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DMS FACILITY SERVICES TO PROVIDE LANDSCAPING-2017
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DMS FACILITY SERVICES TO PROVIDE LANDSCAPING-2017
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Last modified
5/8/2020 12:29:21 PM
Creation date
3/6/2017 10:16:16 AM
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Contracts
Company Name
DMS FACILITY SERVICES TO PROVIDE LANDSCAPING
Contract #
A-2017-006
Agency
Parks, Recreation, & Community Services
Council Approval Date
1/17/2017
Expiration Date
1/31/2018
Insurance Exp Date
10/1/2020
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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />(MMItiorrrre <br />DAgzsnols ) <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 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 endorsement(s). <br />PRODUCER <br />SliverStone Group <br />11516 Miracle Hills Drive <br />Suite 100 <br />Omaha NE 68154 <br />CONTACT She Allen <br />PHONE FAX <br />MC a :402-984-5B44 A/C Na: <br />noDREss: sallen@ssgi.com <br />INSURERS AFFORDING COVERAGE <br />NAICM <br />INSURER A: Uberty Insurance Corporation <br />42404 <br />INSURED <br />DMS Facility Services LLC pT a011�o6(p <br />DIMS Facility Services, Inc. <br />INSURER B: AIG Specialty Insurance Company <br />26883 <br />INSURER C: Liberty Mutual Fire Insurance Co <br />23035 <br />INSURER D: First Liberty Insurance Corp. <br />33588 <br />1040 Arroyo Drive <br />South Pasadena CA 91030-2908 <br />INSURERE: Travelers Property Casualty Co of America <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1285819545 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IL1R <br />TYPE OF INSURANCE <br />ADDLSUBR <br />POLICY NUMBER <br />POUCYEFF <br />IlWWDDfYYYYI <br />POLICY EXP <br />flMMIDDfYYYY)LIMITS <br />C <br />X <br />COMMERCIAL GENERAL LIABILITY <br />T62-691458727-088 <br />10/1/2018 <br />10/1/2019 <br />EACH OCCURRENCE <br />$1.000.000 <br />CLAIMS -MADE OCCUR <br />DA -AGE RENT D <br />PREMISES Ea N—EN <br />re <br />E 100,000 <br />MED EXP (Any one person) <br />$10.000 <br />PERSONAL& ADV INJURY <br />$1,000.000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$2,000,000 <br />POLICY I PE° LOG <br />PRODUCTS -COMPIOPAGG <br />$2,000,000 <br />$ <br />OTHER: <br />D <br />AUTOMOBILE <br />LIABILITY <br />ASa-891458727-078 <br />10/1r201s <br />10,112019 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000.000 <br />X <br />BODILY I NJURY(Par person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY ALIT OS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />E <br />X <br />UMBRELLA LIAe <br />X <br />OCCUR <br />ZUP-21P17059.18NF <br />10/1/2018 <br />10/1/2019 <br />EACH OCCURRENCE <br />$10,000,000 <br />AGGREGATE <br />$10,000.000 <br />EXCESS LUIB <br />CLAIMS -MADE <br />DELI <br />I X I RETENTIONSn nor <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNERIEXECUTIVE ❑ <br />OFFICERNEMBER EXCLUDED'! <br />NIA <br />WA7-69D45a727-06a <br />10/1/201E <br />10/1/2019 <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000.000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$1,000000 <br />8 <br />Contractors Pollution <br />CP016083833 <br />1017/2018 <br />10/1/2019 <br />ExA Loss <br />1,000,000 <br />UsNiity <br />Aggregate `1 <br />1,000,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) a `{ <br />Re: Landscape Maintenance (District 1 and 4) for the RFP No. 15-112 <br />City of Santa Ana, its officers, employees, agents and representatives are eta �� <br />included as Additional insureds as respects General Liability, including completed operations, as required by written contract. G� <br />Pdmary/Non-Contributory wording is included as respects General Liability, as required by written contract. 1�e <br />Waiver of Subrogation with respects to Workers Compensation applies in favor of the City of Santa Ana, its officers, employ ;a > fie-p esentatives as <br />required by written contract. <br />30 days' Notioe of Cancellation provided with respects to General Liability, Auto, & Workers Compensation as require y wdttenecn act. (Except for 10 days <br />for non-payment of premium) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Parks Recreation, and Community Services Agency <br />20 Civic Center Plaza AUTHORIZED REPREYNTATVE <br />Santa Ana CA 92701 A <br />iad <br />(J 19BU-2015 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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