KEYSER MARSTON ASSOCIATES (2) - Laserfiche WebLink

Home Browse Search

ACC ROr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 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 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: Halidee Callejas MOC Insurance Services ac°NN Edl. (415)957-0600 nlXc Not (415)es7-psn License No. 0589960 E-MAIL S: hcallejas@mocins.com ADDRE 101 Montgomery St., Suite 800 INSURERS AFFORDING COVERAGE NAICN INSURER A: Massachusetts Bay Ins. Co. 22306 San Francisco CA 94104 INSURED INSURERS: Allmerica Financial Benefit Co. 41840 INSURER C: Hanover Insurance CompanV 22292 Kgiysex Marston Associates, Inc. INSURER D: 1299 4th Sreet Suite 408 ti INSURER E INsuRERF: San Rafael CA 94901 COVERAGES CERTIFICATE NUMBER:2018-2019 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. INSR LTR TYPE OF INSURANCE ADDL SUBR NUMBER POLPOLICY MMDIDYEFF MMIDUY� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ' 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENT D PREMISES Ea cccurrence $ 500, 000 MED EXP(my one person) $ 10,000 X EDFA49104904 12/1/2018 12/1/2019 PERSONAL S ADV INJURY $ 1,000,000 No Deductible Applies GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY E] PEO LDC PRODUCTS-COMP/OPAGG $ Included $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident $ _ 1,000,000 _ X BODILY INJURY (Per person) $ B ANYAUTO ALL OWNED SCHEDULED AUTOS ALITOG X Ay1FA490049 12/1/2018 12/1/2o19 BODILY INJURY (Per accident) $ X NON -OWNED AUTOS HIREDAUTOS MX PROPERTYDAMAGE Par accident $ X Uninsured motonst command snla $ 1,000,000 Comp$5J0 call X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 0 $ X DRFA49117104 12/l/2018 12/1/2019 WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPAWNERIFRECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA I PER OTH- STAMTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ C Professional Liability LHFU42616501 12/1/2018 12/1/2019 Each Wmnyful Act -$1,000,000 Retention $25,000 Rstro Date: 11/11/1976 Aggregate Out $2 000 OQO_ 0 ESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, City of Santa Ana Acting as Successor Agency and/or Housing Authority of the City of Santa Ana, its officers, employees, agents, volunteers and representatives are Additional Insured with respects to the Insuredrs operations. Insurance provided is Primary and is not contributory with any other insurance carried. 30 Day Notice of Cancellation/10 Day for nonpayment of premium. zql?v i/' / / City of Santa Ana Executive Director of CDA 20 Civic Center Plaza M-25 Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Callejas/HCA 9.1ijM. c.I y� © 1988-2014 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)