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® CERTIFICATE OF LIABILITY INSURANCE
°"To'9z °oZZ"Y'
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(iss) 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
Aon Risk Services Southwest, Inc.
Dallas TX Office
CONTACT
NAME:
INC. No. Eat): (866) 283-7122 (800) 363-0105
EWUL
ADDRESS:
SUOS Lyndon B Johnson Freeway
Suite 1500
INSURER(S) AFFORDING COVERAGE
NAIL i
Dallas TX 75244 USA
INSURED
INSURER A: National Union Fire Ins Co Of Pittsburgh
19445
Greyhound Lines, Inc.
350 N St Paul Street
Dallas TX 7S201 USA
INSURER B: AIU Insurance Company
19399
INSURER C: ACE Property & Casualty Insurance Co.
20699
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570095574439 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. Limits shown are as requested
TYPE OF INSURANCE
INSO
moi
POLICY NUMBER
nin
LIGHTS
X
COMMERCIAL GENERAL LIABILITY
GL
EACH OCCURRENCE
S101000, 000
CLAIMS -MADE ❑X OCCUR
PREMISES Ea M."Once
$5,000,0()0
MED EXP (Any one person)
S5.000
PERSONAL&ADV IWURY
$10,000,000
GENLAGGREGATE LIMIT APPLIES PER:
GENERA -AGGREGATE
l0,000, 000
% POLICY PRO LOG
JECT
PRODUCTS - COMPIOP AGO
510,000,000
OTHER:
A
AUTOMOBILE LIABILITY
AL 7031017
04/01/202210/15/2022
COMBINED SINGLE LIMB
i '
510, 000,000
AOS
BODILY IWURY(PW Pemdn)
A
X ANYAUTO
AL 7031019
04/01/2022
10/15/2022
BODILY IWURY(Per .cciden0
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDAUTOs NON -OWNED
ONLY AUTOS ONLY
VA
AL 7031018
04/01/202210/15/2022
PROPERTY DAMAGE
Par accident
C
X
UMBRELLA LAB
EXCESS LIM
X
OCCUR
CIAIMS-MADE
XEW
SIR applies per policy terms
T4761=
& condf
MIT=
ions
EACH OCCURRENCE
$5.000.00
AGGREGATE
f5,0001000
OED I % RETENTION
B
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OFFIANY
ER E%CLUpER I EXECIMVE YINNIA
(Mendmgry In NH)
WC
ADS
WC065885825
CA
04/01/202204/01/2023
X
I PER STATUTE
0T14
E.L. EACHACCIDENT
$3,000,000
E.L. DISEASE -EA EMPLOYEE
$3,000,000
It YYelA s, deace under
DESCRIPTION OF OPERATIONelwbw
E.L. DISEASE -POLICY LIMIT
$3,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addmonal Remarks Schedule, nary be attached N more spec. is required)
Re: Agreement No.A5688 City of Palm Springs is included as Additional Insured in accordance with the policy. provisions of the
General Liability and. Automobile Liability policies. General Liability and Automobile Liability policiepsrli&a ilarrein is
Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordattlltt�p''�Nlttii�R""LL1i�l+''�y licy's
provisions. A waiver of subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the
General Liability policy. OCT 0 4 2022
CERTIFICATE HOLDER CANCELLATION
voice m Me Ml y Clerk
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
The City of Palm Springs
AUTHORIZED REPRESENTATIVE
office of the city Clerk
3200 E. A can on way
Palm springsings CA 92262 USA
Li;
tl988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Certificate No: 570095574439
SON
The City of Palm Springs
Office of the City Clerk
3200 E. Tahquitz Canyon Way
Palm Springs CA 92262 USA
Tuesday, September 27, 2022
To whom it may concern:
Following a concentrated effort to reduce our environmental footprint and provide timely certificate
delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format.
Please utilize one of the following methods to ensure you will receive the electronic copy of your
Certificate (Certificate No: 570095574439) for future renewals:
- Visit aon.com/e-cert; or
- Utilize the OR Code below to enter/validate your information.
If your email address has changed or will be changing in the future, or you no longer require this
certificate, please let us know using one of the methods above.
Thank you for your cooperation and willingness to help us reduce our impact to the environment.
MSC# 17755 1 Aon
P.O. Box 1447
Lincolnshire, IL 60069