABX5338 <br />6130/2016 <br />6130/2017 <br />EACH OCCURRENCE <br />$5,000,000 <br />AGGREGATE <br />$5,000,000 <br />EXCESS LIAR <br />CLAIMS -MADE <br />- <br />DIED X RETENTIONZ 10 000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />21WECVX6882 - <br />6/1512016 <br />6/15/2017 <br />X WC SIATU- OTH- <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />OFFICEWMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory In NH) <br />If yyes, describe under <br />0 CRIPTION OFOPERATIONS below <br />E. L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />C <br />Technology Services E &O <br />Y <br />ASD15DO01680 <br />6/30/2016 <br />6/3012017 <br />Each Claim - 1,000,000 <br />including Cyber <br />Aggregate 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach AC ORD 101, Additlonal Remarks Schedule, If more space Is required) <br />The City of Santa Ana is included as additional insured in regards to general liability and cyber liability when r4writte , per <br />the attached endorsements. or <br />City of Santa Ana <br />60 Civic Center Plaza <br />Santa Ana CA 92701 <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 />AUTHORIZED <br />& t,+- <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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