WISEPLACE (4) - Laserfiche WebLink

Home Browse Search

ACOR p® CERTIFICATE OF LIABILITY INSURANCE GATE (MM1 Y) 018 ov04/2018 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 pollcy(les) 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 CONTACT NAME: Danielle Niheu SelectSolutions Insurance Services PH,ONN (866) 500-6359 AC (925) 951-0077 E t. No : 1107 Investment Blvd E-MAIL daniellen@selectsolutlonsins.com ADDRESS: Suite 100 INSURER(S) AFFORDING COVERAGE NAICa El Dorado Hills CA 95762 INSURERA: Philadelphia Consolidated Holding Corp INSURED INSURER B: New York Marine& General Insurance 16608 Wlseplace, a Ca Corp INSURER C: 1411 N. Broadway INSURER D: INSURER E: Santa Ana CA 92706 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 17/18 & 18119 Master REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ILTR TYPE OF INSURANCE ADDLSUBR INSD Me POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDO/YWY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence S 100,000 MED EXP Any one person) g 5,000 PERSONAL& ADV INJURY $ 1,000,000 A Y PHPK1758146 01/01/2018 01/01/2019 GEN'L AGGREGATE LIMITAPPLIES PER: x POLICY E PECT RO- ❑ JLOU GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOPAGG $ 2,000,000 OTHER I Employee Theft $ 100,000 AUTOMOBILE LIABILITY CO MBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOSONLY AUTOS PHPK1758146 01/01/2018 01/01/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Collision $ 1,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 A EXCESSLIIAB CLAIMS -MADE PHUB613132 01/01/2018 01/01/2019 DED I X RETENTION $ 10,000 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NH) NIA WC201700006833 08/15/2017 08/15/2018 PER OTH- !� STATUTE ER E.L. EACHACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Sexual Misconduct Limit $1,000,000 A PHPK1758146 03115/2018 01101/2019 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is included as additional insured on General Liability policy per attached endorsement. General Liability coverage is primary and non-contributory per the attached endorsement. The Professional Liability Limits shown represent the per claim/aggregate limits of liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana, Community Development Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 `" 0—tu.,M @ 1980.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD