Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIWW) <br />MARHEL` a/5/201 a <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(les) 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 endorsementfs). <br />PRODUCER <br />Specialty Insurance Agency <br />Performers of the U.S. <br />P.O. Box 24 N-2018-076 <br />New Richmond, WI 54017 <br />INSURED Jeffrey B. Abbit <br />.dba Abbit the Average <br />18 Hidalgo <br />Irvine, CA 92620 <br />tephanie Weiss <br />715-246-8908 <br />-INSURER(S) AFFORDING COVERAGE _ <br />Evanston Insurance Company <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - <br />715-246-4257 <br />35378 <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 BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE ADDL,SURR POLICYEFF POLICY EXPP <br />POLICY NUMBER MMIDONWV MMIDD/YYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE i,$ 1,000,000 <br />CLAIMS -MADE IX OCCUR <br />DAFIAGETbh� WILL 040- <br />PREMISES Ea occurrence $ <br />MED EXP(An�l1$ 5,000 <br />A _ X X <br />_ _ _ _ <br />2CN0162-2552 04/25/2018 <br />'04/24/2019 <br />j PERSONAL&A_DV INJURY $ 1,000,000 <br />N'L AGGREGATE LIMIT APPLIES PER I <br />GE JEMI LOC <br />X POLICY Li PRO � <br />'., <br />GENERAL AGGREGATE '.$ 2,000,000 <br />PRODUCTS - COMPIOP AGO i $ 2 0001000 <br />$ <br />OTHER:,' <br />AUTOMOBILEOWNED <br />LIABILITY <br />COMBINEDSINGLE LIMIT $ <br />accident <br />BODILY INJURY (Per person)'.,$ <br />ANY AUTO <br />_ <br />�JHIRED <br />SCHEDULED <br />AUTOS ONLY I� AUTOS <br />NON OWNED <br />AUTOS ONLY AUTOS ONLY <br />'�, I <br />BODILY INJURY Per accident $ <br />( ) <br />_ <br />PROPERTYAGE , <br />III (Per accident)ident) $ <br />$ <br />UMBRELLA LIAe OCCUR <br />EXCESS LIAB CLAIMS MADE. <br />j <br />_EACH OCCURRENCE <br />GREGATE $ <br />IS <br />DED RETENTION $'. <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY VIN <br />OFFICERMEMBERPEXTNER/E ECUTIVE ❑ NIA <br />11(Mandatory in NH)`QJ�4 <br />If yes, descrlbe under <br />DESCRIPTION OF OPERATIONS below <br />n 7 <br />�yr„r <br />r <br />�6e� ��5 <br />\� <br />v /i'.P•\J' ]],, <br />LA <br />PER OTH <br />_,.STATUTE ER <br />E.L. EACH ACCIDENT $ <br />EL�ISEASE-EA EMPLOYEE~$ <br />E.L. DISEASE -POLICY LIMIT $ <br />III <br />A <br />USINESS PERSONAL PROPERTYON- <br />AGGREGATE i $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sehedula, may be spanned if more space is required) <br />PERFORMER IS A NAMED INSURED AS A MEMBER OF PERFORMERS OF THE U.S.: <br />Jeffrey B. Abbit dba Abbit the Average <br />Additional Insured: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701; its officers, employees, agents and representatives are named as <br />additional insured's with regard to liability and defense of suits arising from the operations and uses performed by or an behalf of the named insured. <br />Cancellation is as stated in the Policy. <br />Email. mloera®santa-ana.org Attn: Michelle Loera <br />Event Date: June 12, 2018 <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />TION. All Home reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />