My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
EVAN BROOKS ASSOCIATE - 2018
Clerk
>
Contracts / Agreements
>
E
>
EVAN BROOKS ASSOCIATE - 2018
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/31/2018 4:05:01 PM
Creation date
5/15/2018 4:37:26 PM
Metadata
Fields
Template:
Contracts
Company Name
EVAN BROOKS ASSOCIATE
Contract #
A-2017-265-13
Agency
PLANNING & BUILDING
Council Approval Date
10/3/2017
Expiration Date
10/2/2020
Insurance Exp Date
12/20/2018
Destruction Year
2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
29
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EVANBRO.01 BHANSONI <br />ARQ <br />11'.I CERTIFICATE OF LIABILITY INSURANCE <br />DATE YV) <br />0412712018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 <br />CONT <br />NAMEacr Bonnie Hanson <br />Santa Barbara, CA - PRSU - HUB International Insurance Services Inc. <br />40 EAlamar AVE <br />Santa Barbara, CA 93105 <br />PHOHE FAX <br />A/c, No, Ext): 805)879-9556 A/c, Nn:(805) 617-1767 <br />Eo aEss: Bonnie.Hanson@hubinternational.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />General Liability <br />INSURER A:Sentlnel Insurance Company, Ltd. <br />11000 <br />72SBAZB5496 <br />INSURED <br />INSURER B: Travelers Casualty & Surety Company of America <br />31194 <br />INSURER C: <br />X <br />Evan Brooks Associates, Inc. <br />INSURER D <br />1030 S. Arroyo Pkwy #106 <br />Pasadena, CA 91105 <br />PERSONAL&ADV INJURY $ 2'000'000 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 1 RFvlgl()N NIIMRFP: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TR <br />TYPE OFINSURANCE <br />ADDL <br />p <br />SUER <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />POLICY EXP <br />MDD <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE � OCCUR <br />General Liability <br />X <br />72SBAZB5496 <br />12/20/2017 <br />12/20/2018 <br />EACH OCCURRENCE 2,000,000 <br />X <br />DAMAGET RENTErD $ 1'000'000 <br />MED EXP An ane person) 10,000 <br />PERSONAL&ADV INJURY $ 2'000'000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY LOC <br />GENERAL AGGREGATE $ 4,000,000 <br />PRODUCTS-COMP/OP AGG <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />CEOMBINED SINGLE LIMIT 2000 000 <br />BODILY INJURY Per person)$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />72SBAZB5496 <br />12/20/2017 <br />12/20/2018 <br />INJURY Per accident $ <br />X <br />BODILY <br />Pe�acaltlent AMAGE $ <br />W p <br />AUTOS ONLY X ATOS ONV <br />UMBRELLA ILIAD <br />OCCUR <br />EACH OCCURRENCE <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO RETENTION $ <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY YIN <br />AAQNY PROPRIETOR/PARTNER/EXECUTIVE [—]N <br />(bi20CERIM o NE) EXCLUDED? <br />If yes, describe under <br />NIA <br />PER ETH_ <br />STATUTE <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE $ <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />B <br />Errors & Omissions <br />105734155 <br />01/20/2018 <br />01/20/2019 <br />Occurrence 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Job City of Santa Ana <br />2018-2019 C01 City of Santa Ana <br />The City of Santa Ana, its officers, employees, Agents, Volunteers, and Representatives are additional Insured per the Business Liability Coverage Form <br />SS0008 attached to this policy. Coverage is primary & non-contributory per the Business Liability Coverage Form SS0008, 30 day Notice of Cancellation will <br />be provided with Form SS1223, attached to this policy. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />20 Civic Center Piz <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.