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Home My WebLink AboutCora0001r acoREI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) �/ V 9/28/2022 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638 San Diego CA 92186 CONTACT PHONE FM N ac Net: now ess: constructioncerts MarshMMA.com INSURERS AFFORDING COVERAGE NAICO INSURER A: Valley Fore Insurance Company 20508 License#: OH18131 INSURED CORACONST Inc Cor7514 INSURER B: Continental Casualty Company 20443 INSURER C: Zurich American Insurance Company 16535 St. Charles 75140 St. Charles Place INSURER D : Suite A Palm Desert CA 92211-5183 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMRFR- 1OI1R817n37 oelmmCru ranaa000. 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. INBR LTR TYPE OFINSURANCE ToDL SUBR POLICY NUMBER POLICY EFF MM/DO POLICY E%P MMlDO UMRS A X 711ERCIALGENERALLIABILITY CLAIMS -MADE � OCCUR 10.000 Y Y 6072729289 10/1/2022 10/1/2023 EACH OCCURRENCE $1,00D,000 DAMAG RENTED PREMISES Ea occomence $100,000 X MED EXP (Any one person) $15.000 PERSONAL& ADV INJURY S1,000,000 GENL AGGREGATE UNI[TAPPUES PER POLICY JET LOC GENERAL AGGREGATE $2,000.000 PRODUCTS - COMPIOPAGG $2,000,000 S OTHER: B AUTOMOBILE LIABILITY ANY AUTO Y Y 6072640497 10/1/2022 10/1/2023 OMBIINED SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLYMAUTOS I BODILY INJURY (Per accident) $ HIRED NON -OWNED ONLYAUTOS ONLY )( PROPERTYAMAGEAUTOS Per accident $ S UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTIONS S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANVPROPRIETOR/PARTNFJVEXECUTNE � OFFICEWMEMBEREXCLUDEDP NIA Y WC551375BO6 10/1/2021 10/1/2023 X STPER TUTE ER ELEACHACCIDENr S1,000,000 E.L. DISEASE -EA EMPLOYEE S1,OOD,ODD (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) The City of Palm Springs, its officials, employees and agents are included as additional insureds with respects to Auto and General Liability per attached endorsements. Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation per attached endorsements. Primary and Noncontributory wording applies per attached endorsements. City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs CA 92262-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0I EMI All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD INSURED: coracons—ni,Inc POLICY #: WC551375806 POLICY PERIOD: 1di01rz022 TO: 10/01/2023 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following 'attaching clause' need be completed only when this endorsement Is Issued subsequent to preparation of the policy.) Premium (if arty) $ Authorized Representative 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be mium otherwise due on such remuneration. Schedule Person or Organization ALL PERSONS OR ORGANIZATIONS WHEN REQUIRED BY WRITTEN CONTRACT % of the California workers' compensation pre - Job Description WC 252 (4-64) WC 04 03 06 (Ed. 464) Page 1 of 1