Laserfiche WebLink
CORd CERTIFICATE OF LIABILITY INSURANCE <br />3/OATE(MM/OD/YYYY) <br />2E/2010 <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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the <br />certificate holder In lieu of such Endorsements). <br />PRODUCER <br />A J INSURANCE <br />1000 Macarthur Blvd #66 <br />Santa Ana, CA 92707 <br />OF57419 <br />NAMEA T <br />PHDNE (7� 673-5549 1fA - <br />�'DN°" <br />;AIL <br />ESs.a 1nE111ranC0 Ye. COm <br />INSUREADIR AFFORDING COVERAGE <br />NAICN <br />qUmj;P A.MESA UNDERWRITERS SPECIALTY INS. <br />36838 <br />INSURED GALAXY PARTY RENTALS <br />ZAVALA, ROBERTO AND EUGENIO PEREZ <br />11787 CARDINAL CIR <br />GARDEN GROVE, CA 92843 <br />INSURER B: _ <br />IN NC <br />INSURER D: e <br />COVERAGES CERTIFICATE NUMBER: RFmginm NIIMRPR. <br />THIS IS TO CERTIFY THAT THE F00014S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANV 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 CONOIDONSOF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS, <br />INSIR I.TR <br />TYPE OF INSURANCE <br />B <br />P Y <br />P IpyyXyl <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />3 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />re <br />S I,QQ' QQQ <br />MEDEXP An oneelsan <br />3 QO <br />A <br />X DED: 6500 <br />MP0004014000837 <br />09/26/1709/26/18 <br />PEESONALaAWiRIuRY <br />_5 <br />s 1,000,000 <br />GENERAL AGGREGATE <br />3 2,000,000 <br />GENt ADORE ATELIMITAPPIEB <br />X P Y PRP <br />PER: <br />PRODUCTS COMPIDPAGG <br />S 2,000,000 <br />S <br />AUTDMOEILEUAMUTY <br />0M N- OLELIMI <br />LBIL� <br />ANYAUTO <br />BODILY INJURY(Perpes°n) <br />3 <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIREOAUTOS NON -OWNED <br />AUTOS <br />BODILY INJURY (Par accitlenl ) <br />$ <br />PROPER7Y DAMAGE3 <br />s <br />UMBRELLA LIAO <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAa <br />CLAIMS-MAOE <br />WORKERSCOMPENSATION <br />AND EMPLOYERS' UAWUTY y�q <br />ANY PROPRIETONIPARTNERNOEWTIVE t-1 <br />OFFICERNEMBER EXCLUOEDt 11`JI <br />!Mandatary in NH) <br />If ;despriaeunder <br />RI TI N FQF6RATIONSral <br />NIA <br />WC STATW O H <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE - EA EMPLOYEE <br />S <br />CONTENTS: <br />A <br />PROPERTY <br />14P0004014000837 <br />09(26/1709/26/18 <br />$250,0000 <br />DED: $1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (AltachACORD HH.Addihoml RemaM1s Srf umjfmaraspara Isrequiredl <br />PARTY RENTAL STORE: <br />City of Santa Ana, its officers, agents and employees are named as additional ins,5n�: <br />�e <br />City of Santa Ana Public Library <br />26 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE <br />THE EXPIRATION DATE T <br />AUTHORIZED REPRE <br />I .. <br />U <br />ACORO 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />FLIED BEFORE <br />DELIVERED IN <br />All rights reserved. <br />