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DATA TICKET INC-2017
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DATA TICKET INC-2017
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Last modified
12/23/2019 9:29:27 AM
Creation date
2/21/2017 10:06:27 AM
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Contracts
Company Name
DATA TICKET INC
Contract #
A-2017-026
Agency
POLICE
Council Approval Date
2/7/2017
Expiration Date
2/6/2020
Insurance Exp Date
7/12/2020
Destruction Year
0
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A� Roie CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />10/31/18 <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 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 endorsemen4 s . <br />PRODUCER <br />PELLETT INSURANCE SERVICES INC <br />4355 San Benito Rd. <br />CONTACT <br />NAME: Karen Daniels <br />PNC ash. ONE 805 227-6780 Fac Na: 805 460-7445 <br />E-MAIL , karen ellettins.com <br />INSURERIS) AFFORDING COVERAGE <br />NAIL It <br />Atascadero, CA 93422 <br />INSURER A: Amco Insurance Company A+XV <br />002014 <br />OH2721820 <br />INSURED <br />Data Ticket, Inc. <br />INSURER B : <br />INSURER C <br />INSURER D: <br />DBA: Revenue Experts <br />NSURER i : <br />2603 Main Street, .cite. 300 <br />INSURER F: <br />Irvine CA 92614 <br />COVERAGES CERTIFICATE NUMBER: 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 />TYPE OF INSURANCE <br />AODL <br />SUBR <br />POLICYNUMBER <br />POLICY <br />MMLOUY� <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000.00 <br />CLAIMS -MADE 19 OCCUR <br />PREMISES Eeoccunence <br />$ 300000 <br />MED EXP (Any oneperson) <br />$ 6,000 <br />PERSONAL & ADV INJURY <br />$ Excluded <br />A <br />Y <br />y <br />ACPBP03037427618 <br />11/1/2018 <br />11/1/2019 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />RO- <br />POLICY E PRO- LOG <br />PRODUCTS - COMP/OPAGG <br />$ 4000000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED <br />MBI EDISINGLE LIMIT <br />$ 1 OOO OOO <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ACPBP03037427618 <br />11/1/2018 <br />19/1/20/18 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY X AUTOS ONLY <br />X <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ 2 00O 000 <br />AGGREGATE <br />$ 2.000.000 <br />A <br />EXCESS LIAO <br />CLAIMS -MADE <br />ACPBP0307427618 <br />11/1/2018 <br />11/1/2019 <br />DED R TENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORMARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />PERTU E ERH <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EM YEE <br />$ _ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCR PTION Of OPERATIONS below <br />E.L. DISEASE -PP 4 IT <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES(ACORD 101, Additional Remarks Schedule, maybe attached if more apace Is required) -y Z%D <br />It is agreed that the Certificate Holder listed below is included as additional insured. Including Waiver of SLibr6g9tion. <br />Non -Contributory Wording as required by written contract. ::.::� ;,;� <br />✓ <br />ma's R'4 as <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana, Its officers, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />employees, agents, volunteers, and <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />representatives, Police Department <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />60 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />P.O. Box 1981 <br />Santa Ana, CA 92702 <br />Kpup, j,/ <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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