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Home My WebLink AboutA5984 - AMERICAN MEDICAL RESPONSE FACILITY USE AGRr.~ ~ ~ CERTIFICATE OF LIABILITY INSURANCE I DATE{MM/DD/YYYY) A C C,RD• 03/25/2025 ~ THIS CERTIFICATE IS ISSUED AS A MATTER O F INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFO RDED BY THE POLICIES BELOW. THIS CERTIFIC ATE 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(les) must have ADDITIONAL INSURED provisions o r be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may r equire an endorsement. A statement on this certificate does not c onfer rights to the c ertificate holder I n lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk services central, Inc. (~."tfo. ExU: (866) 283-7122 7 i~. No.l: (800) 363-0105 Philadel~hia PA office 100 Nort 18th street RECEIVED E-MAIL 16th Floor ADDRESS: Philadelphia PA 19103 USA INSURER($) AFFOR DING COVERAGE twCI ,nn -. ---- INSURED l"\I I\ UI !Ul.J INS URER A: ACE American I nsurance Company 22667 American Medical Response Inc INSURER B: ACE Fire underwriters Insurance co. 20702 4400 State Hwy 121, St 700 Lewisville TX 75056 USA OFFICE OF THE CITY CLER 1 INSURERC : Indemnity Insurance co of North America 43575 INSURER D: underwriters At Lloyds London 15792 INSURER E: ACE Property & casualty Insurance co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER : 570111618929 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. NOTWITHSTAND ING ANY REQUI REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU MENT WITH RESPECT TO WH ICH TH IS 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 reauested l'LTR TYPE OF INSURANCE ,...,u, INSD lwv'r POt.lCYNUMBER ,~'nofYW"' l~DIY"v'v':, LIMITS " X COMMERCIAL GENERAL LIABI LITY XS LG'IO\IOV455 03/31/2025 103/31/ZOZt EACH OCCURRENCE $2 ,750,000 ,-. D CLAIMS-MADE [!JoccuR SIR applies per policy ter ~s & condi ions UMMl'\U C. IUnc,,.it:U $100,000 ._.. PREMISES•Eaoccorroncel MEO EXP (My one 1)8fSOn) $10,000 PERSONAL & ADV INJURY S2,750,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE SS,000,000 ~ POI.ICY. □ ~~ □Loe PAOOUCTS -CQI.IP/OP AGG S2,750,000 OTHER SIR S250,000 A AUTOMOBILE LIABl l rTY ISA Hl0817614 03/31/2025 03/31/2026 COMBINED SINGLE LIMrT Sl0,000,000 ·~-···'"·-·' ,__ X ANY AUTO BODILY INJURY ( Per pe,-sonl -OWNED ,--SCHEDULED BODILY INJURY ,P• ~ -AUTOS ONLY -AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED •Per accident\ -ONLY '"-AUTOS ONLY X Comp Did $2500 X Coll Ded $2500 E X UMBRELLA UA8 ~ OCCUR XCQG72514816005 03/31 /2025 103/31/2026 EACH OCCURRENCE SlO,uuo,uoo -umb -Auto AGGREGATE Sl0,000,000 EXCESS LIAB CLAIMS-MADE OED I /RETENTION C WORKERS COMPENSATION AND WLRC,4 n, • ,n ,.,..,.., X l PER STATUTE l l9:TH-·---EMPI.OYERS' LIABILITY Y /N AOS B Alf'( PROPAIETOR I PARTNER/ EXECUTIVE ~ SCFc72631158 03 /31/2025 03/31 /2026 E L EACH ACCIDENT Sl,000,000 OFFICER/MEMBER EXCLUDED? N I A (M•ndatory In NH) WI E.L DISEASE-EA EMPLOYEE Sl,000,000 ~~~p~ o1cif'ERATIONS below E.L DISEASE-POLICY LIMIT n.000.000 D E&o -Professional Liabi 11 ty CSHLC2501663 03 /31 /2025 03/31/2026 Per occ/Agg n5,ooo,ooo -excess EX Prof(Claim Made)/EX GL SIR -ex Prof Sl0,000,000 SIR applies per policy ter llts & condi ions SIR -ex GL S3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Addltlonal Rtrt\llrks Sci,-dule, ""'Y be attached H more tpace Is required! EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCR IBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Will BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @1988-2015 ACORD CORPORATION. All r i ghts reserved. ACORD 25 (2016/03) The ACORD name and logo are r egistered marks of ACORD ... E c GI :s! :» "D 0 l: 0 z I ~ Certificate No: 570111618931 CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA Tuesday, March 25, 2025 To whom it may concern: AON 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 tr.iii_ Certificate (Certificate No : 570111618931 ) 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. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181 -9600 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/25/2025 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: 11 the certificate holder Is an ADDITIONAL INSURED, the pol cy(les) must have ADDITIONAL INSURED provisions or be endorsed. II 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 central, Philadelphia PA office 100 North 18th Street 16th F l oor Philadelphia PA 19103 USA Inc. CONTACT NAME: (A/C. No. Ext): (866) 283-7122 F~. No. : (800) 363-0105 E-MAIL ADDRESS : INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: ACE American Insurance Company 22667 Ame ri can Medical Response West t-l_NS_U_R_E_R _B,--A-CE_F...,i_r_e_u_n_d,..e_rw_r,'""· t_e_r_s_I_n_s_u_r-an_c_e_c_o __ ----20""7""0"'2-----i 2995 Foothills Blvd, suite 100 Roseville CA 95 7 4 7 USA ... i_NS_u_R_E_R _c, __ I_nd_e_m_n_i_t_y _I_n_s_u_ra_n_c_e_c_o_o_f_N_o_rt_h_Am_e r_,_· c_a-+_43_5_7_5 __ ~ 1NSuRERD: underwriters At Lloyds London 15792 INSURERE: ACE Property & casualty Insurance co. 20699 INSURERF: COVERAGES CERTIFICATE NUMBER: 570111618931 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 reauested '['fi\' TYPE Of INSURANCE 'iNso wvo POLICY NUMBER ,~;g'6JYWVI ,iato'n1YY~~ LIIITS A X COMMERCIAL GENERAL LIABILITY XSLv.,o::IOV4)~ U,t ~J./ lUlJ IOJ/H/lULt EACH OCCURRENCE $2,750,000 ,__ =:J CLAIMS-MADE 0oCCUR SIR applies per policy ter ns & condi ions u-uc. IU nc"' I cu Sl00,000 -PREMISES (Ea occurrencel -MED EXP (Any one personl Sl0,000 PERSONAL & ADV ti.JURY $2,750,000 -SS ,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE ~ POLICY or~ □Loe PRODUCTS • COMP'OP AGG S2,7SO,OOO OTHER: SIR S250,000 A AUTOMOBILE LIABILITY ISA Hl0817614 03/31/2025 03/31/2026 COMBINED SINGLE LIMIT $10,000,000 '"· -~oc1eno -BODl. Y INJURY I Po, pe,$0ft) X ANY AUTO --SCHEDULED BOD ILY INJURY (Per acadent) OWNED AUTOS -AUTOS ONLY -NON-OWNED PROPERTY DAMAGE HIRED AUTOS (Per IICCldent) -ONlY -AUTOS ONLY X Comp Otd $2500 X Con0td$2500 E X UMBRELLA UA8 l~OCCUR XCQG/l)14816005 03/31/lUL) 03/31/LU26 EACH OCCURRENCE no,000,000 ,__ umb -Auto AGGREGATE Sl0,000,000 EXCESS LIAS CLAIMS-MADE OEDI !RETENTION C WORKERS COMPENSATION AND WLRCllbJlllU 03/:!l/tUL5 03/H/lUll> X I PER STATUTE I 12t1H· EMPLOYERS' LIABILITY Y I N AOS B NIY PROPRIETOR / PARTNER/ EXECUTIVE ~ SCFC72631158 03/31/2025 03/31/2026 E L EACH ACCIDENT Sl,000,000 OFFICER/MEMBER EXCLUDED? NI A (Mlndoto,y In NH) WI E.L DISEASE-EA EMPLOYEE Sl,000,000 i~~~ERATIONS below E L OISEASE-POLICY LIMIT Sl,000,000 D E&o -Professional L1ab1lity CSHLC2501663 03/31/2025 03/31/2026 Per occ/Agg SlS, uuu, 000 -excess EX Prof(Claim Made)/EX GL SIR -EX Prof Sl0,000,000 SIR applies per policy ter ns & condi ions SIR -EX GL S3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlttonol Remarlt.1 Schedui., may be lltlChed H fflOfl 1poce 1, required) EVIDENCE OF COVERAGE FOR AMERICAN MEDI CAL RESPONSE, INC. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA 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 C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ... GI ~ i ~ ... GI "O 0 :c 0 z !! I Certificate No: 570111618934 CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE C ITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA Tuesday, March 25, 2025 To whom it may concern: AON 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 (Ce rtificate No : 570111618934) 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. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland , Ohio 44181 -9600 ~ I OATE(MM'OO/YYYY) .ACC>R c:,• CERTIFICATE OF LIABILITY INSURANCE 03/2512025 ~ THIS CERTIFICATE IS I SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFO RDED 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION I S WAIVED, subject to the terms and conditions of the policy, certain policies may r equire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PROOUCER CONTACT Aon Risk services central, NAME : Inc. ~"'·'"c (866) 283-7122 l r~. No.l : (800) 363-0105 Philadel ~hia PA office (AIC. No, Ext): 100 Nort 18th street E-MAIL 16th Floor ADDRESS: Philadelphia PA 19103 USA IHSURER(S) AFFORDING COVERAGE NAICI INSURED INSURER A: ACE American Insurance company 22667 American Medical Response Inc INSUR ER B: ACE Fire underwriters Insurance Co. 20702 4400 state HWy 121, St 700 INSURERC: Indemnity Insurance co of North Merica 43575 Lewisville TX 75056 USA INSURER D: underwriters At Lloyds London 15792 INSURER E: ACE Property & casualty Insurance Co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER: 570111618934 REVISION NUMBER: THIS IS TO CERT IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERK>D IN DICATED. NOTWITHSTANDING ANY REQUIREMENT , TERM OR COND IT ION OF ANY CONTRACT OR OTHER DOCU MENT WITH RESPECT TO WHICH THIS CERTIF ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRlBED 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 reauested l '~i\' TYPE OF INSURANCE ,....,u, INSD ~~ POLICY NUMBER ' ,;_Lo"o rr~Vv, J;.',.~D/Y•v:,-;, LIMITS " X COW ERCIAL GE NERAL LIABILITY XSLG40~0U4:i5 037H/lUl: rOJ?jl/lVll EACH OCCURRENCE 52,750 ,000 -□ CLAIMS-MADE 0 OCCUR SIR applies per policy ter Ins & condi ions Llf\Ml\1.,C. lO MCrtfEU $100,000 I-PREMISES •Ea occurreocel MEO EXP (Mf one pe,son) $10,000 ,__ PERSONAL & ADV INJURY $2,750,000 ,__ 15,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENE RAL AGGREGATE ~ □PRO-□Loe $2,750,000 POLICY JECT PRODUCTS• COMP/OP AGO OTHER SIR S250,000 A AUTOMOBILE LIABILITY ISA Hl0817614 03 /31/2025 03/31/2026 COM BINED SINGLE LIMIT Sl0,000,000 -~----··--·· -X ~AUTO BODILY INJURY ( P9f personl ,__ OWNED -SCHEDULED BOOa.Y INJURY 1P• aa:denC) ..__ AUTOS ONLY -AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS IP9f accidenll -ONLY -AUTOS ONLY X Comp Ood S2500 X Coll Oed $2500 E X LIIBRELLA LIAS H OCCUR XCQG72514816005 03 /31/2025 [03/31/2026 EACH OCCURRENCE SlO,ooO,oou -umb -Auto AGGREGATI: Sl0,000,000 EXCESSLIAB CLAIMS-MADE DEDI !RETENTION C WORKERS COMPENSATION AHO WLRC/2631110 03/H/l02) [l)l73I7 20~ x l PER STATuTq 79.IH-EMPLOYERS' LIABILITY ~ AOS 8 ANY PROPRIETOR I PARTNER I EXECUTM SCFC72631158 03/31/2025 03 /31/2026 E.L EACH ACCIDENT Sl,000,000 OFFICER/MEMBER EXCI.UOEO? N/A (Mandatory In NH) WI E.L. DISEASE-EA EMPLOYEE Sl,000,000 ~£~~~ ~~PERATIONS below E.L DISEASE-POLICY LIMIT n,000.000 D E&o -Professional Liability CSHLC2501663 03/31/2025 03/31/2026 Per occ/Agg ns,000,000 -Excess Ex Prof(Claim Made)/EX GL SIR -Ex Prof no.000.000 Ins & condi SIR applies per policy ter ions SIR -EX GL $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Addltton■I Remarks Schedule, may be 1t11ched if more tpace Is required) EVIDENCE OF COV ERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER CITY OF PALM SP RINGS ATTN: KATHIE HART , CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA ACORD 25 (2016/03) CANCELLATION SHOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ~1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered m arks of ACORD ... :E 'E j ... G> "0 0 :I: R "' Ce rtificat e No: 570 11 1618940 CITY O F PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRI NGS CA 92263 USA Tuesday, March 25, 2025 To whom it may concern : AON 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 uti l ize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No : 570111618940) for future renewals : -Visit aon .com/e-cert; or -Utilize the QR Code below to enter/val idate your information. If your emai l address has changed or will be chang i ng 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. Aon R isk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600 ~---;;i,-CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/00/YYYY) 03125/2025 THIS CERTIFI CATE IS I SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE RTIACATE HOLDER. THIS CE RTIFIC ATE DO ES 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 CERTIACATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(las) mull have ADDITIONAL INSURED provisions or be endor sed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lleu of such endorsement(s). PROOUCER CO~ACT Aon Risk Services central, Inc. NAME : Philadel~hia PA Offi ce (M:°."tt. Ext): (866) 283-7122 I r~. No.i, <800> 363 -oios 100 Hort 18th Street E-MAIL 16th Floor ADDRESS: Phil adel phi a PA 19103 USA INSURER(S) AFFORDING COVERAGE NAIC I INSURED INSURER A: ACE American Insurance Company 22667 American Medical Response, Inc. INSURER B: ACE Fire underwriters Insurance Co. 20702 2995 Foothills Blvd, Suite 100 Indemnity Insurance Co of North America 43575 Roseville CA 95747 USA INSURER C: INSURER D: underwriters At Lloyds London 15792 INSURER E: ACE Property & casualty Insurance co. 20699 INSURER F: COVERAGES C ERTIFICATE NUMBER: 570111618940 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 CERTIF ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL.A IMS. Llml18 shown are as requested l 'iY11 TYPE OF INSURANCE INSD WVD POLICY NUMBER ,...,~DO'YYYYI IMM1)0IYYYY' I.IMITS A X COMMERCIAL GENERAL LIABILITY XSL ) Uj/H/£U£: UJ/ H/£ui~ EACH OCCURRENCE $2,750,000 >---D CLAIMS·IMOE 0 OCCUR SIR applies per policy ter _,s & condi ions """'r,~i..lUni..n i..1,1 Sl00,000 PREMISES /Ea occu-l ,__ MEO EXP (Any one pe,son) Sl0,000 -PERSONAL & ADV INJURY S2,750,000 GEN'l AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S5,000,000 ~ □PAO-□LOC $2,750,000 POLICY JECT PRODUCTS · COMP/OP AGG OTHER· SIR S250,000 A AUTOMOBILE LIABILITY ISA Hl0817614 03/31/2025 03 /31 /2026 COMBINED SINGLE LMrr Sl0,000,000 ,r: • .,,,1ru,n,1 -BOOILY INJURY ( Per person, X ANYALrrO --SCHEDULED BOOI LY INJURY (P1< aocadenl) OW NED -AUTOS ONLY >---AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED /Per accldenll -ONLY ,__ ALrrOSONI.Y X Comp Dod $2500 X Coll Dod S2500 E X UMBRELLA UAB l~OCCUR XCQG7Z51 4816005 03/Jl/Z025 03/31/ tULb EACH OCCURRENCE )10,uuu,0ui -Umb • Auto AGGREGATE Sl0,000,000 EXCESS LI AB CLAIMS-MADE OED I jRETEITTION C WORKERS COMPENSATION AHO WLRCt .!631110 03/31/LUL> 03/31/LUL!> X I PER STATLrrE I l~JH-EMPL0 YEAS' LIABILITY Y /N AOS B ANY PROPRIETOR I PARTNER I EXECUTIVE ~ SCFC72631158 03/31/2025 03/31/2026 E.L EACH ACCIDEITT Sl,000,000 OFFICER.MEMBER ElCClUDED? NI A (Mandato,y In NH) WI E.L DISEASE-EA EMPLOYEE Sl,000,000 grs-ct.ff~ ;,rbPERATIONS below E.L DISEASE-POLICY I.MIT Sl,000,000 D E&o -Professional Liability CS HLC250lbbj 03 /31/2025 03/31/2026 Per occ/Agg :n5 ,ooo.oo, • Excess EX Prof(Claim Made)/Ex GL SIR . EX Prof Sl0,000,000 SIR applies per policy ter ns & condi ions SIR -EX GL S3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Addltlonal Aemal'l<t Schtdu .. , may bt 1ttachtd If more tplce is rtqulred) EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUClES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Will BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALrrHORIZE0 REPRESENTATIVE @1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are r egistered m ar ks of ACORD * * 0 z CD ii ~ ~ rl Certificate No: 570111618938 CITY OF PALM SPRINGS ATTN: KATHIE HART, CMG CHIEF DEPUTY CITY CLERK 300 N . EL CIELO ROAD PALM SPRINGS CA 92262 USA Tuesday, March 25, 2025 To whom it may concern: AON Followi ng 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: 570111618938) 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. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181-9600 ~ I DATE(MM/DDNYYY) ACC>Rc::,• CERTIFICATE OF LIABILITY INSURANCE ~ 03/25/2025 T HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTI FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T HE COVERAGE AFFORDED BY THE POLICIES BELOW. T HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER , AND THE C ERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSU R ED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed. If SUBROGATION IS WAI VED, subject to the terms and con ditions of the policy, certain policies may req uire an endorsement. A statement o n this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk services central , NAME: Inc. ~ .,_, .. ~ (866) 283-7122 I r~. No.i , csoo) 363-oios Philadel ~hia PA office (AIC. No. Ext): 100 Nort 18th Street E-MAIL 16th Floor ADDRESS: Philadelphia PA 19103 USA INSURER($) AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Ameri can Medical Response Inc INSURER B: ACE Fire underwriters Insurance co. 20702 4400 State Hwy 121, St 700 INSURER C: Indemnity Insurance co of North America 43575 Lewi svi l le TX 75056 USA INSURER 0 : underwriters At Lloyds London 15792 INSURER E: ACE Property & casualty Insuran ce co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER: 570111618938 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 CONDIT ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSU RANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIM ITS S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested 'rft\' TYPE OF INSUR ANCE 'i'Nsci 'wvo POLICY NUMBER IMMIOOJYYYYl IM~~6'6.)yyy'y LIMITS ,., X COMMERCIAL GE NERAL LIAB ILITY XSLG4o:,ou<I~~ U:1/H /<v< vj/ :Ii/ LULt EACH OCCURRENCE $2,750,000 >--D CLAIMS -MADE 0occuR SIR appl ies per policy ter ~s & condi ions IJ"M"'-'C I VMC" CV $100,000 PREMISES IEa occurrence\ >-- MEO EXP (Any one pe1Son) Sl0,000 >-- $2,750,000 PERSONAL & ADV INJURY -$5,000,000 GEN'l AGGREGATE LIMIT APPLIES PE R: GENERAL AGGREGATE ~ □PAO-OLoc $2,750,000 POLICY JECT PAOOUCTS -COMPIOPAGG OTHER: SIR $250,000 A AUTOMOBILE LIABILITY I SA Hl0817614 03/31/2025 03/31/2026 COMBINED SINGLE LIMIT $10,000,000 ,c. •-"'•ntl -X ANY AUTO BODILY INJURY ( Per person) --SCHEDULE D BODILY INJURY (Per accident) OWNED ....._ AUTOS ONLY AUTOS PROPERTY DAMAGE >--NON-OWNED HIREOAUTOS IPer accident\ -ONLY >--AUTOS ONLY X Comp Dod $2500 X CoU Dod $2500 E X UMBRELL A LIAB I~ OCCUR XCQG72514816005 03/31/2025 0 3/31/2026 EACH OCCURRENCE $10,000,000 -umb -Auto AGGREGATE $10 ,000,000 EXCESS LIAB CLAIMS-MADE OEDI !RETENT ION C WORKERS COMPENSATION ANO WLRC72b31110 03/31/2U25 O.ijjl1 ,u26 X I PEA STATUTE I IPJH· EMPLOYERS' LIABILITY Y /N ADS B ANY PROPRIETOR / PARTNER / EXECUTIVE ~ SCFC72631158 03/31/2025 03/31/2026 E.L. EACH ACC IDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) WI E.L DISEASE-EA EMPLOYEE Sl,000,000 ~~;~$~~~ ot;PEAATIONS below E.L. DISEASE-POLICY LIMIT $1 ,000,000 D E&o -Professional Liability CSHLC2501663 03/31/2025 03/31/2026 Per occ/Agg $15,000,000 -Excess EX Prof(Claim Made)/Ex GL SIR -Ex Prof Sl0,000,000 SIR applies per policy ter "s & condi ions SIR -EX GL S3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS J VE HICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) THE CI TY OF PA LM SPRINGS, ITS OFFICIALS, OFFICERS , EMPLOYEES ANO AGENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDA NCE WITH THE PO LICY PROVISIONS OF THE GENERAL LIABILITY POLICY . GE NERAL LIABILITY POLICY EVIDENCED HEREIN IS GENERAL LIABILITY POLICY EVIDENCED HEREIN IS PRIMARY ANO NON -CONTRIBUTORY TO OTHER I NSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ON LY IN ACCO RDANCE WITH THE POLICY'S PROVISIONS.TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL I NSURED, BUT ONLY IN ACCORDANCE WITH THE POL I CY'S PROVISIONS. GENERAL LIABILITY POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF ADDITIONAL INSURED I N ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC CHIEF DEPUTY CITY CLERK 300 N. EL CIELO ROAD PALM SP RINGS CA 92262 USA ACORD 25 (2016/03) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLIC IES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALITHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved . The ACORD name and logo are registered marks of ACORD * * (0 l,l (0 <O ~ AC:C:,RD• CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) ~ 03125/2025 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 pol icy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAI VED , 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 COITTACT Aon Ri s k services Central, Inc. NAME: "-~"~ (866) 283-7122 1 r~. No.l, (800) 363-0105 Phi ladel ~hia PA office (AIC. No. Ext): 100 Nort 18th Street E-MAIL 16th Floor RECEIVED ADDRESS: Ph i 1 adel phi a PA 19103 USA INSU REA(S) AF FORDING COVERAGE NAIC# INSUR ED APR 0 1 2025 INSURER A: ACE A merican Insurance company 22667 AM R of southe r n Cal ifornia INSURER B: ACE Fire underwr iters Insurance co . 20702 INSURER C: Ind e mn ity I n surance co of No r t h America 43575 1 1 11 Montal v o wa~ Pa lm spri ngs CA 2262 USA OFFICE OF THE CITY C ~~~~D: underwriters At Lloyd s London 1579 2 INSURER E: ACE Property & casual ty Insurance co. 2 0 699 INSURER F: COVERAGES CERTIFICATE NUMBER: 5701116189 28 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLIC IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N AMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT ION OF ANY CONTRACT OR OTHER DOCUM ENT 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 PO LICIES. LIMITS S HOWN MAY HAVE BEEN REDUCED BY PA ID CLAIMS. Limits shown are as requested 'rtW TYPE OF INSURANCE 1NS0 IYND POLICY NUMBE R IMM(DDIYYYV\ IMM/00/YYVV LIMITS A X COMM ERCIAL GEN ERAL LIABILITY XSLG4!1 ~0U4SS Qj/JJ./lVl v:J /H /<Vl'.t EACH OCCURRENCE $2 ,750,000 t---D CLAIMS-MADE 0occuR SIR appl ies per policy ter 11s & condi ions UMIYIM.\,;u;; I U nc.n t:.U $100,000 ...._ PREMISES (Ea occurrence) MED EXP (Any one person) Sl0,000 >-- PERSONAL & AOV INJURY S2 ,750,000 -SS ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE R □PRO-OLoc $2,750 ,000 POLICY JECT PROOUCTS • COMP/OP AGG OTHER: SIR $250,000 A AUTOMOBILE LIABILITY ISA Hl0817614 03/31/2025 03/31/2026 COMBINED SINGLE LIMIT Sl0,000,000 IE••==nu -BODILY INJURY ( Per person) X ANYALITO --SCHEDULED BODILY INJURY (Per accldenQ OWNED -AUTOS ONLY -AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED (Per accident) -ONlY -AUllOSONLY X Comp Oed $2500 X Coll Oed $2500 E X UMBRELLA LI AB l~OCCUR XCQG72514816005 03/31/2025 03/31/202t> EACH OCCURRENCE $10,000,000 -umb -Auto AGGREGATE $10,000,000 EXCESS LIAB CLAIMS·MADE DED I I RETENTION C WORKERS COMPENSATION AND WLRC7LojlllU Uj/31/L025 Oso l 1 ,v26 X I PER STATUTE I ,~~H· EMPLOYERS' LIABILITY Y I N AOS B ANY PROPRIETOR I PARTNER I EXECUTIVE ~ SCFC72631158 03/31 /2025 03/31/2026 E.l. EACH ACCIDENT Sl,000,000 OFFICER/MEMBER EXCLUDED? NI A (M andatort in NH) WI EL DISEASE-EA EMPLOYEE Sl,000,000 irn;~~~~ ~>'tOPERATIONS below E.L. DISEASE-POLICY LIMIT Sl ,000,000 D E&o -Professi onal L iabi l ity CSHLC2501663 03/31/2025 03/31/2026 Per OCC/Agg SlS,000,000 -excess Ex Prof(Claim Made)/Ex GL SIR -Ex Prof Sl0,000,000 SIR appl ies per p olicy ter ~s & condi i o ns SIR -EX GL S3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Add itional Remarks Sched ule, may be attached If more space Is required) THE CITY OF PALM SPRINGS, ITS OFFICIALS, OFFICERS, EMPLOYEES AND AGENT S ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDA NCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. GENERAL LIABILITY POLICY EVIDENCED HEREIN IS GENERAL LIABILITY PO LICY EVIDENCED HEREIN IS PRIMARY AND NON -CONTRIBUTORY TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ONLY IN ACCORDANCE WITH THE POLICY'S PROVISIONS.TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL I NSURED, BUT ONLY IN ACCORDANCE WITH THE POLICY'S PROVISIONS. GENERAL LIABILITY POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED I N FAVOR OF ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. C ERTIFICATE HOLDER CITY OF PALM SP RINGS ATTN: KATHIE HA RT, CMC CHIEF DEPUTY CITY CLERK 300 N. EL CIELO ROAD PALM SPRINGS CA 9 22 62 USA CANCELLATION SHOULD AN Y OF THE ABOVE DESCRIBED POLIC IES BE CANCELLED BEFORE THE EXPIRATION DATE THEREO F, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ALITHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved . ACORD 25 (2016/03) The ACORD nam e a nd logo are re gistered marks of ACORD a: i [i ~ ACC>RD9 CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY) ~ 03/2512025 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 CERTIFIC ATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) mus t have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polic ies may require an endorsement. A statement on this certificate does not c onfer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Risk Services central , NAME: Inc. fk'c."No. Ext): (866) 283-7122 I r~. No.), <800) 363-0105 Ph ilade l ~hia PA office RECEIVED 100 Nort 18th Street E-MAIL 16 t h Floor ADDRESS: Ph iladelphi a PA 19103 USA MAR 31 2025 INSURER($) AFFORDING COVERAGE NAJC# INSURED INSURER A: ACE Ameri can I nsuran ce compan y 22667 ~~~t~~~t:ie~c:~ Response We stofFICE OF THE CITY CL C 1!i!f1RERB: ACE Fire underwriters I n surance co. 20702 Palm Sp r ings CA ~2262 USA INSURER C: I n demn i ty Insurance co of North America 43575 INSURER 0: underwri ters At Lloyds London 1 5792 INSURER E: ACE Property & Casualty Insurance co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER : 57011 16 18935 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSU RANCE 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 WJTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PE RTAIN , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC LUSIONS AND CONDITIONS O F SUCH POLICIES. LIMIT S SHOWN MAY HAVE BEEN REDUCED BY PAID CLA IMS. Limits shown are as requested """" LTR TYPE OF INSURANCE