Laserfiche WebLink
PUBLIA <br />OP ID SHMA <br />/acc7 ic) <br />.___DATE <br />_ CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />TYEEOF)NSURANCE! <br />06/26/2018 <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), <br />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,sublecf to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this Certificate does net Conferri hts tothe certirieate holder In lieu of such endorsements . <br />PRODUCER 310-373-6441 <br />Mark F. Duncan, CPCU <br />ISU/The Olson Duncan Agency <br />25550 Hawthorne Blvd., Ste 203 <br />PHONE 310-373-6441 FA <br />(lO�MC;No, Ext: 310-373-6441 No1: 310-378.5336 <br />Torrance, CA 90505 <br />Dustin Olson <br />DRESS mdun Can@O SOn uncan.com <br />INSURERS AFFORDING COVE GE <br />NAIC <br />_EACH OCCURRF,.NCE <br />INSURER A:TOCh nOO Ins CO <br />DAMAGE TO RENTED <br />.P�I�F�E9-occu re <br />INSURED <br />INSURED Publi C Lew Center <br />IN6URERB: <br />MED EXP (An, one person) <br />801 CIVIC Center Dr. West <br />INSURER C : <br />Santa Ana, CA 92701 <br />INSURER 0. <br />- <br />AGGREGATE LIMIT APPLIES PER <br />POLICY D JEGT El LAC <br />CHERi <br />GENERAL AGGREGATE <br />NSURER E <br />PRODUCR3-COMNOPAGG <br />$ <br />INSURER F <br />""� ^' - -"ISIO UMB Rt <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 MAYBE 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 />INSRSU9 <br />LTIR <br />TYEEOF)NSURANCE! <br />ADDL <br />INBO <br />VIVI <br />POLICY NUMBER <br />POLICY EFF <br />PMIDOYEXP <br />LIMITS <br />Santa Ana CA 92701:4058 <br />ArnRn CS I7nimnii: <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />_EACH OCCURRF,.NCE <br />$ <br />DAMAGE TO RENTED <br />.P�I�F�E9-occu re <br />$ <br />MED EXP (An, one person) <br />$ <br />GENL <br />PERSONAL &ADV INJURY <br />- <br />AGGREGATE LIMIT APPLIES PER <br />POLICY D JEGT El LAC <br />CHERi <br />GENERAL AGGREGATE <br />$ <br />PRODUCR3-COMNOPAGG <br />$ <br />AUTOMOEILE <br />LIABILITY <br />OWNED <br />OWNED $C1-IEOULC-D <br />AUTOS ONLY AUTOpS <br />AUTOS-0NLY .ATOS ONES <br />COMBINED SINGLE LI MII' <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJUpp�Per eamtlen[1 <br />$' <br />PROIERTentIAMAGEP. <br />$ <br />'EXCESS LALIAB <br />EXCESS UAB <br />OCCUR <br />GLAIMSMADE: <br />EACH OCCURRENCE <br />$ <br />' <br />AGGREGATE <br />DSD I I RETENTION '.$ <br />A_ <br />tKORKER$ COMPENSATION: <br />AND EMPLOYERS LIABILITY <br />ANY PROPRIETORIPARTNEREXECUTIVE YIN <br />OFFICEgg��,,IIFJM'. EXCLUDED4 <br />If"n do"fn. ) <br />If yes, dasodke lender <br />DESCRIPTION: OF OPERATIONS UOIOW. <br />NIA <br />TWC3622404 <br />04/01/2018 <br />04!0112019 <br />X STATUTE ER <br />EL EACH ACCIDENT <br />1,000,000 <br />E.L. DISEASE EAEMPLOYEE <br />$ 1,000,000 <br />EL OI GLARE POLI CY LI MIT <br />1,000,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Add)donal Remarks schedule, may be aftached IF more space Is requlred) <br />Cert holder: Ci of Santa Ana, Its officers,. employees, agents, volunteers <br />and representatives. *Policy terms apply. <br />— - <br />4M"Y MLLJAI IVIV <br />City Of Santa Ana;; Its <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 />officers employees, agents, <br />AUTHORIZED REPRESENTATIVE <br />volunteers and representatives <br />20 Civic Cater Piz <br />Santa Ana CA 92701:4058 <br />ArnRn CS I7nimnii: <br />- `- -, V 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />