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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
Metadata
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Template:
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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CERTIFICATE OF LIABILITY INSURANCE DATE Y) <br />1023/2019 <br />2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO <br />RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the Pollcy(les) must have ADDITIONAL INSURED <br />provisions or be andomed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the <br />policy, certain policies may require an endorsement. A statement on <br />this certificate does not Confer <br />rights to the Certificate holder In lieu of such endorsements). <br />PRODUCER <br />NAME: Lynene(Lynn) Eye <br />PIA Select buu uacm Solutions <br />An: No IROS) 975-3531 52, No): <br />1100 Industrial Rd., e3 <br />ADDRESS: lymn.eye(gpiaselectcom <br />INSURERS) AFFORDING COVERAGE <br />NAIC e <br />San Cal10S <br />INSURER A : Amco Insurance Company <br />002014 <br />CA 94070 <br />INSURED <br />INSURER B: Employers Insurance Group <br />10346 <br />Data Ticket. Inc. <br />INSURER C : <br />DBA: Revenue Experts <br />INSURER D : <br />2603 Main Str"L Ste. 300 <br />InsURER E <br />Irvine CA 92614 <br />WSURER F: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD <br />ABOVEOR THE P <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 POUCHES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L R <br />x <br />TYPE OF INSURANCE <br />COMMERCIAL GENERAL WaXT' <br />CLAMS LADE XOCCUR <br />INBD <br />PAID <br />POLICY NUA®ER <br />MNn)D/YYY1') <br />IMwODmyfT <br />MISTS <br />EACH OCCURRENCE <br />S 2.000,000 <br />PREMISES Ea ocourancs <br />S 300.OD0 <br />MED EXP (AM ma paean) <br />S 5,000 <br />A <br />Y <br />Y <br />ACP BP0 3059509589 <br />I V0112019 <br />11 /01 2020 <br />PERSONAL S ADV INJURY <br />S Excluded <br />OEENL <br />p <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑JECaT 7LOC <br />GENERN. AGGREGATE <br />3 4.000,000 <br />PRODUCTS-COMP+OP AGG <br />S 4,000,000 <br />OTHER: <br />S <br />AUTOMOBILE <br />UA81UTY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS <br />HIRED AUTOSNONOWNED <br />A1R090N1r Fa AUTOS ONLY <br />ACP BP03059509589 <br />II101 R019 <br />II'OL202p <br />(Ea aabenr <br />s 1.000.000 <br />BODILY INJURY {Por person) <br />9 <br />BODILY INJURY (Par auitMAl <br />S <br />rattWnl <br />S <br />S <br />A <br />x <br />UMBRELLA LIAR <br />EXCESS UAS <br />OCCUR <br />CLAIMSJAADE <br />ACP CAA 3059509589 <br />11/012019 <br />11:01:2020 <br />EACH OCCURRENCE <br />S ? 000,000 <br />AGGREGATE <br />S 2,000,000 <br />DED I I RErEWION5 <br />S <br />0 <br />NE COMPEN"A <br />NO EMPLOYEWLIABILITY YIN <br />NY PROPRIETORNARTNER:F�CUTNE <br />FFICEwrAEMSER EXLUDED+ <br />MarMatary In NH) <br />I yes. dawiea urger <br />ESCRIPTION OF OPERATIONS Deb. <br />NIA <br />y <br />EIG2869443 <br />07/1212019 <br />071I2/2020 <br />y <br />^ STATUTE ER <br />EL EACH ACCIDENT <br />S I,000.000 <br />E.L. DISEASE -EA EMPLOYEE <br />S 1.000,000 <br />E.L DISEASE -POLICY LRRT <br />S 1.000.000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 181. AdolUonal Remarks Seh"We, may ba atbew B I11ala aped M raqulnal) <br />City of Santa Ana, officers. agents. employees. and volunteers are named as additional insured on the General Liability policy pursuant to written contract, agreement, or <br />memorandum of understanding. <br />The General Liability policy includes a Waivet of Subregation. Primary & Von -Contributory wording and 30 day notice of cancellation as required by written contract (see <br />attached). <br />Workers Compensation includes a blanket Waiver of Subrogation (see attached). <br />11MVIEWED & APPROVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />By Risk NAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIOEXPIRATION DATE THEREOF, NOTICE NS. <br />BE DELIVERED IN <br />City of Santa Ana <br />Risk Manegemem Division 272019 AI1TIr DREPREBENTATIVE -� <br />20 Civic Center Plain, 41h Floor <br />oa <br />) Santa ACA 92702 CARAA AIr ... . _ �- <br />S ACORD <br />reserved. <br />ACORD 25 (2016/03) <br />The ACORD name and logo are registered marks of ACORD <br />
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