i'NS'o ;~~ POLICY NUMBER cuwooiyv'rn IMMi°DDIYYVY LI MITS A X COMMERCIAi. GENERAL LIABILITY XSLG489 604 5> V>/ >J./<CV<: 1v~, >J.f ,v,, EACH OCCURRENCE $2,750,000 ~ D CLA IMS-MADE 0occuR SIR applies per policy ter '1S & condi ion s un,~n~~ I U n~,. , ~u Sl00,000 '--PREMISES IEa occurrenoel ,__ MED EXP (Any one person) Sl0,000 PERSONAL & ADY INJURY $2,750,000 GEf'tLAGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE $5 ,000,000 Pi □PRO-□LOC PRODUCTS · COMP/OP AGG $2,750,000 POLICY JECT OTHER: SIR $250,000 A AUTOMOBILE LIABILITY ISA Hl0817614 03/31/2025 03/31/2026 COMBINED SINGLE LIMIT Sl0,000,000 ,~. "'""Anti -BODILY INJURY ( Per person) X ANY AUTO ,__ -SCHEDULED BODILY INJURY (Per accident) OWNED ,__ AUTOS ONLY -AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED (Per acclden11 -ONlY ,__ AUTOS ONLY X Comp Ded S2500 X con Ded 52500 E X UMBRELLA LIAB H OCCUR XCQG72514 816005 03/31/2025 03;31/2026 EACH OCCURRENCE Sl0,000,000 -Umb -Auto AGGREGATE Sl0,000,000 EXCESS LIAB CLAIMS-MADE DEDI jRETENTION C WORKERS COMPENSATION ANO WLRC, to.:llllo I U5/H1 ,v.:5 105/51/2026 X I PER STATUTE I l~~H-EMPLOYERS' LIABILITY Y /N ADS B ANY PROPRIETOR I PARTNER I EXECUTIVE ~ SCFC72631158 03/31/2025 03/31/2026 E.L. EACH ACCIDENT Sl,000,000 OFFICEF\IMEMBER EXCLUDED? NI A (Mandatory In NH) WI E.L. DISEASE-EA EMPLOYEE Sl,000,000 gl;M::,~ro~ otgrPERATIONS below E.L. DISEASE-POLICY LIMIT Sl,000,0 0 0 D E&o -P r o f essi o n al Li abili t y CS HL C2501663 0 3/31/2025 03/31/2026 Per Occ/Agg S15,000,000 -Excess EX Pr o f (claim Made)/EX GL SI R -EX Prof Sl0,000,000 SIR a pp l ies per pol icy ter ns & condi ion s SIR -Ex GL S3,000,000 DESCRI PTIO N OF OPERATIONS I LOC ATIONS / VEHICLES (ACORD 101, Additional Remarks Sche du le, may be attached If more space is required) WORKERS COMPENSATION POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF ADDITIONAL INSURED IN ACCORDANCE WIT H THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART 3200 E. TAHQUITZ WAY PALM SPR I NGS CA 92262 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR E THE EXPIRATIO N DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserv ed. ACORD 25 (2016/03) The ACORD name and logo are r egis tered marks of ACORD 0 ,.._ "' 0 z ~ ~ 'f G) (.) ~ Certificate No: 570111618939 CITY OF PALM SPRINGS ATTN: KATHIE HART 3200 E. TAHQUITZ WAY PALM SPRINGS CA 92262 USA Tuesday , March 25, 2025 To whom it may concern: AON Followi ng a concentrated effort to reduce our environmental footprint and provide time ly 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: 570111618939) 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 wil l 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. Aon Risk Services 5801 Postal Road PO Box 818037 Cleveland, Ohio 44181 -9600 ~ ____..., I DATE(MM/DDNYYY) ACORD• CERTIFICATE OF LIABILITY INSURANCE ~ 03/2512025 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 COVER AGE 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 pollcy(ies) must have ADDITIONAL INSURED provisions or be endo rsed . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an e ndorsement. A state ment on this certificate does not confer rights to the certi ficate holder in lieu of such endorsement(s). PRODUCER CONTACT Aon Ri s k services central, Inc. NAME : Philadel ~hia PA office (NCtNo. Ext): (866) 283-7122 1 r~. No.I, (800) 363-0105 100 Nort 18th Street E-MAIL 16th Floor ADDRESS: Philadelphi a PA 19103 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: ACE American Insurance Company 22667 Ame ri can Medical Response Inc INSURER B: ACE Fire underwriters Insurance Co. 20702 4400 State HWY 121, St 700 Lewi sville TX 75056 USA INSURER C: Indemnity Insurance Co of North America 43575 INSURER D: underwriters At Lloyds London 15792 INSURER E: ACE Property & Casualty Insurance co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER· 5701 11 618939 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 TH IS 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 'WW TYPE OF INSURANCE INSD WVD POLICY NUMBER ,t:A'rt.'ioo/vWVI ll,IM/DD/Y'\,'yy LIMITS A X COMMERC IAL GENERAL LIABILITY XSLG40::IOU4)) U3/H/ £UL~ 103/3l/£U£t EACH OCCURRENCE $2,750,000 -D CLAIMS-MADE 0occuR SIR appl ies per policy ter In s & condi ions UAMAuta IUHt;NltaU $100,000 PREMISES tEa occurrence\ MED EXP (Any one person) Sl0,000 PERSONAL & ADV INJURY $2,750,000 I--$5,000,000 GENLAGGREGATE LIMIT APPLIES PER : GE NERAL AGGREGATE ~ POLICY □ ~:g: □ LOC PRODUCTS • COMP/OP AGG $2,750,000 OTHER : SIR $250,000 A ALITOMOB ILE LIAB ILITY ISA Hl0817614 03/31/2025 03/31/2026 COMBINE D SINGLE LIMIT Sl0,000,000 '"•="'ha" ,___ BODILY INJURY ( Per person) X ANY AUTO I-~ SCHEDULED BODILY INJURY (Per accident) OWNED I-AUTOS ONLY I- AUTOS PROPERTY DAMAGE HIRED AUTOS NON-OWNED IPer aoclden11 ,--ONLY I-AUTOS ONLY X Comp Ded $2500 X Coll Dod $2500 E X UMBRELLA LIAB H OCCUR XCQG72514816005 03/31/2025 03/31/2026 EACH OCCURRENCE $10,000,000 -umb -Auto AGGREGATE $10,000,000 EXCESS LIAB CLAIMS-MADE DEOI I RETENTION C WOR KERS COMPENSATION AND WLRC72631110 03/31/2025 103/31/ lUlO X I PER STATUTE I 12~H-EMPLOYERS' LIABILITY Y /N AOS B ANY PROPRIETOR / PARTNER I EXECUTIVE ~ SCFC72631158 03/31/2025 03/31/2026 E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N I A \M andatory In NH) WI E.L. DISEASE-EA EMPLOYEE $1,000,000 gl;Mrtr:h~ O~PEAATIONS below E.L. DISEASE-POLICY LIMIT $1 ,000,000 D E&o -Professional Liabi lity CSHLC2501663 03/31/2025 03/31/2026 Per Occ/Agg S15,000,000 -Excess EX Prof(Claim Made)/Ex GL SIR -EX Prof Sl0,000,000 SIR appl ies per policy ter Ins & condi ions SIR -Ex GL $3,000,000 OESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) WORKERS COMPENSATION POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART 3200 E. TAHQUITZ WAY PALM SPRINGS CA 92262 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLIC IES BE CAJNCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIO NS. AUTHORIZED REPRESE NTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ~ * * C1> i ;;; a: CITY MANAGER XMR0 MAY 0 5 20% CITY OF PALM SPRINGS FEDEX May 4, 2016 v David H. Ready City Manager City of Palm Springs 3200 E. Tahquitz Canyon Way Palm Springs, CA 92262 Re: Termination of Agreement between City of Palm Springs and Springs Ambulance Service dba American Medical Response for Use of Facilities dated June 6, 2010. Dear Mr. Ready: This letter serves as a notice that we are terminating our Agreement effective May 4, 2016 for the use of Fire Station#445 located at 5800 Bolero Road, Palm Springs, CA 92264. This was per the request of the Fire Department as they will be moving back into the station. Should you have any questions or would like to schedule a time to conduct a walkthrough of the facility; I can be reached at (760) 883-5010. I want to again thank both you and Fire Chief J. Kevin Nalder for allowing our staff to utilize the station and we look forlard to working with you in the future should another opportunity arise. Respectfully, aynPE * , Operations M ager AMRprings/Desert Cities Cc: Palm Springs Fire Chief, J. Kevin Nalder Legal Department, American Medical Response, Inc. An Envision Healthcare Company 1111 Montalvo Way I Palm Springs, CA 92262 k�A�k AMENDMENT NO. 1 TO AGREEMENT BETWEEN CITY OF PALM SPRINGS AND SPRINGS AMBULANCE SERVICE,INC., DB/A/AMERICAN MEDICAL RESPONSE FOR USE OF CITY FACILITIES THIS AMENDMENT NO. 1 ("Amendment No. 1") to Agreement for Use of City Facilities is made, entered into, and effective this ATday of July, 2011, by and between the City of Palm Springs, a California charter city and municipal corporation ("City"), and Springs Ambulance Service, Inc., d/b/a American Medical Response ("AMR"). City and AMR are sometimes collectively referred to as "Parties" or individually as "Party." RECITALS WHEREAS, the City and AMR entered into an Agreement for Use of City Facilities ("Agreement") on June 6, 2010; and WHEREAS, pursuant to Section 6 of the Agreement, the term of the Agreement will expire on July 1, 2011; and WHEREAS, the City and AMR desire to extend the term of the Agreement for an additional one (1)year period; and WHEREAS, Section 9.B. of the Agreement provides that any amendments must be in writing and signed by both Parties; NOW, THEREFORE,the City and AMR agree as follows: AGREEMENT 1. Amendment to Section 6. Section 6 of the Agreement, "Term and Termination," is hereby amended in its entirety to read as follows: "The initial term of this Agreement shall be for the period commencing June 6, 2010, and continuing until July 1, 2011. The Agreement shall automatically renew for a one (1) month period each month thereafter, unless either Party provides thirty (30) days written notice to the other Party of their intent not to renew the Agreement. At the end of said thirty (30) day notice period, this Agreement shall be forthwith terminated for all purposes." 2. Full Force and Effect. This modifying Amendment No. 1 is supplemental to the Agreement and is by reference made a part of said Agreement. All of the terms, conditions, and provisions thereof, unless specifically modified herein, shall continue in full force and effect. In the event of any conflict or inconsistency between the provisions of this Amendment No. land any provisions of the Agreement, the provisions of this Amendment No. I shall in all respects govern and control. 1 772951.1 3. Corporate Authoritv. The persons executing this Amendment No. 1 on behalf of the Parties hereto warrant that (1) such parry is duly organized and existing, (ii) they are duly authorized to execute and deliver this Amendment on behalf of said party, (iii) by so executing this Amendment, such party is formally bound to the provisions of this Amendment, and (iv)the entering into this Amendment does not violate any provision of any other agreement to which said party is bound. IN WITNESS WHEREOF,the Parties have executed and entered into this Amendment to the Agreement as of the date first written above. CITY OF PALM SPRINGS By: � David H. Ready ATTEST: APPROVED BY CITY COUNCIL t7riG �•aao a6 �� Jame�TliompsonCi Clerk APPROV O FORM APPROVED BY CITY MANAGER �r�d 1 PFAbt� By: D glas C. Holland, City Attorney SPRINGS AMBULANCE SERVICE, INC., DB/A AMERICAN MEDICAL RESPONSE By: _WffWilliams,Regional CEO 2 772951.1 AGREEMENT BETWEEN CITY OF PALM SPRINGS AND SPRINGS AMBULANCE SERVICE, INC., D/B/A AMERICAN MEDICAL RESPONSE FOR USE OF CITY FACILITIES This Agreement is made, entered into, and effective this 6th day of June, 2010, by and between the City of Palm Springs, a municipal corporation (hereafter referred to as the "City") and Springs Ambulance Service, Inc., d/b/a American Medical Response (hereafter referred to as "AMR"). City and AMR are sometimes collectively referred to as "Parties" or individually as "Party." RECITALS WHEREAS, the City owns a fire station located at 5800 Bolero Road within the City of Palm Springs, identified as Fire Station #445 (the "City Facilities"), the use of which is temporarily being suspended for fire department response by the City; and WHEREAS, AMR provides private ambulance services and desires to use the City Facilities as a posting location for its ambulance crews; and WHEREAS, the Parties desire to establish the respective rights and responsibilities of the City and AMR with respect to the City Facilities. NOW, THEREFORE, the City and AMR agree as follows: AGREEMENT 1. Use of City Facilities. AMR shall be permitted to use the City Facilities for the sole purpose of maintaining a posting location for its ambulance crews. The City Facilities shall be available to AMR, with the exception of the following rooms, to which AMR will be restricted from access: (1) apparatus room; and (2) one bedroom designated by the City. The City may continue to use said rooms for storage of equipment and supplies. The City will obtain access to the apparatus room through the use of the remote control apparatus room doors. The City may enter the living quarters in the City Facilities for the purpose of obtaining access to the secured bedroom. 2. Furnishings and Household Items, The City will leave the basic living furniture and household items, such as beds, couches, tables, chairs, kitchen dishes and utensils, at the City Facilities for use by AMR. The City will remove equipment, including but not limited to computers, Internet modem, and library materials, prior to AMR's use of the City Facilities. 3. Fees and Charges. AMR shall pay to City a monthly fee in the amount of five hundred dollars ($500) for use of the City Facilities. Fees for each month shall be due on the first day of the month. City reserves the right to increase the monthly fee in accordance with the provisions of Section 5.C. below. 