PUBLIC LAW CENTER (2) - Laserfiche WebLink

Home Browse Search

AC"RL�' CERTIFICATE OF LIABILITY INSURANCE `-! DATE(MMIDDIvriYI 6/26/2018 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 Arthur J. Gallagher & Co. + Insurance Brokers Of CA. L C. # 0726293 505 N Brand Blvd, Suite 600 Glendale CA 91203 CONTACT PHONE Danielle Donohue s Arc N 818.539.8605 FAX No , 818,539.8705 nooaEss: Danielle Donohue a .com INSURER(Sh AFFORDING COVERAGE NAIC4 INSUREBA t Nonprofits' Insurance Alliance of CA INSURED Public Law Center INSURER B : INSURERC; 601 CIVIC Center )rive INSURERD: Santa Ana, CA 92701 INSURER E; INSURER F COVERAGES CERTIFICATE NUMBER: 959572036 REVISION NUMBER: THIS I5.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, LTR TYPE OFINSURANCE ADDLS BR POLICY NUMBER POLICY EFF MMIODIYYYV POLICY EXP MMIDDIVYVY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR Y 20182205ONPO 2/112018 2/V2019 EACH OCCURRENCE $1,DD0,ce0 DAMAGE To 71TR75c PREMISES Ea occurrence - $500,000 MED EXP (Any one person) $ 20,000 PERSONAL &ADV INJURY $1,000,00D AGGREGATE LIMIT APPLIES PER POLICY JPECRO T [—] LOG GENERAL AGGREGATE a2,0[l GEN'L X PRODUCTS-COMPIOP AGG $2,000,000 Abuse &Molesallon $iMISIM OTHER I A AVTOMOSILELIABILITY 201 B22050NPO 2/1/2018 21112019 OMBINED SINGLE LIMIT Ea accident $1,000,000 ` ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ $ A X UMBRELLA LIAB X OCCUR 2018-22050-UMS 2I1/2018 2/1/2019 EACH OCCURRENCE $1,000.000 AGGREGATE $1.000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ $ WORKERS COMPENSATION ANDEMPLOVERS'LIABILITV YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA PER OTH- STATUTE ER E. L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory In NH) If yes, describe under EL.DISEASE - POLICY LIMIT 1 a DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) .The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named Insured, Such Insurance is primary and non-contributory. Written notice shall be provided at least ten (10) days In advance of cancellation for non-payment of premium and thirty (30) days in advance for any other cancellation or change. policy CER I IYICA I E 1'iCLUER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaze AUTHORIZED PRESENTATIVE Santa Ana CA 92701 U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD