QUEENS PUBLIC LIBRARY (3) - 2017

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'`� � CERTIFICATE Q'LIABILI'fY INSURANCE DATE'lM8 IYYYY) �- 9118/2018 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 _ -^EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. :APORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or 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 Arthur J. Gallagher Risk Management Services, Inc. One Jericho Plaza Suite 200 Jericho NY 11753 A NAME: PHONE Fax bac N. €E.t) 516-745-0800 A/c No): 516-745-0082 ADID ESS: INSURER S)AFFORUINQ COVE RAGE NAIC# 7/1/2019 INSURER A: Federal Insurance CompEmV 20281 INSURED QUEEBOR-02 Queens Borough Public Library 89-11 Merrick Blvd INSURER B: Great Northern Insurance Company 20303 INSURER C: INSURER D: PREMISES Ef EA occurrence) Jamaica, NY 11432 INSURER E: $10,000 INSURER F: COVERAGES - CERTIFICATE NUMBER: 968494588 REVISION NUMBER: 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. INSR TYPE OF LT AUDI. BR V POLICY NUMBER POLICYEFF l IYYYY POLICY C•XP MMI DIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 99496992 7/1/2018 7/1/2019 EACHOCCURRENCE $1,000,000 CLAIMS -MADE OCCUR PREMISES Ef EA occurrence) $1,000,000 MED EXP (Any one person) $10,000 ' PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L POLICY ❑ PROJECT LOC PRODUCTS - COMP/OP AGG $Included $ OTHER: AUTOMOBILE LIABILITY 73598196 7/1/2018 7/1/2019 COMBINED SINGLE LIMIT Ea acc'den0 $1,OW,000 _ BODILY INJURY (Per person) $ -' X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ 4;2 PROPERTY DAMAGE Peraccident $� $ — _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ '0 AGGREGATE It CI'.J EXCESS LIAB CLAIMS -MADE DED RETENTION $'� WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIUQFVPARTNER/EXECUTIVE PER 0TH- STATUTE ER o--�- ['r": E.L. EACH ACCIDENT __ $ OFFICER/MEMBEREXCLUDED4 (Mandatory in NH) N/A E.L. DISEASE- EA EMPLOYE 4-^^ $ E.L. DISEASE -POLICY LIMIT "^ $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached H more space is required) ADDITIONAL INSURED PER FORM #80-02-2367 05-07 The City of Santa Ana, its officers, employees, agents, and representative are included as Additional Insureds . City of Santa Ana Attn: PRGSA 20 Civic Center Plaza -Ross Annex Santa Ana CA 92701 USA ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD The AGORD name and logo are registered marks Of ACORD reserved.