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Home My WebLink AboutA5688 (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE oar (MMIDDzY) 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(tes) 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 W11AE. WC.M.any (866) 283-7122 aC (800) 363-0105 EMAIL ADDRESS: 5005 Lyndon a Johnson Freeway suite 1500 INSURER(S) AFFORDING COVERAGE NAIC k Dallas TX 75244 USA INSURED INSURERA: National Union Fire Ins c0 of Pittsburgh 19445 Greyhound Lines, Inc. Dal N St Paul Street Dallas Tx 75201 USA INSURER 8: AIU Insurance Company 19399 INSURER C: ACE Property & Casualty Insurance Co. Y Y 20699 INSURER 0: 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 MR LTR TYPE OF INSURANCE p vAno POLICY NUMBER y MFWDDI Y LIMITS X COMMERCIALGENERALLIABILDY GL IM EACH OCCURRENCE S10,000,000 CLAIMS -MADE �X OCCUR PREMISES Es uffenceI S5,000,000 MED EXP (Any one person) $ 5, 000 PERSONAL& ADV INJURY S1010001000 GENLAGGREGATE UMIr APPLIES PER: GENERALAGGREGATE $10,000,000 X POLICY ❑ PRO_ ❑ LOC JECT PRODUCTS-COMPIOPAGG $10,000,000 OTHER: A AUTOMOBILE LIABILITY AL 7031017 04/01/202210/15/2022 COMBINED SINGLE LIMIT Me accideml $10,000,000 ADS BODILY INJURY (Per person) A X ANYAUTO AL 7031019 04/01/202210/15/2022 BODILY INJURY (Per acddenD B OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY VA AL 7031018 KA 04/01/2022 10/15/2022 pROPERN DAMAGE PMaockent C X UMBRELLALIAB EXCESS UAB X OCCUR CLAIMS -MADE XEUG 51 0 SIR applies per policy ter 04 1 s & condl 771777M ions EACH OCCURRENCE $5,00 ,000 AGGREGATE $5,000,000 DEO % RETENTON 8 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER I EXECDTIVE YIN OFFICERMEMBER EXCLUDED? (Mandatory In NH) NIA wC ADS wC065865825 CA 04/O1/2022 04/OS/2023 X PER STATUTE OTH- E.L.EACHACCIDENT $3,000,000 E.L. OISEASE-EAEMPLOYEE $3,000,000 II yes, daemlee under DESCRIPTION OFOPERATIONS W. EL DISEASE-POUCYUMIT $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addabnel Romero, Schedule, may W Mleehed It room space 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 policie rein is Primary and Non -Contra butory to other insurance available to an Additional Insured, but only in accorda 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 "Luce 01 Lne Glty 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 Palm E. Taliquitz Can on Way Palm Springs CA 9C262 USA a� ykf4mse19 YM064 lff&keel 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Y Certificate No: 570095574439 AON 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 QR 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# 177551 Aon P.O. Box 1447 Lincolnshire, IL 60069