Laserfiche WebLink
� CERTIFICATE OF <br />PRODUCER <br />MEMBRILA INSURANCE SERVICES INC. <br />23072 LAKE CENTER DRIVE SUITE 250 <br />LAKE FOREST, CA.92630 <br />OFFICE: 949 860-7781 <br />LICENSE: 0052369 <br />INSURED <br />ALL STAR EVENT RENTALS ]NO <br />3 AVON CT <br />ALSO VIEJO, CA 92656 N,2p1-3430 <br />COVERAGES <br />LIABILITY INSURANCE 70231181200 YYY) <br />03/18/2007 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />INSURERS AFFORDING COVERAGE NAIC # <br />CALIFORNIA AUTOMOBILE INSURANCE COMPANY <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR NSR <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />��ppppEE ��yy <br />OALTE MMIDOIYVE <br />Egp� p� <br />PDpTEY MM/ODIY`' N <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DRAMAG E TO RENEMISES <br />CLAIMS MADE ❑ OCCUR <br />1F.',etTrEDo <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY F PROJECT LOC <br />A <br />AUT0MOBILE LIABILITY <br />BA040000034241 <br />6/5/2018 <br />6/5/2019 <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />.7 ANY AUTO <br />(Ea accident) <br />.7 ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />BODILYINJURY <br />$ <br />NON -OWNED AUTOS <br />eccldent) <br />(Parraccident) <br />PROPERTY DAMAGE <br />$ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />OCCUR CLAIMS MADE <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION S <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WC ST, OTH- <br />I TORY LIMITS Eq <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPHIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, deecribe under <br />E.L. DISEASE EAEMPLOYEE <br />$ <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Listing City Santa Ana, its <br />of officers, employees, agents, volunteers and representatives as adltional Insureds. <br />Delivery address is : 3000 W. Edinger Avenue, Santa Ana, CA 92704 <br />CITY OF SANTA ANA <br />PARKS, RECREATION AND COMMUNITY SERVICES AGENCY <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />ERIC MEMBRILA <br />ACORD 25 (2001/08) <br />n ACnRn Cn RIPPIP InN 1QRS <br />