DCCP Insurance Certificate

City of Chandler — Study Session (2023-06-26)

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ACORD. —_ CERTIFICATE OF LIABILITY INSURANCE acon

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.
lf SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).

PRODUCER J GONFACT Sara Dunsmore
USI Insurance Services, LLC TERNG. xn: TAG, No}:
2375 E. Camelback Road #250 EMAL ¢, sara.dunsmore@usi.com
Phoenix, AZ 85016 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Secura Insurance Company 22543
INSURED INSURER B : Property and Casualty ins Co ofHartford 34690
Downtown Chandler Community Partnership INSURER:
100 W Boston St, Ste 5 INSURER D:
Chandler, AZ 85225
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS {S 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 1S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

aay TYPE OF INSURANCE oe eaae POLICY NUMBER (IRB) ano UMITS:

A |_X| COMMERCIAL GENERAL LIABILITY CP3165566 107/10/2021 | 07/10/2022 EACH OCCURRENCE $1,000,000
it | CLAIMS-MADE OCCUR DA RE ERENT aco) $100,000
| MED EXP (Anyone person) [$10,000
i | PERSONAL & ADV INJURY | $1,000,000
| GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000
|__| Poucy [| TRO. [| Loc PRODUCTS - compop acc | $1,000,000

OTHER: $
A | AUTOMOBILE LIABILITY CP3165566 07/10/2024 07/10/2022 FOMBINED SINGLELIMIT | 54,000,000
ANY AUTO BODILY INJURY (Per person) | $
| | OWNED Oy [| Sougputep BODILY INJURY (Per accident) | $
$
A [_X| UMBRELLALIAB | X | occur CU3165568 07/10/2024 07/40/2022, EACH OCCURRENCE $1,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE 31,000,000
DED | x RETENTION $10,000 $
B_ [WORKERS COMPENSATION vi 59WECRF3527 losi20/2021 09/20/2023 X [Ere | [Bet
(Mandatory in NH} E.L. DISEASE - EA EMPLOYEE| $1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below ELL. DISEASE - PoLicy umIT {$1,000,000

A |Liquor Liability CP3165566 (07/10/2021 |07/10/2022 $1,000,000 per occur

$2,000,000 aggregate

DESCRIPTION OF OPERATIONS { LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedute, may be attached if more space is required)
The General Liability policy includes an automatic Additional Insured endorsement that provides Additional

Insured status to The City of Chandler, its agents, representatives, officers, directors, officials, and
employees, only when there is a written contract that requires such status, and only with regard to work
performed by or on behalf of the named insured. The General Liability policy provide a Blanket Waiver of
Subrogation when required by written contract, except as prohibited by law. Severability of interest

(See Attached Descriptions)

CERTIFICATE HOLDER CANCELLATION
. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Chandler THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

175 S Arizona Ave ACCORDANCE WITH THE POLICY PROVISIONS,
Chandler, AZ 85225

AUTHORIZED REPRESENTATIVE

KerhaceS Mouig

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) 41 of 2. The ACORD name and logo are registered marks of ACORD
#836017711/M33466434 RAPHD

DESCRIPTIONS (Continued from Page 1)

applies to General Liability.

SAGITTA 25.3 (2016/03) 2 of 2
#536017711/M33466434