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PUBLIC SAFETY TRAINING INSTITUTE - 2016
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Last modified
11/20/2018 11:29:09 AM
Creation date
10/17/2016 12:37:54 PM
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Contracts
Company Name
PUBLIC SAFETY TRAINING INSTITUTE
Contract #
A-2016-250
Agency
POLICE
Council Approval Date
8/16/2016
Expiration Date
8/15/2019
Insurance Exp Date
12/15/2018
Destruction Year
0
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ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD/YYYY) <br />10/29/2018 <br />THIS CERTIFICATE IS ISSUED ASA 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 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 endomement(s). <br />PRODUCER <br />CONTACT <br />NAME: Elisabeth T Nidoy <br />McClatchy Insurance Agency <br />PHONE (g16) 488-4702 FAX (916) 488-2336 <br />AIC No Ext: AIC, No: <br />License #0724020 <br />qo Ress: elisabeth@mcclatchyins.com <br />2410 Fair Oaks Blvd, Suite 140 <br />INSURER(S) AFFORDING COVERAGE NAIC b <br />Sacramento CA 95825 <br />INSURERA: Nonprofits Ins. Alliance of CA 011845 <br />INSURED <br />INSURER B <br />Public Safety Training Institute <br />INSURER C: <br />PO Box 6134 <br />INSURER D <br />Attn: Lt. Mike Elerick <br />INSURERS <br />Auburn CA 95604 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL1812211558 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 />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE� OCCUR <br />EACH OCCURRENCE $ 1,000,000 <br />PREMISES Ea occurrence $ 500,000 <br />MED EXP (Any one Person) $ 20,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />A <br />Y <br />2017 -31882 -NPO <br />12/15/2017 <br />12/15/2018 <br />GEN'L AGGREGATE LIMITAPPLIES PER <br />X POLICY DPRO- <br />ECT LOC <br />JECT <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS-COMPIOPAGG $ 2.000,000 <br />Hired/borrowed & NOA Is 1,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea a=idenl <br />BODILY INJURY(Parpere.r) 4 <br />ANYAUTO <br />A <br />AWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />2017 -31882 -NPO <br />12/15/2017 <br />12/15/2018 <br />BODILY INJURY(Peraccident) $ <br />X <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />PROPERTYDAMAGE <br />Peraccitlenl $ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION $ <br />§ <br />WORKERS COMPENSATION <br />I PER OTH- <br />ANDEMPLOYERS'LIABILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />IM <br />OFFICEREMBER EXCLUDED? <br />NIA <br />E.L. DISEASE EA EMPLOYEE $ <br />(Mandatory in NH) <br />byes, describe under <br />E.L. DISEASE POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Public Safety Training, Additional Insured with written contract or agreement. <br />The Santa Ana Police Department, its officers, employees, agents, and representatives are included as Additional Insured, with respects to General Liability, <br />per terms and conditions of policy. Additional Insured endorsement attached–CG 20 10 0413. Insurance is primary and non-contributory, per attached <br />form–NIAC E61 12 15. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The Santa Ana Police Department ACCORDANCE WITH THE POLICY PROVISIONS. <br />60 CIVIC CENTER PLAZA <br />SANTAANA CA 92702 I /fre-1 4ep �Iqf <br />©1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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