4. Responsibilities of AMR. A. AMR shall be responsible for maintaining the interior of the City Facilities, excluding the apparatus room, in good condition and repair. B. AMR shall maintain insurance in accordance with the provisions of Section 7 of this Agreement. 5. Responsibilities of City. A. City shall be responsible for maintaining the exterior of the City Facilities and principal mechanical equipment in good condition and repair. B. City shall maintain insurance in accordance with the provisions of Section 7 of this Agreement. C. City shall pay monthly utilities for the City Facilities. This obligation shall be limited to electricity, water, and gas. Sewer and trash service are currently being provided to the City Facilities at no charge. City reserves the right to increase the monthly fee for use of the City Facilities to reflect any future fees for sewer and trash service. 6. Term and Termination. This Agreement shall be effective for the period commencing June 6, 2010, and shall continue in effect until July 1, 2011. Either Party may at any time terminate the Agreement with or without cause upon thirty (30) days written notice to the other Party of such termination. At the end of said thirty (30) day notice period, this Agreement shall be forthwith terminated for all purposes. 7. Liability and Indemnity. A. AMR Indemnification of City. AMR agrees to indemnify the City, its City Council Members, officers, directors, employees, agents, and volunteers against, and will hold and save them and each of them, harmless from, any and all actions, claims, damages to persons or property, penalties, obligations or liabilities, including reasonable attorney's fees, that may be asserted or claimed by any person, firm, entity, corporation, political subdivision or other organization (collectively, "Claims"), but only in proportion to, and to the extent, such Claims arise out of or pertain to any negligent, reckless, or intentionally wrongful act or omission of AMR or its officers, employees, 2 706138.1 consultants, contractors, or agents, related to the use of the City Facilities by AMR or the performance of the obligations of AMR under this Agreement. B. City Indemnification of AMR. The City agrees to indemnify AMR, its officers, directors, employees, agents, and volunteers against, and will hold and save them and each of them, harmless from, any and all Claims, but only in proportion to, and to the extent, such Claims arise out of or pertain to any negligent, reckless, or intentionally wrongful act or omission of the City or its officials, officers, employees, consultants, contractors, or agents, related to the performance of the obligations of the City under this Agreement. C. Waiver and Release. Except to the extent of City's indemnity obligations set forth in Section 7.B., above, AMR hereby waives all rights to make a claim for any loss or damage that may hereafter accrue against the City, its City Council Members, officials, officers, employees, agents and volunteers, arising out of the use of the City Facilities by AMR pursuant to this Agreement. 8. Insurance. A. During the entire term of this Agreement, City shall, at City's sole cost and expense, maintain fire and extended coverage insurance in an amount equal to at least ninety percent (90%) of the replacement value of the City Facilities. AMR hereby waives any right of recovery from City, its officers and employees, and City hereby waives any right of loss or damage (including consequential loss) resulting from any of the perils insured against as a result of said insurance. B. During the entire term of this Agreement, AMR shall, at AMR's sole cost and expense, maintain comprehensive general liability insurance insuring against claims for bodily injury, death or property damage occurring in, upon or about the City Facilities and on any sidewalks directly adjacent to the City Facilities written on a per occurrence basis in a combined single limit of ONE MILLION DOLLARS ($1,000,000.00) for bodily injury, death, and property damage. The policies of insurance required to be procured by AMR shall name the City, its officials, officers, employees and agents as additional insureds. The insurers shall waive all rights of subrogation and contribution they may have against the City, its officials, officers, employees and agents and their respective insurers. Said policies of insurance shall provide that said insurance may not be amended or cancelled without providing thirty (30) days' prior written notice by registered mail to the City. At least thirty (30) days prior to the expiration of any insurance policy, AMR shall provide the City with endorsements evidencing the above insurance coverages written by insurance companies acceptable to the City, licensed to do business in the state of California and rated A:VII or better by Best's Insurance Guide. 9. Miscellaneous. A. This Agreement constitutes the entire understanding between the Parties hereto with respect to the subject matter set forth herein and supersedes any 3 706438.1 and all prior or other contemporaneous understandings, correspondence, negotiations, or agreements, written or oral between them respecting the within subject matter. No alterations, modifications or interpretations hereof shall be binding unless in writing and signed by both Parties. B. Any amendments to this Agreement must be in writing and signed by both Parties. C. This Agreement shall be governed by and construed under the Laws of the State of California. D. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original but all of which together shall constitute one and the same agreement. E. The waiver of any breach of any provision of this Agreement by a Party shall not constitute a continuing waiver or waiver of any subsequent breach on the same or another provision of this Agreement. F. The persons executing this Agreement on behalf of the Parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said parties and that by so executing this Agreement the parties hereto are formally bound to the provisions of this Agreement. G. Compliance.The parties will comply in all material respects with all applicable federal and state laws and regulations including, the federal Anti-kickback statute. H. Compliance Program and Code of Conduct. AMR has made available to each party a copy of its Code of Conduct, Anti-kickback policies and other compliance policies, as may be changed from time-to-time, at AMR's web site, located at: www.amr.net, and each party acknowledges receipt of such documents. AMR warrants that its personnel shall comply with AMR's compliance policies, including training related to the Anti-kickback Statute. I. Referrals. It is not the intent of either party that any remuneration, benefit or privilege provided for under the Agreement shall influence or in any way be based on the referral or recommended referral by either party of patients to the other party or its affiliated providers, if any, or the purchasing, leasing or ordering of any services other than the specific services described in this Agreement. Any payments specified herein are consistent with what the parties reasonably believe to be a fair market value for the services provided. 4 706438.1 IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by its duly qualified and authorized officials as of the dates set forth below. CITY OF PALM SPRINGS SPRINGS AMBULANCE SERVICE, INC. D/B/A AMERICAN MEDICAL RESPONSE By. By: David H. Ready, City Tho s McEntee, General Manager - ATTEST: APPROVED BY CITY COUNCIL By: . ames Thompson, City Clerk0j.rx Z/20 to APPROVE TO FORM: By: Dougl C. Holland, City Attorney 5 706438.1 A S 95'-Y A Ra CERTIFICATE OF LIABILITY INSURANCE °AT o`I2=�: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(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 Aon Risk Services Central, Inc. Philadelphia PA Office 100 North 18th street 15th Floor CONTACT NAE. NPHONE FN( WC. No. Ear; (866) 283-7122 AC No.): (800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 American Medical Response West 2995 Foothills Blvd, suite 100 Roseville CA 95747 USA INSURER B: Indemnity Insurance CO of North America 43575 INSURER C: ACE Fire underwriters Insurance Co. 20702 INSURER D: Lloyd's syndicate NO. 1729 AA1120157 INSURER E: ACE Property & Casualty Insurance CO. 20699 INSURER F: fMAlYlypldNl�Ntl:YIIy1N•YI=! III!,I:f O:all/IOIIC1.lK1[I. :1 alMillg16'ill 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 LTR TYPE OF INSURANCE INgp WVDI POLICY NUMBER MMODIYY V DDIY LIMITS % I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR XSL SIR applies per policy terms & condf ions EACH OCCURRENCE $2,750,000 PREMISES E naxa $100,000 EP WED EXP (Any one person) PERSONAL& AOV INJURY $2,750,000 GENIAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE 5,000,OUO X POLICY ❑JECT LOD PRODUCTS - COMPIOP AGG $2,750,000 OTHER: SIR $250,000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/2025 COMBINED SINGLE LIMIT $10.000,000 BODILY INJURY (Per person) X ANYAUTO BODILY INJURY (Par accklem) OWNED SCHEDULED HOAUTOS AUUTOS NONOWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accldem E X UMBRELLA LIAR EXCESS LIM X OCCUR CLAIMS -MADE YCQG72514 1 04 Umb - Auto 3 4 1 2 25 EACH OCCURRENCE 0,000,000 AGGREGATE $10,000,000 DEO RETENTION B C WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER I EXECUTIVE YIN OFFICERAIEMBER EXCLUDED? N (Mandmory in NH) NIA WLRC ADS SCFC55520124 WI 03/31/2024 03/31/2025 X PERSTATUTE OTH- E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE�EA EMPLOYEE $1,000,000 q yyea destllN under DESCRIPTNJN OF OPERATIONS bebw E.L. DISEASE -POLICY LIMIT S11000,000 D E&O - Professional Liability - EXCESS CSHLc2401 3 EX Prof(Claim Made)/EX GL 03/31/2024 03/31/2025 Per Occ/Agg SIR - EX Prof 15000,000 $10:000000 SIR applies per policy terns & condi ions SIR - EX GL $3,000:000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addtlonel Remarks Schedule, may be anaeheri If am specs Is rpuirer) EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER ^I 11 v w cull OFFICE OF THE CITY CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA 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 u 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826" LOC #: ADDITIONAL. REMARKS SCHEDULE 1 T Page _ of _ AGENCY - Aon Risk Services Central,.Inc. NAMEDINSURED AmericanMedical Response West POLICYNUMBER See Certificate Number: 570104613145 CARRIER - see Certificate Number: 570104613145 NAIC CODE EFFECTIVE DATE: - THIS. ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # II ADDITIONAL POLICIES If a policy below does not include limit. information, refer to the corresponding policy on the ACORD certificate form for policy limits: INSR LTR TYPE OF INSURANCE - ADDL INSD BUBR wVD POLICY NUMBER POLICY EFFECTIVE DATE (MNUDD/YYYY)' POLICY EXPIRATION DATE .