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Home My WebLink AboutA8496 - ECS IMAGING INC.ORD CERTIFICATE OF LIABILITY INSURANCE A�yyS DATE10/01/2022 n 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC 3657 Briarpark Dr., Suite 700 Houston, TX 77042 INSURED ECS IMAGING, INC. 5905 BROCKTON AVE STE C RIVERSIDE, CA 92506-1887 888-828-8365 Ace American Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 22667 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. INSN TYPE OF INSURANCE NDLSU D POLICY NUMBER MPOLICYEXP LSI N YEFF MPMn3DNYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE — OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ $ MED EXP (Any one person) $ PERSONAL &ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: $ GENERAL AGGREGATE POLICY PRO ❑ JECT LOG PRODUCTS-COMP/OP AGG $ S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per parson) $ ANY AUTO BODILY INJURY (Per accidem) $ ALL OWNED SCHEDULED AUTOS UTOS PROPERTY DAMAGE Per accldant $ NON -OWNED HIRED AUTOS AUTOS E UMBRELLA LIAB OCCUR EACH OCCURRENCE If AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERJEXECUTIVE Y /N A OFEICER/MEMBER EXCLUDED? (Mandatory in NH) N/A X C51516138 10/01/2022 10/01/2023 X STATUTE ER E.L EACH ACCIDENT $ 1.000.000 E.L. DISEASE - EA EMPLOYE $ 1.000,000 E.L. DISEASE- POLICY LIMB $ 1 OW 000 II yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) WAIVER OF SUBROGATION IN FAVOR OF City Of Palm Springs WHEN REQUIRED BY WRITTEN CONTRACT. RECEWED SEP 19 2022 Office of the City Clerk CERTIFICATE HOLDER _ CANCELLATION 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 CITY OF PALM SPRINGS 3200 E. TAHOUITZ CANYON WAY PALM SPRINGS, CA 92262 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number ECS IMAGING, INC. 5905 BROCKTON AVE STE C RIVERSIDE. CA 92506-1887 Policy Number Symbol: RWC Number: C51516138 Policy Period Effective Date of Endorsement 10/01/2022 TO 10/01/2023 10/01/2022 Issued By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the dale issued unless otherwise stated. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( X ) Specific Waiver Name of person or organization: City Of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 () Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be ]_JQ percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: $0 � A W? I� u Authorized Agent