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PROOF OF INSURANCE (2024)
bR CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 03/2912024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, LLC. 1166 Avenue of the Americas New York, NY 10036 Attn: Norwalk.certrequest@marsh.com Fax: 212-948-0929 CN102809999-IM-GAWU-23-24 ........ INSURED IRON MOUNTAIN INCORPORATED 85 NEW HAMPSHIRE AVENUE PORTSMOUTH, NH 03801 AFFORDING COVERAGE INSURER A ACE mAmerican mInsurance INSURER B : Indemnitv Insurance Com fan 22667 ............. of North America 43575 ............................................ NIA 20702 COVERAGES CERTIFICATE NUMBER: NYC-011927327-00 REVISION NUMBER.: 0 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. TYPE OF INSURANCE -.. .........POLICYNUMBER POLIC/YXYY...-..POLICY.... ................. - - INSR �ADD4�YiJBR -..-- POLICY EFF POLICY EXP LIMITS LTR V IYYYY A X COMMERCIAL GENERAL LIABILITY HDOG47360079 11/01/2023 11/01/2024 EACH OCCURRENCE $ 2,000,000 1,EOCCUR UPAM�E 1O R NTuEnS 1,000,000 SFS_ a, oonce) $ ..... ....m.CLAIMS-MADE MED EXP rson) Anonea 25,000 $ PERSONAL & ADV INJURY $ 1,000,000 GENERALm ............ ... ....... AGGREGATE $ 10,000,000 GCNI. AGGREGATE LIMIT APPLIES PER: PROJEC ❑ LOC POLICY" JECT PRODUCTS -COMP/OP AGG $ 2,000,000 —._ OTHER; $ A AUTOMOBILE LIABILITY � ISA H10773970 11/01/2023 11/01/2024 COMBINED SINGLE LIMIT �Ea accident) $ 2,000,000 �._ .... X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY Per accident ( ) AUTOS ONLYAUTOS HIRED NON -OWNED PROPERTAN/4A,.F—... $.. ............. AUTOS ONLY ............, AUTOS ONLY fPer accident .,, ... _.......�.�..................... ... UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEO RETENTION $ $ B WORKERS COMPENSATION WLR C50739570 (ADS) 3 11/01/2024 X [OTH L D EM ILITY YIN N SCF C5073965A (WI) 11I0112023 11101/2024 """" .,�.-,...00 1,O.... ANYPROPRIETOR/PARTNER/EXECUTIVE OFFCER/RIETO REXCB UDED? N/A E.L. EACH ACCIDENT T �.. Mandato In NH (Mandatory ) E.L. DISEASE EA EMPLOYEE ,000 ......1,000A00 If yes, describe under DESCRIPTION OF OPERATIONS below �D_SEASE E.L. DISEASE - POLICY LIMIT $ 1,000,000 A EXCESS WC & WCU C50739697 (OH & WA) 11/0112023 11/01/2024 Each Accident/Emp for Diseasa 1,000,000 EMP. LIABILITY SIR 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) THE CITY OF EL SEGUNDO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS & CERTIFIED VOLUNTEERS are additional insured with respects to General Liability, but only to the extent of Iron Mountain's liabilities agreed to under the written agreement or contract with certificate holder, and only as it relates to services and limits required by written agreement or contract. CERTIFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EL SEGUNDO, CA 90245-3813 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC 24r4zma-4 ?.L3>0 Le_ —Ild!F @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102809999 LOC #: New York ADDITIONAL REMARKS SCHEDULE „'#,�' � Page 2 of 2 DU LE AGENCY NAMED INSURED MARSH USA, LLC. IRON MOUNTAIN INCORPORATED 85 NEW HAMPSHRE AVENUE POLICY NUMBER PORTSMOUTH,NH 03801 CARRIER II NAIC CODE EFFECTIVE DATE: AUL)l I la<,:7NAL KCMAKKI THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Willis places the above Umbrella/Excess coverage for Iron Mountain Incorporated and Marsh only provides evidence as a courtesy. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reservea. The ACORD name and logo are registered marks of ACORD