CSGCONS-01 MHILL
ACORD DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 3/3/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEI
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
PRODUCER CONTACT Melissa Hill
Alllant Insurance Services, Inc. (AIC, No, ExI):
575 Market St Ste 3600
San Francisco, CA 94105 AMblEss: [email protected] INSURERS) AFFORDING COVERAGE NAIC #I
INSURER A: Travelers Property Casualty Company of America 25674 INSURED INSURER B: Arch Insurance Company 11150
CS Consultants INSURER C:
550 Pilgrim Di INSURER D:
Foster City, CA 9440‹
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
INSR TYPE OF INSURANGE POLICY NUMBER
LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 1 CLAIMS MADE X OCCUR P-660-5R143841-TIL-21 1214/2021 12/4/2022 co es 1,000,000 10,000
MED EXP (Any one porson)
PERSONAL & ADV INJURY $ 1,000,000
2,000,000
GEN AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY X BEST LOC PRODUCTS - COMPIOP AGG $ 2,000,000
OTHER:
LEA ACMEN SINGLE LIMIT es en 1,000,000
AUTOMOBILE LIABILITY
X ANY AUTO 810-5R143576-21-43-G 1214/2021
AUTOS ONLY
MOS ON
X D Owned Aut Comp/Coll Ded. 2,000
$
A UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000
EXCESS LIAB CLAIMS MADE CUP-7S954134-21-NF 12/4/2021 12/4/2022 AGGREGATE 6,000,000 DED X RETENTIONS 10,000
A XISFATUTE T TOR
• EMPLOYERS' LIABILI
Y/N UB-5R147157-21-43-G 1214/2021 1214/2022 1,000,000
Y NIA E.L. EACH ACCIDENT
Mandatory in RES EL SAGA REMOVE S 1,000,000
ves. describe unde 1,000,000
Professional BERATION balar PAAEР0008806 121412021 710,000 B Reto Date: 1/1/1991 PAAEP0008806 1214/2021 1214/2022 Occurrence: 5,000,000 ABR8SEB Aspeepfficials, employees, agents an
volunfeers. 30 Day Notice of Cancellation on Professional per atfached.
BY: MICHAEL E. GATES
CITY ATTORNEY
CITY OF HUNTINGTON BEACH
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Clty of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
2000 Main Street
Huntington Beach, CA 92648
AUTHORIZED REPRESENTATIVE
juBh
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