BICKMORE-2017 - Laserfiche WebLink

Home Browse Search

ACoRi')P CERTIFICATE OF LIABILITY INSURANCE III'l DATE(MMIODM/YY) 97)06)2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07960-6454 Attn: Morristown ,ce inquest@marsh.com Fax 212-948-0979 CONTACT NAME: PHONEExt) A C No E-MAIL RESs: Manashi Mukherjee INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: NIA NIA 123456--Prof-17-18 INSURED Onex York Holdings Corp. INSURER B : N/A NIA INSURER C : Aspen Specialty Insurance Company 10717 and its Subsidiaries 1 Upper Pond Road Building F, 4th Floor INSURER D: INSURER E: Parsippany, NJ 07054 INSURER F: COVERAGES CERTIFICATE NUMBER: NYC -007992582.25 REVISION NUMRFR•31 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR 7ypE OF INSURANCE ADDL SUBR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP III LIMITS Manashi Mukherjee COMMERCIAL GENERAL LI ABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TORENTED PREMISES Ea occ nence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY D PEO LOC GENERAL AGGREGATE $ GEN'L PRODUCTS - COMP/OP AGO $ $ OTHER AUTOMOBILE LIABILITY COMBINED S INGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ ( ) HIREDAUTOS AUUTOSWNED PROPERTY DAMAGE $ Peraccid.rd $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSI. CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE FN OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE- EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C PROFESSIONAL LIABILITY LRO03TG17 06/3012017 06/30/2018 LIMIT 10,000,000 DEDUCTIBLE 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remark. Schedule, may be attached if more space is required) CERTIFICATE HOLDER C.CNrFI I ATIOIN City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Finance Department, 3 rd Floor THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza M17 ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ACORD 25 (2014/01) @ 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD T;evr e weoP 4a-6