(MM/DD/YYYY) - LIMITS WORKERS COMPENSATION A N/A. - wcuc55520045 - OH SIR applies per policy to 03/31/2024 Ins & condit '03/31/2025 ons '�ii (2008101) Ine AUUmu name one IOBO are. registerm slam Of AGOHU6 Certificate No: 570104613149 AON CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA Wednesday, March 27, 2024 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: 570104613149) 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 • 1 3%Ml'ii' M .y ACO/ZO® CERTIFICATE OF LIABILITY INSURANCE DATE((MMM/DDD aYYY) 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 onthis certificate does not confer rights to the certificate holder inlieuof Such endorsement(s). PRODUCER Aon Risk Services central, Inc. Philadelphia PA office 100 North 18th street 15th Floor CONTACT AME: - NPHONE (C/C.km.EiO: (866) 283-7122 aC No:: (800) 363-0105 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Philadelphia PA, 19103 USA. INSURED INSURERA: ACE Ameri Can Insurance Company 22667 American medical Response, Inc. 6501 S Fiddlers Green circle suite 100 INSURER B: Indemnity Insurance CO Of North America " 43575 1 INSURER Ct ACE Fire Underwriters insurance Co. 20702 Greenwood Village Co 80111 USA INSURER D: Lloyd's Syndicate No. 1729 AA1120157' INSUflEfl E: ACE 'Property & Casualty Insurance CO. 20699- 'SURE,F: COVERAGES, CERTIFICATE NUMBER: 570104613149 - 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 I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are es requested LTR TYPE OF INSURANCE` INSD WVD POLICY NUMBER 'MM/DOIYYYY MWDDNYY ''LIMBS X COMMERCIAL GENERAL LIABILITY XSLG EACHOCCURRENCE - $2,750,000 CLAIMS -MADE E OCCUR SIR applies per policy terns & condi ions PREMISES men, occurrence $100,000 MED EXP(Any one person) - PERSONAL& ADV INJURY $2,750,000 _.: GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $5,000,000 X POLICY E:IJECT -� LOC. PRODUCTS-COMP/OPAGG _ $2,750,000 OTHER: _ _ _ SIR- _ _ _ _ $250,000 A AUTOMOBILE LIABILITY ISA HIC818345 03/31/202403/31/2025 COMBINED SINGLE LIMB e accident)$10, 000, 000 BODILY INJURY (Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTYDAMAGE Peraccident E % UMBRELLAUM EXCESS LIM N OCCUR CLAIMS -MADE XCgG72514816004 Umb -Auto 03 31 2024 03 31 2 225 EACH OCCURRENCE $10.000,000 AGGREGATE $10,000,000 DED1 IRETENTION B C WORKERS COMPENSATION AND EMPLOYERS'LIABILRY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED➢ E (Mandatory in NM. 11yes.descnbe under DESCRIPTION OF OPERATIONS below IWLRC55519870 ADS' WCFC55520124 WI 03 31 20 4 03/31/2024 03 31 025 03/31/2025 X PERSTATUTE OTH- ER - ELEACHACCIDENT $1,000,000 EL DISEASE -EA EMPLOYEE. _ $1,000,000 EL DISEASE -POLICY LIMIT $1,000,000 D E&O -- Professional Liability 66a c5HLC24013 03/31/2024 03/31/2025 Per Occ/Agg , 00 15,07000 - Excess EX Prof(C1 im Made)/EX GL ,SIR - Ex Prof $10,000000 SIR applies per policy terms & condi.ions SIR - Ex'GL $3,000:000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA 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. AUTHORRED 71 ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD. name and logo are registered marks of ACORD AGENCY CUSTOMER ID 570000073826 LOC #: " ADDITIONAL REMARKS SCHEDULE N. Page _ of _ AGENCY Aon Risk services Central, Inc. NAMEDINSURED American Medical Response, Inc. POLICY NUMBER see certificate Number: 570104613149 CARRIER - - See Certificate Number: 570104613149 NAIC CODE EFFECTIVE DATE: - THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. WSR LTR TYPE OF INSURANCE ADDL INSD SUDR wVD POLICYNUAIBER POLICY EFFECTIVE DATE (AiNVDO/YYYV) POLICY EXPIRATION ON DATE (111N1/DD/YYYY) LINUTS WORKERS COMPENSATION A N/A WCUCS5520045 OH SIR applies per policy to 03/31/2024 ms & condit 03/31/2025 ons CORPORATION. All The ACORD name and logo are registered marks of ACORD C@rtifidate No: 570104613150 AON CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA Wednesday, March 27, 2024 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: 570104613150) 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 r rj t.� CERTIFICATE OF LIABILITY INSURANCE: _ DATE(MM/DD/YYYY) 03/26/2024 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(les) 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 ADD Risk services Central, Inc. Philadelpphia PA Office 100 Mort h 18th Street 15th Floor CONTACT - - .NPHONEAME: r (A/C. No. Exth (866) 283-7122 (AC. No.: (800) 363-0105 E-MAIL - - - ADDRESS: - INSURER(S) AFFORDING COVERAGE NAIC# Philadelphia PA 19103 USA INSURED INSURERA: ACE American Insurance Company 22667 American Medical Response, Inc. 6501 SF.iddlers Green circle suite 100 INSURER B: indemnity Insurance Co of North,Ameri Ca 43575 1 INSURER c: ACE Fire .Underwriters Insurance Co. 20702 Greenwood village CO 80111 USA INSURER D: Lloyd's syndicate No. 1729 - AA1120157 ,INSURER E: ACE Property & Casualty Insurance Co. 20699 ' INSURER F: 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 CONTRACTOR 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 requesteLMSH d LTR TYPEOFINSURANCE INSD WO NUMBER MMIDDIYY MWDDIYYY LIMITS GENERAL LIABILITY XSLG EACHOCCURRENCE 52,750,000 TCOMMERCIA1. CLAIMS -MADE X❑ OCCUR SIR applies per policy terns &'Conti ions PREMISES Ea occunence $100,000 MED EXP (Any one person) - - ' PERSONAL& ADV INJURY $2,750,000 GEMLAGGREGATE % LIMITAPPLIES PER; POLICY OPEo- LOG GENERALAGGREGATE - $5,000,000 PRODUGTS-COMP/OPAGG $2,750,000 OTHER:___,_.,_- _. _ _ � sw _ _ _ _ $250,000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/2025 COMBINED SINGLE LIMB Ee accident $10,000,000 BODILY INJURY (Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HREDAUTOS - NON OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Peracckient _ E % UMBRELLALIAB EXCESS LIAR, X OCCUR CLAIM84MAOE' XCQG72514816004 Umb - Auto 03 31 2024 03 31 2025 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DEO `RETEMION ' B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYADS ANY PROPRIETOR I PARTNER/EXECUTIVE. YIN Off CERMEMBER EXCLUDED] 15 (Mandatory In NH) B yyesdeacON under DESCRIPTION OPERATIONS below NIA WLRC55519870 SCFC$$$20124 SCF WI liT 31 2524 03/31/2024 03 31 2025 03/31/202$ X PER STATUTE I 16ORTH- EL EACH ACCIDENT $1, 000, 000 E.LDISEASE-EAEMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMB $1,000,000 0 E&O - Professional Liability CSHLC2401663 03/31/2024 03/31/2025 Per Occ/Agg $15,000,000 - Excess EX Prof(Claim Made)/EX GL SIR - EX Prof $10,000,000 SIR applies per policy ter s & condi ions SIR —EX GL $3,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE 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. CITY OF PALM SPRINGS AUTHORED REPRESENTATIVE '• ATTN: KATHIE HART, CMC , OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA csrosa iuwrc e/ VanRd4 - rt� 01988.2015 ACORD CORPORATION. All rights reserved. ACORD. 25 (2016103) The ACORD name and logo are registered marks`of ACORD AGENCY CUSTOMER ID: 570000073826 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY AOn Risk Services Central,, Inc. NAMEDINSURED American Medical Response, Inc. POLICY NUMBER see Certificate Number: 570104613150 CARRIER - See Certificate Number: 570104613150 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS FORM Nl INSURER INSURER INSURER INSURER 'DER: ACORD 25 FORM,TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE I NAIC # II ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR T'YPEOFDSSURANCE ADDL INSD SUOR 1VVD - POLICY NUAIBER POLICY DATE EFFECTIVE (MAVOD/YYYY1 POLICY E%DATE ON (AIM1UDDA'D/Y` YYY) LIMITS WORKERS COMPENSATION A N/A WCUC5552004S OH SIR applies per policy to 03/31/2024 ms & conditions 03/31/2025 ACORD 101 (2008/01) 02008 ACORD CORPORATION. All dahts reserved. The ACORD name and logo are registered marks of ACORD C2rtificate No: 570104613155 AON CITY OF PALM SPRINGS ATTN: KATHIE HART, CIVIC OFFICE OF THE CITY CLERK PO BOX 2743 PALM SPRINGS CA 92263 USA Wednesday, March 27, 2024 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: 570104613155) 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# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 � - ® .A� �' - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) a326/202< 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(les).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 thecertificate holder in lieu of such endorsement(s). PRODUCER - ADD Risk SerVl ces CeOtrdl, IOC. Philadel phia PA Office 100 North 18th. Street 15th Floor CONTACT NAME: INC. No. Ea); f866y 2B3-7122 .AC. No.: (800) 363-0105 ,E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NNC# Philadelphia PA 19103 USA INSURED INSURERA: ACE American Insurance company 22667 . American medical Response, Inc. - 2995 Foothills Blvd, Suite 100 Roseville CA 95747 USA INSURER B: Indemnity insurance co Of North America 43575 INSURER C1 ACE Fire Underwriters Insurance CO. - 20702 - INSURERD: Lloyd's Syndicate No. 1729 AA1120157 INSURER E: ACE Property & Casualty Insurance Co. 20699 INSURER F: - GOVEHAGES GFRTIFIGATF NIIMRFR- h7OlU4RtAlhh RFVI-Rlnm NI IMRFR• 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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 LTR TYPE OF INSURANCE INSD WO POLICY NUMBER µpOlY Mµ00lYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑OCCUR XSLG SIR applies per policy terns & condi ions EACH OCCURRENCE $2, 750, 000 PREMISES Ea occurrence)$100, 000 MED EXP (Any one person) - PERSONAL&ACV INJURY $2,750,000 GENLAGGREGATE LIMITAPPUES PER: GENERALAGGREGATE $5,000,000 POLICY-0 PRO- LOC EC PRODUCTS - COMPIOPAGG $2,750,005 OTHER: SIR $250; 000 A AUTOMOBILE LIABILITY ISAH10818345 03/31/2024 03/31/2025 COMBINED SINGLE LIMB' Ea accTdar $10, 000,000 BODILY INJURY (Per person) % ANYAUTO BODILY INJURY (Par accid.rat OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per eccIdent' E %umeRELLq LIAR EXCESS LIAR X OCCUR CLAIMS -%OE %cQG72514816004 Umb - AUtO 03 31 2024 03 31 2025 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 OED RETENTION ' B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNERIEXECVTIVE YIN OFFICERAIEMSER EXCLUDED? (Mandatory In NH) If yyes describe under DESdRIPTION OF OPERATIONS below NIA WLRC55519870 ADS SCFc55520124 WI 03/31/2024 03/31/2024 03/31/2025 03/31/2025 X PER STATUTE. 1 OTH- ER - EL.EACHACCIOENT $1,000,000 E.L. DISEASE -SA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D E&O - Professional Liability CSHLc2401663 03/31/2024 03/31/2025 Per Occ/Agg $1510001000 - EXcess Ex Prof(Claim Made)/EX GL SIR - EX Prof $10.000,000 SIR applies per policy terns & condi ions - SIR - Ex GL $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) EVIDENCE OF COVERAGE FOR AMERICAN MEDICAL RESPONSE, INC. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES -BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF PALM SPRINGS OFFICE ATHIE HART, CIVIC AUTHORQ D REPRESENTATIVE 0 PO BOX 2743 Q PALM SPRINGS CA 92263 USA GGLfdlZO G 7[6L +} " 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826 LOC#: The ACORD name and logo are registered marks of ACORD NS°ill Ak CERTIFICATE OF LIABILITY INSURANCE DAT013/26Y026 YY) 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 endor . I 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). ADn Risk Services Central, Inc. Philadelp hid PA Office 100 North 18th street 15th Floor Philadelphia PA 19103 USA RHONE AC, No. Exp; (866) 283-7122 No : (800) 363-0105 E-MAL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED American Medical Response, Inc. 6501 S Fiddlers Green Circle suite 100 Greenwood Village CO 80111 USA INSURER A: ACE American Insurance Company 22667 INSURER B: Indemnity Insurance CO of North America 43575 INSURER C: ACE Fire underwriters Insurance Co. 20702 INSURER D: Lloyd's Syndicate No. 1729 AA1120157 INSURER E: ACE Property & casualty Insurance Co. 20699 INSURER F: 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 LTR TYPE OF INSURANCE 1 D WVD1 POLICY NUMBER (MKDDIYYM I imm LIMITS X COMMERCIAL GENERAL LIABILRY X LG EACH OCCURRENCE $2, 750, 000 CI -AIMS MADE ❑X OCCUR SIR applies per policy terns & condi ions ETO'RE PREMISES Ea occurrence $100,000 MED EXP Any one person) PERSONAL& ADVINIURY S2,750,000 GENLAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $5,000,000 X POLICY PRO- ECT LOC PRODUCTS GOMP/OPAGG $2,750,000 OTHER: SIR $250.000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/2025 COMBINED SINGLE LIMIT Me aoddent) $10,000,000 BODILY INJURY(Perperson) X ANYAUTO OWNED SCHEDULED HIIHEDAAfDIOTOSY AUTOS HNON-OW14ED ONLY AUTOS ONLY BODILY INJURY(Peraccideno PROPERTY DAMAGE Per Accident) E X UMBRELLA LIM % OCCUR XCQG72514816004 $10,000.0 EXCESS LIAR CLAIM -MADE Umb - Auto AGGREGATE S10,000,000 DEO RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANr PROPRIETOR/PARTNER/EXECUTIVE OFFICER MEMBER EXCLUDED? N (Mandatory In NH) NIA WLRC ADS SCFC55520124 WE 03/31/2024 03/31/202S X PERSTATUTE OTH- ER E.L. EACH ACCIDENT $1,0001000 E.L. DISEASE -EA EMPLOYEE 51, 000, 000 If yes, describe uMer DESCRIPTION OF OPERATIONS calk. E.L. OISEASE-POLICY LIMIT $1,000, 000 D E&O - Professional Liabl ity CSHLc 40 6 03 31/0024 03 31/0025 Per Occ Agg $15,000,000 - Excess Ex Prof(claim Made)/Ex GL SIR - EX Prof $10,000,000 SIR applies per policy terns & condi tions SIR - EX GL $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddMonal Remarks Schedule, may be a ftd it more space is required) NCTI STUDENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. RECEIVED AP CERTIFICATE HOLDER CANCELLATION OFFICE OF THE CITY CLER K SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF PALM SPRINGS AUTHORIZED REPRESENTATIVE ATTN: KATHIE HART PO BOX2743 PALM SPRINGS CA 92263 USA d c a, 9 0 O 2 L. 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOM1AERID: 570000073826 AC ® LOC M . . ADDITIONAL REMARKS SCHEDULE Paae of AGENCY Aon rusk services central, Inc. NAMED INSURED " American medical Response, Inc. - POUCYNUMBER - See Certificate Number: 570104613156 CARRIER see certificate Number: 570104613156 - NAICCODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 " FORM TITLE: Certificate of Liability Insurance II INSURER(S) AFFORDING COVERAGE I NAIL # II ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certiflcate,form for policy limits. 1NSR LTR TYPEOFINSURANCE ADDL wso SUOR IWO POLICY NUMBER POLICY EFFECTIVE DATE (AInUDD/YYYY) POLICY EXPIRATION DATE mmwonvY» LIMITS WORKERS COMPENSATION - A N/A WCUC55520045 OH SIR applies per policy to 03/31/2024 ms & Condit 03/31/2025 ons ACORD 101 (2008/01) ¢, 2nna all .Inh,a rnmrvod The ACORD name and logo ere registered marks of ACORD Certificate No: 570104613158 AON CITY OF PALM SPRINGS ATTN: KATHIE HART PO BOX 2743 PALM SPRINGS CA 92263 USA Wednesday, March 27, 2024 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: 570104613158) 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# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 CERTIFICATE OF LIABILITY INSURANCE r OAT 0326/20224 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 AFFORDEDBY 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(les) must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policiesmay require an endorsement.A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s). - PRODUCER' Aon Risk Services Central, Inc. Philadelphia PA Office CONTACT -' NAME. (AIC.No.Em): (866) 283-7122 aC. No.: (800) 363-0105 E-MAIL ADDRESS: 100 North 18th Street 15th Floor INSURER(S) AFFORDING COVERAGE - - NAIC If Philadelphia PA 19103 USA INSURED INSURERA: ACE American Insurance Company 22667 NCTI 2995 Foothills Blvd, suite 100 Roseville CA 95747 USA 'INSURER B: Indemnity Insurance Co of North America - 43575 ERC: ACE Fire underwriters insurance Co. 20702 IRERD: L Oyd'-s. Syndicate No. 1729 AA1120157 ' NEIR E: ACE Property & Casualty Insurance Co. 20699 INSURER F:- COVERAGES CERTIFICATE NUMBER: 570104613158 REVISION NUMBER: -- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 1,01 INDICATED.. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATES MAY BE ISSUED ORMAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - _ Limits shown are as requested LTR TYPE OF INSURANCE INSD VIVO' POUCYNUMSEii MA1/YY 0 MMIDO LIMITS X COMMERCIAL GENERAL LIABILITY XSLG EACHOCCURRENCE $2,750,000 'CLAIMS-MADEOCCUR SIR applies per policy terns & condi ions PREMISES Ea occurrence $100,000 MED EXP(Any one person) ' PERSONAL&ADV INJURY $2,750,006 GENLAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $5,000,006 % POLICY OJEOT �LOC PRODUCTS - COMP/OP AGO $2,750,000 OTHER: SIR $250,000 A .AUTOMOBILE LIABILITY ISA H10818345 - 03/31/2024 03/31/2025 COMBINED SINGLE Lurr Ea aeciden $10,000,000 BODILY INJURY (Per person) % ANYAUTO BODILY INJURY (Per acdden) OWNED SCHEDULED. AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTYDAMAGE Per accident E X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE XCQG72514816004 Umb - Auto 03 31 2024 03 31 2025 EACH OCCURRENCE - - S10,000,000 AGGREGATE $10,000,000 -IDED1 RETENTION B C WORKERS COMPENSATION AND r EMPLOYERS' LIABILITY YIN OFRCERRAEM ER/ EXCLUDED? (Mandatory In NH) 11 YYes describe under 0 SdRIPTION OF OPERATIONS below. NIA WLRC5551 870 ADS SCFC55520124 WI 03 1 2024 03/31/2024 03/31/2025 03/31/2025 X PERSTATUTE, OTH- ER EL EACHACCIDENT $1,000r 000 E.L. DISEASE -EA EMPLOYEE $1, 000,000 - E.L. DISEASE -POLICY LIMIT $1,000,000 0' E&O - Professional Liability - CSHLC2401663 03/31/2024 03/31/2025 Per Occ/Agg S15,000,000 - EXCESS E% Prof(Claim'Made)/EX GL I. SIR - EX Prof S10,000, 000 SIR applies per policy terns & condi ions SIR -EX GL S3,000, 000 DESCRIPTION OF OPERATIONS ILOCATIONS IVEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) - NCTI STUDENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. 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. r;W�:kk rr��+JE CITY OF PALM SPRINGS AUTHORIZED REPRESENTATIVE `ate PO BOXK2743E HART �( -PALM SPRINGS CA 92263 USA �r /pl /l s - ©1988.2015 ACORD CORPORATION. Allrightsreserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826 LOC #: A ADDITIONAL REMARKS SCHEDULE I .r page _ of _ AGENCY - Aon Risk,Services Central, Inc.. NAMED INSURED ' NCTI POLICYNUMSER' See certificate Number: 570104613158 .CARRIER see Certificate Number: 570104613158 NAIC CODE EFFECTIVE DATE: 25 FORMTITLE: Ceitificateof II INSURER(S) AFFORDING COVERAGE I NAIC # INSURER I INSURER ADDITIONAL ,POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. _ �INSR LTR TYPEOFINSURANCE. ADDL MSD.. SUDR {VVD POLICY NUMBER POLICY EFFECTIVE DATE (MAUDD/YYYY) POLICY EXPIRATION' DATE (MM/DD)YYYY) LIMITS WORKERS COMPENSATION A - N/A wcuc55520045"- oN SIR applies per policy to 03/31/2024 ms & Condit 03/31/2025- ons nwnv v�(cvumeq vcvve n�.v �nnu�n.w nyu�srose,mu. The ACORD name and logo are registered marks of ACORD AFRO® CERTIFICATE OF LIABILITY INSURANCE DATDD24YY" 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 ADD Risk Services Central, Inc. Philadel hia PA Office 100 North 18th street 15th Floor =O CT NMIE. (u .t-Ext): (866) 283-7122 AC Np : (800) 363-0105 E4ANL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 American Medical Response, Inc. 6501 S Fiddlers Green Circle Suite 100 INSURER B: Indemnity Insurance Co Of North America 43575 INSURER C: ACE Fire underwriters insurance Co. 20702 Greenwood village Co 80111 USA INSURER D: Lloyd's syndicate No. 1729 AA1120157 INSURERE: ACE Property & Casualty Insurance CO. 20699 INSURER F: GOVENJUSUMN UENIIFICAtt NUaaNEFi: ❑/U1U4h1314H NEVINIUN NUMMhH: 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 INSRI LTR TYPE OF INSURANCE POLICY NUMBER DDIYYY MWD LIMITS X COMMEflCIAI GENERAL LIABILITY L EACH OCCURRENCE $2, 750, 000 CLAIMS -MADE ❑X OCCUR SIR applies per policy terns & condi ions PREMISES Ee=uneroe $100,000 MEO EXP (Any one person) PERSONAL&ACV INJURY S2,750,000 GENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S5,000,000 X POLICY ❑PRO. oLOC ECT PRODUCTS COMP/OPAGG $2,750,000 OTHER: SIR S250,000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/2024 03/31/202 5 COMBINED SINGLE LIMIT IF, �006X $10, 000,000 BODILY INJURY ( Per person) ANYAUTO BODILY INJURY(PW WXdenp OWNED SCHEDULED AUTO TOS NON --OWNED ONLY AUTOS ONLY PROPERTY DAMAGE PW accdant E X UMBRELLA LIAB X OCCUR XCQG725148I6Or4_ZT7Tr7M T177=5 EACH OCCURRENCE S10,000,003 EXCESS LIAR CLAIMS MADE Umb - Auto AGGREGATE $10,000,000 DEDI RETENTION 9 D WORKERS COMPENSATION AND EMPLOYERS'LIABKITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFIOERIMEMBER EXCLUDED? N (Mmmory In NH) NIA WLRC A05 SCFC55520124 Wi 03/31/2024 03/31/2025 X PER STATUTE TH- E.L.EACHACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S1, 0()0, ODD H yes, tleuribe uMer DESCRIPTION OF OPERATIONS We E.L. DISEASE -POLICY LMIT $1,000,000 D E&O - Professional Liability CSHLC 401 6 03/31/2024 03 31/0025 Per Occ Agg $15,000,000 - Excess EX Prof(Claim Made)/Ex GL SIR - EX Prof $10, 000, 000 SIR applies per policy terns & condf ions SIR - Ex GL $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AEdhional Rom fits Schedule, Inay be attached B nro spire N requhxr) THE CITY OF PALM SPRINGS. ITS OFFICIALS, OFFICERS, EMPLOYEES AND AGENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. GENERAL LIABILITY POLICY EVIDENCED HEREIN IS GENERAL LIABILITY POLICY EVIDENCED HEREIN IS PRIMARY AND NON-CONTRIBUTORY TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ONLY IN ACCORDANCE WITH THE POLICY'S PROVISIONS.TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ONLY IN ACCORDANCE WITH THE POLICY'S PROVISIONS. GENERAL LIABILITY POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. • •Tura Ter CERTIFICATE HOLDER CANCELLATION HCHALMy OF THE MOE DESCRIBED POLICIES BE CANCELLED BEFORE THE APR 0 4 2024 EXPIRATION DATE THEREOF VNOTICE WILL BE IN ACCORDANCE WITH THE POLICY PROVISIONS. v; CITY OF PALM SPRINGS ED REPRESENTATIVE s E OF THE CITY C M CHIEF KATNIE NARY. CHIEF DEPUTY CITY CLERK 300 N. EL GIECA t ROAD J`j/ (,`(/ I AMe PALM SPRINGS CA 92262 USA ke4ea0 fi4 Of 988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD d TN AGENCY CUSTOMER ID: 570000073826 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMED INSURED, American MedicalResponse, Inc. , POLICYNUMBER See Certificate Number: 570104613148 CARRIER - - - see Certificate Number: 570104613148 NAIC CODE EFFECTIVE DATE: - AOUI I LANAI. t+GMAFIrcS ITHIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, FORM NUMBER: ACORD25 FORM TITLE: Certificate of Liability Insurance 11 INSURER(S) AFFORDING COVERAGE I NAIC # ADDrrIONAL POLICIES if a policybelowdoes .not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR - TYPEOFINSURANCE ADDL WSD SUDR WVD POLICYNUMBER POLICY EPPECTIVC DATE (MMlDD/YYYY) POLICY EXPIRATION DATE (MAUDD(YYYY) LIMITS WORKERS COMPENSATION A - 'N/A WCUCS5520045 OH SIR applies per policy tei 03/31/2024 Ins & condit 03/31/2025 ons ACORD 101 (52ODa All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570104613151 AON CITY OF PALM SPRINGS ATTN: KATHIE HART, CMC CHIEF DEPUTY CITY CLERK 300 N. EL CIELO ROAD PALM SPRINGS CA 92262 USA Wednesday, March 27, 2024 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: 570104613151) 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 ACORO® CERTIFICATE OF LIABILITY INSURANCE. oar (MM(D)Y YY) 03126(2024 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(les) must have ADDITIONAL INSURED provisions or be endorsed. It 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 suchendorsement(s). PRODUCER - Aon Risk Services Central, Inc. Philadelphia PA Office CONTACT NAME: -- - ' - (ACNE,. EXO: (866) 283-7322 =:No : (890) 363-0105 100 Northl8th Street 15th Floor E-MWL - - ADDRESS: - INSURER(S)AFFORDINGCOVERAGE NWCa Philadelphia PA 19103 USA INSURED _ - INSURERA: ACE American InSuranCe 'Company 22667 AMR of Southern California 1111 Montalvo Wayy Palm Springs CA 92262 USA INSURER B: Indemnity Insurance COof North America - 43575 -INSURER C: ACE .Fire Underwriters Insurance Co. 20702 INSURER D: Syndicate No. 1729 AA1120157 ACLloyd's INSURER E: E Property & Casualty InSuranCe Co. 20699 INSURER F: -COVERAGES CERTIFICATE NUMBER: 570104613151- REVISION_NUMBER• UP THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED. NAMED ABOVE FOR THE POLICY PERIOD VINDICATED. 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 INSURANCEAFFORDED 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 LTq TYPE OF INSURANCE INSD WVD POUCYNUMBER MMIDD VwCO/YYYY LIMITS % COMMERCIAL GENERAL LIABILITY XSLG EACH OCCURRENCE $2,750,000 CLAIMS -MADE OCCUR _ SIR applies per policy terns & condfi. ons PREMISES Ea occuaence . 5100, 000 MED EXP (Any one person) PERSONAL&ADV INJURY $2,750,005 G GENLAGGREGATE UMIrAPPUES PER: ' .GENERALAGGREGATE $5,000.,000 n % POLICY ❑JEST LOC c PRODUCTS-COMP/OPAGG $2,750,000 OTHER: SIR $250,000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/2025 COMBWED SINGLE LIMIT (Ea a me $10,000,000' BODILY INJURY (Far person) - X ANYAUTO D Z BODILY INJURY (Per accident) OWNED SCHEDULED at HpDS AUTOS IAUTONON -OWNED p PROPERTYDAMAGE' ONLY 'AUTOS ONLY Per accident - 01 E " UMERELLALIAB x OCCUR XCQG72514816004 03 31 2024 03 31 2025 EACHOCCURRENCE $10,000,000 edEXCESS IDED LIAR CLAIMS-AIADE Umb - ADiO AGGREGATE $10,000,000 RETENTION' B WORKERS COMPENSATION AND WLRCS551 870 03/31/2024 03 31 2025 X1 PER STATUTE OTH E - EMPLOYERS'LIABlUrY. YIN AOS E.L EACHACCIDENT $1,000,000 C ANY PROPRIETOR I PARTNERI EXECUTNE OFFICENMEMBEREXCLUDEDi N/A $CFC$$$20124 03/31/2024 03/31/2025 E.L. DISEASE -EA EMPLOYEE $1,000,000 I antlatoryln NH) WI It Yyes describe under OESCRIPTION OF OPERATIONS be. E.L DISEASE -POLICY LIMIT $1,000,000—_ D 1 E&O - Professional Liability - CSHLC2401663 - -' - - ' 03/31/2024 03/31/2025 Per OOC/Agg - ---"— -- -515, 000, 000 - Excess Ex Prof(Claim Made)/EX GL SIR - Ex Prof S10,000,000 SIR applies per. policy terns & condi ions SIR -- Ex GL _ S3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remelts Schedule, maybe attached It more apace Is required) a, THE CITY OF PALM SPRINGS, ITS OFFICIALS, OFFICERS, EMPLOYEES AND AGENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WITH V_ THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. GENERAL LIABILITY POLICYEVIDENCEDHEREIN IS GENERAL LIABILITY POLICY EVIDENCED .HEREIN IS PRIMARY AND NON-CONTRIBUTORY TO OTHER INSURANCE AVAILABLE TOANADDITIONAL INSURED, BUT ONLY IN ACCORDANCE y WITH THE POLICY'S PROVISIONS.TO OTHER INSURANCE AVAILABLE TO AN ADDITIONAL INSURED, BUT ONLY IN ACCORDANCE WITH THE POLICY'S PROVISIONS. GENERAL LIABILITY POLICY INCLUDES A WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF ADDITIONAL INSURED IN ACCORDANCE -_ v WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. ^ _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF PALM SPRINGS AUTHORIZED REPRESENTATIVE - - ATTN: KATHIE HART, CIVIC CHIEF DEPUTY CITY .CLERK300 EL ROAD PALMNSPRINGSELO CA 92262 USA aJLfpTG/GE4LZ71'LtLl(� e./91A ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826 LOC M A ADDITIONAL REMARKS SCHEDULE Pace — of _.AGENCY - - - - ACT Risk Services Central, inc. - NAMEDINSURED ' AMR of Southern California - POUCYNUMBER. See Certificate Number: 570104613151 CARRIER - - - - see Certificate Number: 570104613151 MAID CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance _ 11 INSURER(S) AFFORDING COVERAGE I NAIC # INSURER INNSURER, ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. N ISR R _ TYPEOFINSURANCE 'ADDL INSD _ SUBR wVD POLICY NUNIDER POLICY EFFECTIVE DATE mINI/DDIYYYY) POLICY EXPIRATION DATE (AiNUDDmYY) LINITTS - WORKERS COMPENSATION A N/A WCUCS5520045 - OH SIR applies per policy to 03/31/2024 ms & condit 03/31/2025 ons ACORD 101 (2008/01) All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) D&262D24 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 Aon Risk Services Central, Inc. Philadelphia PA Office 100 North 18th Street 15th Floor COMACT NAME. IAC. No. Exq: (866) 283-7122 FAX(B00) 363-0105 E-MNL ADDRESS: INSUREIRS) AFFORDING COVERAGE NAICa Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 American medical Response, Inc. 2995 Foothills Blvd, suite 100 Roseville CA 95747 USA INSURER B: Indemnity Insurance Co of North America 43575 INSURER C: ACE Fire underwriters Insurance Co. 20702 INSURER D: Lloyd's syndicate No. 1729 AA1120157 INeuRERE: ACE Property & Casualty Insurance Co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER' S/I11U415131h9 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 LTR TYPE OF INSURANCE Ad IWVD POLICY NUMBER 'ODIYYy MLIUYhAF M'DD/YYYY LIMITS X COMMERCIAL GENERAL LMBRITY % LG EACH OCCURRENCE 52, 750, 000 CLAIMS -MADE ❑% OCCUR SIR applies per policy ter s & condl ions PREMISES Ea occurrence $100,000 MED EXP (My one perm) PERSONAL& ADV INJURY S2,750,000 GENLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S5,000,U00 % POLICY OJEa �LOC PRODUCTS -COMPIOP AGO S2,750,000 OTHER: SIR $250,000 A AUTOMOBILE LABILITY ISA H10818345 03/31/202403/31/202S COMBINED SINGLE LIMB 410, 000,000 BODILY INJURY I Per perm) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per sxidenl E X UMBRELLALIM X OCCUR XCOG 514 1 4 1 4 EACH OCCURRENCE S10,000,000 EXCESS LIAR CLAIMS -MADE Unity,- Auto AGGREGATE S10,000,000 IDED1 1RETENTION B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY 'PROPRIETOR' PARTNER EXECUTIVE OFFCERAIEMBER EXCLUDED? N tMendetory In NH) NIA WLRC AOS sCFC55520124 WI 03/31/2024 03/31/2025 X PERSTATUTE TH. E.L. EACH ACCIDENT S1,000,000 E.L OISEASE-EA EMPLOYEE $1,000,000 H yyes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 0 E&O - Professional Liability CSHLC 401663 03/31/2024 03/31/2025 Per OCC/Agg 15,000,000 - Excess EX Prof(Claim Made)/Ex GL SIR - EX Prof S10,000, 000 SIR applies per policy terms & condf ions SIR - Ex GL f3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddMooal Remarks Schedule, may be atbphed If mare space Is required) CITY OF PALM SPRINGS AND NCTI STUDENTi �lif„ajy(}Ij�Gp,e4S ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY POLICY. RC(��'' V ClJ APR 0 2 2024 CERTIFICATE HOLDER OFFICE OF ( Ht Vl r 1 a"a'a"EXACELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 'S CITY OF PALM SPRINGS FI0.E DEPARTMENT AUTHORIZED REPRESENTATIVE L45.Y�E]E 3200 EAST TAHQUITZ 92 PALM SPRINGS CA 92262 USA 91988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD d m AGENCY CUSTOMER ID: 570000073826 ... .�;{ LOC #: " ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk services Central, Inc. NAMED INSURED American Medical Response, Inc. POUCYNUMBER See certificate Number: 570104613159 CARRIER - - see Certificate Number: 570104613159 NAI 'CODE EFFECTIVE DATE: ADDITIONAL REMARKS ACORD25 FORM TITLE: Certificate of Llability Insurance RER(S) AFFORDING COVERAGE NAIC # WSURER INSURER INSURER ADDITIONAL POLICIES 'If a policy below does not include limit information, refer to the corresponding policy on.:the .ACORD certificate form for policy limits. LNSR LTR TYPE OF INSURANCE ADDL WSD WVD WVD , , POLICYNUMBER POLICY EFFECTIVE DATE (MAflDD)YYYY) POLICY EXPrRATION DATE (1INtIDD/YYYY) LIMITS WORKERS 'COMPENSATION A N/A wcuc55520045 - OH SIR applies per policy to 03/31/2024 ms &condit 03/31/2025 ons I 1 anonn ini t2nnRmn ainnA eCnnn DnnGnPAmnN. ell rinRie romvad The ACORD name and logo are registered marks of ACORD Certificate No: 570104613162 AON CITY OF PALM SPRINGS FIRE DEPARTMENT 3200 EAST TAHOUITZ PALM SPRINGS CA 92262 USA Wednesday, March 27, 2024 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: 570104613162) 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 CA � 1 " "� o CERTIFICATE OF LIABILITY INSURANCE .5 T MM/DDM/YY) - OSy2612D24 . 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 andconditionsof: 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 endarsement(s).. - PRODUCER - - - - ADD Risk Services Central., Inc. Philadelphia PA Office CONTACT NAME' (AIC.No.EXO; (866) 283-7122 aC Nd:'(800) 363-0105 ' EMAIL ADDRESS: - 100 North 18th Street 15th Floor Philadelphia PA 19103 USA • - - INSUREfl(S)AFFORDING,COVERAGE NAILINSURED - - - INSURER A: ACE American insurance 'Company 22667 American Medical Response, Inc. 6501 5 Fiddlers Green circle suite 100 INSURER B: indemnity insurance Co•of North America - - 43575 INSURERCi ACE .Fire Underwriters Insurance CO. 20702 Greenwood village Co 80111 USA ,. INSURER @.' L1 Dyd:s 5yndi Gate No. 1729, A41120157 ' .. INSURER E: ACE Property & Casualty Insurance Co. 20699 INSURER F: 'OUVCHAtjt:;b .OEHIIFICAlh NUMt3hH:D1UIU0-blUlti2 '. --REVISION-NUMBER: ---- cY THE INSURED NAMED ABOVE FOR THE POLICY PERIOD � � • ' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO INDICATED. NOTWITHSTANDINGANYREQUIREMENT,. 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 LTR TYPEDFINSURANCE 'INSD WVD POLICY.NUMBER MMIDDIYYY MM1UDOIYYY " LIMITS ' X COMMERCIAL GENERAL LIABILITY XSLG EACH OCCURRENCE - $2,750,000 CLAIMS SIR applies per policy terns & condf-ions -MADE �% OCCUR PREMISES (Ea occurrence .$100,p00 MED EXP (Any one person) - - PERSONAL& ADV INJURY- $2,750,000 n GENLAGGREGATE Umr APPLIES PER: ' GENERALAGGREGATE $5-,000,000 X POLICY �JECT' -.❑ LOC c PRODUCTS COMP/OPAGG $2,750,000' SIR -.$250p000 OTHER; A . AUTOMOBILE LIABILITY ISA H10818345 03/31/2024 03/31/2025 COMBINED SINGLE LIMIT nee acci e t $10,000, 000' 'BODILY INJURY( Perperson) ' X ANYAUTO O Z BODILY INJURY accident) OWNED SCHEDULED m AUTOS ONLY AUTOS HIREDAUT09 NON -OWNED u PROPERTY DAMAGE ONLY AUTOS Per accident O E X UMBRELLALIAB X OCCUR XCQG72514816004 03 31 2024 03 31 2025 EACH OCCURRENCE $10, 000, 000 . O E%CE59 LIAR' CLAWS -MADE Umb - Auto AGGREGATE $10,000,000 DEO RETENTION B WORKERS COMPENSATION AND WLRC55519870 03 1 2024 03/31/2025 X PER STATUTE OTH E - EMPLOYERS'LIABILITY YIN AOS E.L EACHACCIDENT $1, 000, 000 C ANY PROPRIETOR I PARTNER/EXECUTIVE SCFC55520124 '03/31/2024 03/31/2025 OFFICERMIEMBER E%CLUOE07 M:N/A' (Mandatory In NMI WI E.L. CISEASE-EA EMPLOYEE $1,000,000 If Yyes• descdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT, $1,000.,000- 0 E&O.- Professional. Liability - CSHLC2401663 _ 03/31/2024 03/31/2025 Per OCC/Agg 15, 000, 000 = Excess EX Prof(Claim Made)/EX GL SIR - Ex Prof S10,000,000 SIR applies. per policy terns &.condf ions SIR - Ex 'GL $3, 000, 000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES(ACORD 101, Additional Remarks Schedule, maybe attached if more space lsrequired) CITY OF PALM SPRINGS AND NCTI 'STUDENTS ARE INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WxTH'THE POLICY 'PROVISIONS OF THE - GENERAL LIABILITY POLICY. 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. y' CITY OF PALM -SPRINGS FIRE DEPARTMENT AUTHORIZED REPRESENTATIVE 3200 EAST TAHQUITZ PALM SPRINGS CA 92262 USA i%ribk �7iGv.•�Ld �aieGtaG ✓na , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ' ® ADDITK AGENCY Aon Risk Services _central, Inc. POLICYNUMBER- see Certificate Number:- M104613162 CARRIER See Certificate Number: 570104613162 II INSURER INSURER AGENCY CUSTOMER ID: 5700000738,26 LOC #: REMARKS SCHEDULE NAMEDINSURED' American Medical. Response, Inc. - EFFECTIVE DATE: ONAL REMARKS: FORM IS ASCHEDULE TO ACORD FORM, IER:. ACORD 25 - FORM TITLE: Certificate of Liability Insurance. INSURER(S) AFFORDINGCOVERAGE NAIC # Page _ of II ADDITIONAL POLICIES .' If a policy below does not include limit information, refer;to the corresponding' policy on the ACORD certiflcate,fonn for policy limits. INSR LTR TYPEOFINSURANCE ADDL INSD SUBR wVD POLICYNUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) 'POLICY EXPIRATION DATE (N7M/DD/YYYY) LIMITS WORKERS COMPENSATION -' A "-, IN/A WCUC55520045_ .03/31/2024 OH SIR applies per policy to ms & Condit 03/31/2025 ons '- I I ACORD 101(2008/01) - 02008 ACORD. CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - IMA CERTIFICATE OF LIABILITY INSURANCE DAT (3126/2 00224 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 Central, Inc. Philadelphia PA Office 100 North 18th street 15th Floor CONTACT NAME. FAX WC. No. EXt: (866) 283-7122 AICNo.); (800) 363-0105 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC p Philadelphia PA 19103 USA INSURED INSURER A: ACE American insurance Company 22667 American Medical Response, Inc. 6501 S Fiddlers Green Circle Suite 100 INSURER B: Indemnity Insurance CO Of North America 43575 INSURER C: ACE Fire Underwriters Insurance CO. 20702 INSURER D: Lloyd's Syndicate No. 1729 AA1120157 Greenwood village CO 80111 USA INSURER E: ACE Property & Casualty Insurance Co. 20699 NSURER F: COVERAGES CERTIFICATE NUMBER: 570104613160 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 LTR TYPE OFINSURANCE AUDI INSD WVD POLICY NUMBER DIYY IYYY LIMITS X COMMERCIAL GENERAL LIABILITY XSLG EACH OCCURRENCE $2,750,000 SIR applies per policy terms & condi ions ERTE $100,000 CLAIMS -MADE ❑X OCCUR PREMISES Ee=%im ne MED EXP (Any one person) PERSONAL&ADV INJURY $2,750,000 GENLAGGREGATE LIMIT APPLIES PER'. GENERALAGGREGATE $,000, 000 ICY ❑ PRO- ❑ LOC X POLECT PRODUCTS -COMP/OP AGO $2,750,000 OTHER: SIR $250.000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/202S COMBINED SINGLE LIMIT Ilia apedem) $10,000,000 BODILY INJURY (Per Ramon) X ANYAUTO BODILY INJURY(Per a ,den0 OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS NON -OWNED PROPERTY DAMAGE Per smideni ONLY AUTOS ONLY E % UMBRELLA LIAR X OCCUR XCQG 4 1 0Z5 EACH OCCURRENCE $10,ODO, EXCESS LIMB ICI.A&MS-MADE Umb - Auto AGGREGATE $10,000,000 DEC) I IRETENTION B WORKERS COMPENSATION AND WLRC X PER STATUTE EMPLOYERS' LIABILITY YIN ADS E.L EACH ACCIDENT ES, GOO, 000 C ANY PROPRIETOR/ PARTNER/ EXECUTIVE SCFC55520124 03/31/2024 03/31/2025 OFFICERMEMBER EXCLUDED? � (MerMatery m NH) NIA WI E.L DISEASE -EA EMPLOYEE $1, 000, 000 M yes, 4exrlbe VMer DESCRIPTION OF OPERATIONSb E.L DISEASE -POLICY LIMIT S110001000 D E&O - Professional Liability CSHLC24016 03/31/2024 03/31/2025 per OCc Agg $15,000,000 - Excess EX Prof(Claim Made)/EX GL SIR - EX Prof $10,000000 SIR applies per policy ter s & condi ions SIR - EX GL $3,000:000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addleonal Remarks SchatIoN, mey M attecnW R more space is imms, M CITY OF PALM SPRINGS FIRE DEPARTMENT IS INCLUDED AS ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILITY & AUTOMOBILE LIABILITY POLICIES. RECEIVED APR 0 2 2024 CERTIFICATE HOLDER N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. y. CITY OF PALM SPRINGS FIRE DEPARTMENT AUTHORIZED REPRESENTATIVE ATTN: EAST HART aaa 3200 EAST TAHOIlIT2 PALM SPRINGS CA 92262 USA tQ4 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826- LOC S: "✓ ADDITIONAL REMARKS SCHEDULE Pace of AGENCY ,- Aon Risk services -central, Inc. NAMED INSURED- American medical Response, Inc. " POLICYNUMBER see certificate Number: 570104613160 CARRIER - - See Certificate Number:.570104613160 NAICCODE EFFECTIVE DATE: - - THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO AC FORM NUMBER: ACORD 25 FORM TITLE: Certificate of INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not includedimit information, refer to the corresponding policy.on the ACORD certificate form for policy limits. - INSR 'LTR TYPE OFINSURANCE_ ADOL INSO SUDR SUBM wVDDATE POLICY NUMOER POLICY EFFECTIVE (MSUDD)YYYY) POLICY EXPIRATION DATE - (\ISUDD/YYYY) LIMITS WORKERS COMPENSATION - - A - N/A� WCUC55520045 ON SIR applies per policy to 03/31/2024 ms & Condit 03/31/2025 ons ACORD 101 (2008/01) - 02006 ACORD CORPORATION. Atl rights resemd. The ACORD nameand logo are registeredmarks of ACORD Certificate No: 570104613161 AON CITY OF PALM SPRINGS FIRE DEPARTMENT ATTN: KATHIE HART 3200 EAST TAHOUITZ PALM SPRINGS CA 92262 USA Wednesday, March 27, 2024 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: 570104613161) 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 . 1 3111MV IN �i ®" 4� o CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDO/YYVY)' 0326;2024 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 Certificateholder, 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.ah endorsement. A statement on this certificate does not confer rights to. thecertificate holder in lieu of such endorsemeht(s). PRODUCER - Aon .Risk Services Central, Inc. 1adel hia PA Offi Ce 100 NoetR 18th street 15th Floor CONTACT NAME: TRWPhi (A/C. No. ExU; (866) 283-7122 "aO. No : (800) 363-OILS EMAIL ADDRESS: iNSURER(S)AFFOfl01NG COVEflAGE.. NAIC# ` PhiladelphiaPA 19103 USA. INSURED - INSURER A: ACE. American Insurance'Company - 22667' - NCTI 2995 Foothills Blvd, suite 100 Roseville CA 95747 USA INSURER B: Indemnity Insurance Cc of .North America, 43575 .INSURER C: ACE Fire Unde rWriters InSurance Co. 20702' -INSURER D: .Lloyd's syndicate No. 1729 AA1120157 ' INSURER E: ACE Property &'casualty Insurance Co. 20699 ' INSURERF: - ' .4_COVERAGES CFRTIFIr]ATIP NI IMRFR- RY0104R1 F1 R1 RFVIRION NIIMRFR' 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 ISSUED OR MAY PERTAIN, THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTq TYPE OFINSUPANCE iNSO WVD POLICY NUMBER MMIDOIYVYY MMIDD/YYY LIMRS " X COMMERCIALGENERAC LIABILITY CLAIMS -MADE xOCCUR XSLG SIR applies per policy terns & condf ions . EACH OCCURRENCE $2,750,000 'PREMISES (Ea occurrence. $100,000 MED EXP (Any one person) PERSONAL&ADV INJURY $2,750,000 .GENLAGGREGATE LIMITAPPLIES PER: O. X POLICY ❑JET EILOC OTHER:.' GENERALAGGREGATE $5,000,000 PRODUCTS - COMP/OP AGG $2,750,006 -SIR $250,000 A ' AUTOMOBILE LIABILITY. X ANVAUTO OWNED SCHEDULED AUTO DAUOT09 AUTOS NON -OWNED ONLY AUTOS ONLY ISA H10818345 • 03/31/2024 03/31/2025 COMBINED SINGLE. LIMIT Ea .a n $10,000,000 BODILY INJURY( Per person) BODILY INJURY (Per accident) - PROPERTYDAMAGE Peraccident; E % UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE XCQG72514816004 Umb - Auto 03 31 2024 03 31 2025 EACH OCCURRENCE $10, 000, 000 AGGREGATE' $10.000,000 DED1 IFETENTION. B , C WORKERS COMPENSATION AND - EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFRCEWMEMBER EXCLUDED? (Mandatory In NH) IDEl Yyesd.scribo under - SCRIPTION OF OPERATIONS below NIA WLRC55519870 A05 SCFC95520124 WI - 03 31 2024 03/31/2024 03 1 02 03/31/2025 X - - PER STATUTE' OqH ' E.L. EACH ACCIDENT '$1, OOO, OOO E.L. DISEASE -EA EMPLOYEE S1,000-;000 EL DISEASE POLICY LILIMITS1,000,000 D E&O -L Professionai'Liability - EXCesS ' _ CSHLC2401663 - — - . E% Prof(Claim Made)/EX GL SIR applies per,policy terms 03/31/2024 & condi 03/31/2025 ions Per OCC/Agg SIR - EX Prof SIR - EX,GL S15,000,000 $10,,000,000 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF PALM SPRINGS FIRE DEPARTMENT 'IS INCLUDED AS ADDITIONAL INSURED. IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE. GENERAL LIABILITY & AUTOMOBILE LIABILITY POLICIES.-- CERTIFICATE HOLDER CANCELLATION ' ' SHOULD ANY OF THE 'ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE ,DELIVERED IN ACCORDANCE NTH THE POLICY PROVISIONS. '.. CITY OF .PALM SPRINGS fIRE. DEPARTMENT AUTHORIZED REPRESENTATIVE ATTN: THIE HART PALM EAST TAHQUI92 PALM SPRINGS CA 92262 USA 01968-2015ACORD CORPORATION.. All rights reserved. ACORD_ 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMERID: 570000073826 _ .. LOC #: " ADDITIONAL REMARKS -SCHEDULE Page _ of _ AGENCY - - - Aon Risk services Central, Inc. .+ NAMED INSURED - NCTI " 'POLICVNUMBER See Certificate Number: 570104613161 CARRIER' -' - See Certificate Number:.570104613161 NAIC CODE EFFECTIVE DATE: , M✓ V 111 V IYNL r1G1Y1NIlr�J THIS ADDITIONAL REMARKS FORM IS ASCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insw INSURER(S) AFFORDING COVERAGE NAIC #, INSURER. INSURER INSURER INSURER ADDITIONAL, POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR -LTR TYPE OF INSURANCE ADDL INSD SUER WVD POLICYNUMBER POLICY EFF6CE DATE (MAUOD)YYYY) POLICY EXPIRATION - DATE (M[,UDD/YYYY) LIMITS - WORKERS COMPENSATION A _ _ N/A 'WCUC55520045 OH SIR applies per policy to 03/31/2024 ms &-condiv 03/31/2025 ons `l- ACORD 101(2008/01) ... _ .. 02008 ACORD CORPORATION. All rights reserved. nln AuVn✓na1110 U910 J090 a rereglelerea r112 or AGunu- , A CERTIFICATE OF LIABILITY INSURANCE DATE(O20YYY1 I 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 AOn Risk Services Central, Inc. Philadelphia PA Office 100 North 18th street 15th Floor CONTACT NPHONEAME. _ MAD. No. EXt: (866) 283-7122 ('A. No : (800) 363-OILS E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 4 Philadelphia PA 19103 USA INSURED INSURER A: ACE American Insurance Company 22667 American Medical Response west 1111 Montalvo wayy Palm Springs CA 92262 USA INSURER a: indemnity Insurance CO Of North America 43575 INSURER C: ACE Fire underwriters Insurance CO. 20702 INSURER D: L1Dyd�s syndicate NO. 1729 AA1120157 INSURER E: ACE Property & Casualty Insurance Co. 20699 INSURER F: COVERAGES CERTIFICATE NUMBER: 570104613153 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 shearn are as Requested R TYPE OFINSURANCE INSp WVD sues POLICY NUMBER I1'YYY MWDDIYYY 11fr8 X t COMMERCIAL GENERA. LIABILITY XSLG EACHOCCURRENCE S2,750,000 CUUNS+uDE �X OCCUR SIR applies per policy terris & condi ions PREMISES Ea omurrence $100,000 MED EXP (Any one person) PERSONAL& ADV INJURY $2,750,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $5,000,000 % POLICY ❑PEa LOG PRODUCTS - COMPIOP AGG $2,750,000 OTHER: SIR $250.000 A AurowWLE LIABILITY ISA H10818345 03/31/202403/31/2025 COMBINED SINGLE LIMIT $10,000,000 BODILY INJURY( Per penom X ANYAUTO BODILY INJURY(PIR accldentl OWNED SCHEDULED AUTOSIUOTO& AUTOS NON-OWNEO ONLY AUTOS ONLY PROPERTY DAMAGE Per awklent E X UMBRELLA LIAB EXCESS LIAR x OCCUR CLAIMSMADE XCOG 1481604 Umb - Auto EACH OCCURRENCE lO, OOO, AGGREGATE $10.000,000 DEO I RETENTION B C WORKERS COMPENSATION -AND EMPLOYERS' LIABILITY O CENMEM ER EXCLUDEOTANY PROPRIETOR I PARTNER I �CUTI� -NN (Mombdory in NMI NIA WLRC ADS SCFCSSS20124 WI 03/31/2024 3 03/31/2025 X PER STATUTE I Op E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 H yes, dasenbe ~ OE SCRIPTION OF OPERATIONS Deiow E.L. DISEASEPOLICY LIMIT $1,000,000 D E&O - Professional Liability - Excess CSHLC 4 1 EX Prof(claim Made)/Ex GL 03 31/2024 03 31/202S Per Occ/Agg SIR - EX Prof 15,000, 0 $10,000.000 SIR applies per policy ter s & condi ions SIR - EX GL $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AEdNbnal Remarks Schedule, mey IM anaehe4 a mm spew H repuked) WORKERS COMPENSATION POLICY INCLUDES A WAIVER OF SUBROGATION I5 GRANTED IN FAVOR OF ADDITIONAL INSURED IN ACCORDANCE WITH THE POLICY PROVISIONS OF THE GENERAL LIABILREPC O ED APR 0 2V20024 CERTIFICATE HOLDER nFFicE OF THE CITY CtCEMLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF PALM SPRINGS AUTHORIZED REPRESENTATIVE ATTN: KATHIE HART PALM E. TAHQUITZ WAY PALM SPRINGS CA 92262 USA CC�9ylbRld 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826 LOC #:. ADDITIONAL REMARKS SCHEDULE Paoe _ of _ AGENCY Aon Risk Services Central, ,Inc. NAMEDINSURED American Medical Response West_ - POLICY NUMBER - _ see certificate Number: 570104613153 CARRIER - - - .See Certificate Number: 570104613153 NAIC CODE EFFECTIVE DATEi. THIS A 25 FORM TITLE: Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ` ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPEOFINSURANCE ADDL iNSD SUBR WYE POLICYNUAIBER. POLICY EFFETE DATE (AIAUDD/YYYY) POLICY E%DATE ON DATE - (AIAVDD/YYYL) LIMITS WORKERS COMPENSATION A- -N/a ' WCUC55520045, ON SIR applies per policy to 03/31/2024 ms & condit 03/31/2025 ons 101 (2000/01) rIOM1IS IPCPNM(I. The ACORD name and logo are registered marks of ACORD' CerdifiCate No: 570104613154 AON CITY OF PALM SPRINGS ATTN: KATHIE HART 3200 E. TAHQUITZ WAY PALM SPRINGS CA 92262 USA Wednesday, March 27, 2024 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: 570104613154) 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# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 3PIM11111ti 1'=1 CERTIFICATE OF LIABILITY INSURANCE °ATo sZoz4 "' THIS CERTIFICATE IS"ISSUED . AS AMATTER OF INFORMATIONONLY 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 DOESNOTCONSTITUTE 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 -. SUBROGATIONIS 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 certificateholder In lieu of such endorsement(s)._ PRODUCER - ADn Risk services central, InC, Philadelphia PA Office 100 North' 18th Street 15th F100n. - Phlladel phld PA 19103 USA CONTACT NAME: v O 2 PH E (NC.No.Ekq: (866) 283-7122 FAX No 'o (800) 363-0105 . E-MAIL - - - .ADDRESS: INSURER(S)AFFORDING COVERAGE' NAIC# INSURED - INSURERA: ACE. American xnsurance _Company- - 22667 - American medical Response, Inc. 6501 S Fiddlers Green circle suite 100 INSURER B: Indemnity insurance co of North America 43575 - INSUflER C: ACE Fire underwriters insurance Co. 20702 Greenwood Village CO` 80111 USA INSURERD: L10yd's. syndicate No. 1729 AA1120157 • '" -- INSURER E: ACE.Property.& Casualty Insurance CO. 20699 INSURER F: ' COVERAGES CERTIFICATE NUMBER: 570104613154 _REVISION.NUMBEp• .. -THIS IS TO -CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 LTR TYPE OFINSURANCE INSD WVD _ POLICY NUMBER MNVDDIYYYY1 (MWDD1YYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FOCCUR XSLG SIR applies per policy terns & condi ions EACH OCCURRENCE $2,750,000 PREMISES Ea occurrence $100,000 MED EXP (Any one person) ' S, - .PERSONAL &ADV INJURY '_ $2,750,000 m 0 GENLAGGREGATE LIMITAPPUES PER: X POLICY ❑SECT �LOC GENERALAGGREGATE $5,000,000 PRODUCTS-COMP/OPAGG $2,750, 000 OTHER: G SIR $250,000 A AUTOMOBILE LIABILITY ISA H10818345 03/31/202403/31/2025 . COMBINED SINGLE LIMIT E.acien S10r0001000 BODILY INJURY( Per person). X ANYAUTO 0 Z BODILY INJURY (Per OWNED SCHEDULED ONLY AUTOS - HIREDAUTCS NON -OWNED ONLY AUTOS ONLY A 2AUTOS _c t PROPERTY DAMAGE Per accident)'- W B X UMBRELLA LIAB. "EXCESS LIAR X• OCCUR .CLAIMS -MADE. ` XCQG72514816004 Gmb - Auto- 03 31 2024 03 31 2025 EACH OCCURRENCE 10, 000; 000 O AGGREGATE $10,000,000 DED1 IRETENTION .• B C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY - Y/N ANYPROPRIETOR%PARTNER/ EXECUTIVE OFRCSWEMSER ExCw0Ep7 El (Mandatory In if yyes descdbeubder DE SDRIPTION OF OPERATIONS below N/A WLRC5551987 ADS SCFC55520124 Wi l - 03/31/2024 03/31/2024 0331 2025 03/31/2025 X PER STATUTE,-- OTF4 ER - - E.L.EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE - S1,000,000 E.L DISEASE -POLICY LIMIT $1,000,000—_ D E80 - Professional.Liability' - Excess 'EX CSHLC2401663 - - ' - Prof(Claim Made)/EX GL SIR applies per ,policy terns 03/31/2024 & conditions 03/31/2025 - Per-OCC/Agg' ,- SIR -EX Prof SIR - Ex GL. $1510001000 $10,000,1000� - $3,000,000 DESCRIPTION OF OP ERATIONS/ LOCATIONS INEHICLES(ACORD 101, Additional Remarks Scheilule, may be attached it more space is required) WORKERS COMPENSATION POLICY INCLUDES A. WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF 'ADDITIONAL 'INSURED IN ACCORDANCE WITH;THE+ POLICY -PROVISIONS OF THE GENERAL LIABILITY POLICY,- - W - 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. W CITY OF PALM SPRINGS ATTN: IKATHIE HART AUTHORIZED REPRESENTATIVE - 3200 E. TAHQUITZ WAY PALM SPRINGS CA 92262 USA A �r ry/ i�rJ�/• /l�`Gtia -p�' t.J4ofd lLlcYG. LLLdL . — -_ ©1988•2015 ACORD CORPORATION. All rights ieserved. ACORD P5 (M(3/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000073826 ADDITIONAL REMARKS SCHEDULE '` Page _ of _ .AGENCY'.' - "- AOn Risk services Central, Inc... - NAMED INSURED. - -' American Medical Response, inc. ' '. (' -' POLICY NUMBER See Certificate. Number:570104613154 CARRIER see Certificate NUmber: 570104613154 NAIC CODE •'- EFFECTIVE DATE:- iAuul nvnAL nCWIAnna ' :THIS ADDITIONAL REMARKS FORM ISASCHEDULE TOACORD-FORM, FORM.NUMBER: ACORD 25 FORM'TITLE:_ Certificate of Llabil tylnsurance- , INSURERS) AFFORDING COVERAGE NAIC # INSURER INSURER .. .. INSURER INSURER ' ADDITIONAL,POLICIES If: a. policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limitsl .. - POLICY POLICY I ... 1NSR AODL SUBR POLICY NUMBER ' LIMITS 'LTR' TYPE OF PISURANCE 'INSD WVD EFFECTIVE.' - 'EXPIRATION DATE DATE (MNVDD/YYYY) (MAVDD/YYYY) . WORKERS COMPENSATION A •N/A. WCUC55520045 - 03/31/2024 03/31/2025 ' ON SIR applies',per policy tei ins & condit ons - ACORD.101 (2008/01) - 0 2008, AC013D CORPORATION. All rights reserved. me Awnu name ano Ingo are regunerea minas or ALunu