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PROFESSIONAL SPORTS FIELD MAINTENANCE - 2018
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PROFESSIONAL SPORTS FIELD MAINTENANCE - 2018
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Last modified
4/27/2020 8:58:09 AM
Creation date
2/5/2018 1:23:49 PM
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Contracts
Company Name
PROFESSIONAL SPORTS FIELD MAINTENANCE
Contract #
A-2018-013
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Council Approval Date
1/16/2018
Expiration Date
1/31/2019
Insurance Exp Date
6/1/2019
Destruction Year
2024
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A CERTIFICATE OF LIABILITY INSURANCE <br />°AT9/2612017YY) <br />09/26/2017 <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 NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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(sj. <br />PRODUCER <br />CONTACT Kimberely Kelley <br />NAME: <br />Insurance Solutions <br />PRONE (949)3487400 (9g9)3484373 <br />AIC No Ext: AIC,Nof_ <br />License #0748539 <br />nooalEss, KIT ins-solutions.com <br />33302 Valle Rd, Suite 200 <br />INSURER St AFFORDING COVERAGE <br />NAIC 9 <br />San Juan Capistrano CA 92675 <br />INSURER A: The Ohio Casualty Insurance Company <br />24074 <br />INSURED Ii _ P (yl! <br />` r T b <br />INSURER B: Allmerica Financial Benefit <br />41840 <br />-Lt <br />Prof esslonal Sports Field Maintenance Inc <br />Ma <br />INSURER C : American Fire and Casualty Company <br />24086 <br />23 Emerald Gin <br />INSURER D: State Camp Ins Fund <br />35076 <br />INSURER E <br />Laguna Niguel CA 92077 <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 17.18 All 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 CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS <br />CERTIFICATE MAYBE 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 />INSft <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />MMCDNYYY <br />POLICY E P <br />MMIDDTIYnY) <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE lOCCUR <br />EACH OCCURRENCE <br />S 1,000,000 <br />A A NT <br />PREMIREE Ea occurraneel <br />e 500,000 <br />MEDEXP(Anyanspsnar <br />$ 15,000 <br />PERSONAL SADV INJURY <br />s 1,000,000 <br />A <br />SKO57465702 <br />1010112017 <br />10/0112018 <br />LIMIT APPLIES PER: <br />POLICY ❑ PEGT RO- ❑ <br />JLOC <br />GENERALAGGREGATE <br />S 2,000,000 <br />GEN'LAGGREGATE <br />x <br />PRODUCTS - COMP/OP AGG <br />S 2,000,000 <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />S 1,00 0000 <br />X <br />ANYAUTO <br />BODILY INJURY (Per person) <br />S <br />g <br />OwNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON OMED <br />AUTOS ONLY AUTOS ONLY <br />H <br />AVV3A377777 <br />08/26/2017 <br />08/26/2018 <br />BODILY INJURY(Pereccident) <br />S <br />PROPERTY <br />Pe,. ciaent DAMAGE <br />Uninsured motorist <br />s 300.000 <br />UMBRELLA LIAB <br />X <br />OCCUR <br />y <br />EACH OCCURRENCE <br />S 2,000,000 <br />C <br />EXCESS LIAB <br />CUIMS-MADE <br />ESA57465702 <br />10/01/2017 <br />10/0112018 <br />AGGREGATE <br />S 2,000,000 <br />DIED I I RETENTION S <br />a <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPMETORWARTNER/EXECUTIVE YIN <br />OFFICERMEMBER EXCLUDED? <br />(Mandatary in NHl <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />1620476-2017 <br />02126/2017 <br />02/26/2018 <br />PER 07H- <br />X STATUTE ER <br />E L. EACH ACCIDENT <br />S 1,000, 000 <br />E.L. DISEASE-EAEMPLOYEE <br />$ 1-000,000 <br />E, L. DISEASE - POLICY LIMIT <br />S 1,000,000 <br />a�``}} <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more space Is re �uut�if� t <br />The City of Santa Ana, it's officers, employees, agents, and representative are Included as additional insured per t1MaC t!hed en orsemeht <br />(Yi <br />C' g <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 />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 I o4'+...,.aew <br />© 1938.201 <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />reserved. <br />
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