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NEUTRAL GROUND - 2017
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NEUTRAL GROUND - 2017
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Last modified
3/25/2020 11:07:17 AM
Creation date
9/12/2017 4:30:17 PM
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Contracts
Company Name
NEUTRAL GROUND
Contract #
A-2017-096
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/18/2017
Expiration Date
6/30/2018
Insurance Exp Date
1/6/2019
Destruction Year
2023
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/9LVn1J® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />� <br />0 812912 01 7 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />�uIAM <br />NAME: <br />FAX <br />Automatic Data Processing Insurance Agency, Inc. <br />4AICPHONE,No Ext: AIC No: <br />1 Adp Boulevard <br />AIL <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE NAIC9 <br />Roseland, NJ 07068 <br />INSURER A: Property And Casualty Insurance Company Of Hartford 34690 <br />INSURED <br />INSURER B: <br />NEUTRAL GROUND <br />PRODUCTS - COMP/OP AGG $ <br />1733 VALENCIA <br />INSURER C <br />INSURER D: <br />Santa Ana, CA 92706 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 736643 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 />INSIR <br />LTR <br />TYPE OF INSURANCE <br />DB <br />INSO <br />B <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIY1'YY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 1 OCCUR <br />EACH OCCURRENCE $ <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL B ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT LOC PRO- <br />OTHER: <br />GENERALAGGREGATE $ <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />I <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED I <br />I RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY <br />OFFICER/MEMBER EXCLUDED?ECUTIVE <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />N <br />76WEGAA60LP <br />08/23/2017 <br />08/23/2018 <br />X PER <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L DISEASE- EAE MPLOYE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,666,666 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INSURED COPY <br />AUTHORIZED REPRESENTATIVE <br />--� ( '�1L_�_ <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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