|
,aco CERTIFICATE OF LIABILITY INSURANCE
<br />DATE IMMGO(YYYY)
<br />051272020
<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 N
<br />Marsh USA, Inc.
<br />1166 Avenue of the ARlencas PHONE FAX .
<br />New York, NY 10036 awl
<br />INSURED V
<br />OverDdve Inc.
<br />One OverDdve Way
<br />Cleveland, OH 44125
<br />COVERAGES CERTIFICATE NUMBER- NYC-1110Rg767R-Op Ri=vminm NIIMRPR• 5
<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 />INSR
<br />TR
<br />TYPE OF INSURANCE
<br />L
<br />POLICY NUMBER
<br />POLICY EFF
<br />POLICY EXP
<br />IMMIDONYYYI
<br />L.NMTS
<br />B
<br />X
<br />COMMERCIAL GENERALLIASILRY
<br />CLAIMS -MADE 171 OCCUR
<br />CPP 6410262
<br />06/30/2019
<br />06/3012020
<br />EACH OCCURRENCE
<br />$ 1,000,DDO
<br />PREMISES Ea ,
<br />f 1,000,000
<br />MED EXP (M put person)
<br />f 10,01)0
<br />PERSONAL S ADV INJURY
<br />f 1,000.000
<br />GEN%AGGREGATE
<br />LIMIT APPLIES PER:
<br />POLICY JET O LOC
<br />GENERAL AGGREGATE
<br />S 2,000,000
<br />PRODUCTS-COMP/OP AGO
<br />S 2,000,000
<br />E
<br />OTHER:
<br />C
<br />AUTOMoBILE
<br />WM31LT'
<br />ANY AUTO
<br />CPP6410
<br />%W12419
<br />06W 02Q
<br />COMBINED SINGLE LIMIT
<br />a a dent
<br />f 1000000
<br />%
<br />BODILY INJURY (Par parri
<br />f
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILY INJURY (Per acutlenl)
<br />f
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />-PROPERTY
<br />Per lint
<br />S
<br />f
<br />tI1BRELUlkLAS
<br />OCCUR
<br />EACH OCCURRENCE
<br />S
<br />AGGREGATE
<br />f
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />DIED RETENTIONS
<br />IS
<br />I
<br />8
<br />WORKERSCOMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANYPROPRIETORIPARTNERrF.XECUTNE
<br />OFRCERIMEMBEREXCLUDED? ❑N
<br />1MandMary In NH)
<br />S yes describe antler
<br />DESCRIPTION OF OPERATIONS WIgw
<br />MIA
<br />WC6410204(AR,A ,K ,LA,MA,NV
<br />OH,OR.WA)
<br />(Conlinued on Aoord 101)
<br />06MI2019
<br />✓
<br />06MIM20
<br />/
<br />✓
<br />X I PER
<br />UT ER
<br />E.L.T
<br />.L. EACH ACCIDENT
<br />f 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />f 1,o0D,ODO
<br />E.L. DISEASE -POLICY LIMIT
<br />S 1,000,0110
<br />A
<br />Professional Liability
<br />PRO10011391302
<br />O&M2019
<br />O6/,g2/0p
<br />Und :
<br />10,0(10,000
<br />(Tachnobgy E&O)
<br />/
<br />SIR:
<br />250,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1a1, AMtl al Remarks ScheduM, may O Mta W II more apam Is required) ✓
<br />City of Santa Are, Risk Management iI'S officers. employees, agents, representatives, and volunteers are Were included as additional insured where required by writer contract MIT respect to general liability and
<br />auto liability . This insurance is primary and nommotribulory over any emstirg insurance and limited to liabkily arising out of the operations of the named insured subject to poky temK and oXltlitbns. If this Policy
<br />is Canceled by file Insurer for reasons o01er than non-payment of premium, &ten 0w Insurer snail endeavor to give the Scheduled Entity written notice of such cancellation not less than lift (301 days pro to the
<br />effective date of cancellation. f
<br />City of Santa Ana ✓
<br />Risk Management Division
<br />20 Civic Center Plaza, 41h floor JUN 1
<br />Santa Ana, CA 92702 L /
<br />AiNGIE
<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 />"arsh USA Inc.
<br />Manashi Mukherjee
<br />©1988.2016 ACORD CORPORATION. All rich
<br />M
<br />M
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|