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HomeMy WebLinkAboutA5688P-slo4 8 ® 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