Laserfiche WebLink
Alki CERTIFICATE OF LIABILITY INSURANCE <br />DATE I W) <br />ofilgv2017zon <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 />Marsh USA, Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036 <br />CONTACT <br />NAME: <br />WC.PHONENoExth �q/� Nol: <br />_ <br />__ <br />EMAIL <br />ADDRESS: <br />INSURER(S) AFFORDING_ COVERAGE NAICN_ <br />_ <br />INSURER A: Endurance Americans ecialtylnsurance Company 41718 <br />:Finpr-EOUMB-17-18 <br />INSURED OverOrive Holdings Inc. <br />INSURER B: Mitsui Sumitomo Insurance Company OfAmenca 20362 <br />INSURERC: <br />One OverDrive Way <br />Cleveland, OH 44125 <br />INSURER D <br />INSURER E: <br />INSURER F: ! <br />COVERAGES CERTIFICATE NUMBER: NYC-009074269-02 REVISION NUMBER- 1 <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 COND17IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR', <br />LTRI <br />TYPE OF INSURANCE <br />ADDLSUBR. <br />INSQVD <br />POLICY EFF <br />POLICY NUMBER MMIDDIYYYY <br />POLICY E%P <br />MMIDDIYYYYLIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />J _ <br />EACH OCCURRENCE $ <br />_ <br />pREMISES EJ aoccurrence It <br />MED EXP (Any one person) I $ <br />PERSONAL &ADV INJURY$ <br />GEHL AGGREGATE LIMITAPPLIES PERPRO- —1. <br />POLICY �� JECT LOC <br />_GENERAL AGGREGATE <br />PRODUCTS-COMPIOPA_GG <br />$ <br />_ <br />$ <br />OTHER' <br />OMOBILE LIABILITY <br />Ee eBBINED SING LE LIMIT <br />II$ <br />ANYAUTOBODILY <br />INJURY (Per person) <br />$ <br />OWNED SCHEDULEDBODILY <br />AHIREDUTOS ONLY ANONUTOS dNED <br />F1'AUTOS ONLY AUTOS ONLY <br />INJURY (Per accident), <br />$ <br />PROPERTY DAMAGa_- <br />(Per accident) <br />$ <br />- <br />_ <br />$ <br />X <br />UMBRELLAUAB <br />X IOCCUR <br />UMB5700620 <br />1111112117 <br />IO6I30/2018 <br />!_EACH OCCURRENCE <br />$ 10,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE <br />$ 10,000,000 <br />—.._ <br />$ <br />DED I X RETENTION $ 10,000 <br />8 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />WCP9114701 <br />6/3012017 <br />10613012018 <br />X PER OTH <br />STATUTE ER <br />E.L. EACH ACCIDENT i$ 1000,000 <br />ANYPROPRIETORAPARTNERIEXECUTIVE <br />OFFICERIMEM BEREXCLUDED? �N <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />INIAI <br />I- <br />1 <br />E.L. DISEASE - EA EMPLOYEE' Is 100Q000 <br />E.L. DISEASE -POLICY LIMIT $ 1 000,000 <br />A <br />Professional Liability <br />!PRO10011391300 <br />106130/2017 <br />06/30/2018 <br />Limit: $10,000,000 <br />(Technology E&O) <br />SIR: $250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Evidence of Insurance. Umbrella is follow, form of primary subject to policy terms, conditions and exclusions. <br />If this Polley Is cancelled by the lined Far for reasons other than non-payment of premium, then the Insurer shall endeavor to give the Scheduled E wdlten notice ofy0ph;tan f of less than thirty (30) days <br />prior to the effective date of cancellation, <br />e��9ea,�� eC <br />�r=r.,,F I. m I i "WL.Li UAINUCLLA I IUIN - r)Y _ <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Manashl Mukherjee <br />no 1918-2018 ACORD CORPORATIFN All rinhtc v...i d <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />