Laserfiche WebLink
ACO'Ra CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />3/512018 <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). <br />PRODUCER Venture Pacific Insurance Services, Inc. <br />111 Corporate Drive Suite 200 <br />Ladera Ranch, CA 92694 N-2018-034-01 <br />NONTACT <br />AMES_Venture Pacific Insurance Services, <br />Inc. <br />_ <br />PHONE FAX <br />"'Ne x9J— 949-297-4900 ,...__; Lac`eP _,EMAIL _sa9_z97 as11 <br />.ADDRE$$ __ I�fO@venturenacificlnsuranca Com <br />INSURERiS) AFFORDING COVERAGE ( NAICN <br />I, $4000000 <br />_.._....._. <br />www.venturepacificlnsurance.com Lia# OD10299 <br />INSURERA Travelers Casually Insurance Company of America 19046 <br />NComprehensive Housing ED Services Inc —v Vt -��3 <br />8840 Warner Avenue, SSuite 203 <br />INSURERS: Markel American insurance Company 28932 <br />INSURER C: <br />_ <br />INSURER D: <br />Fountain Valley CA 92708 <br />INSURERE: <br />�OWNEDANY <br />OWNED SCHEDULED <br />HIRED ONLY AUTOS I <br />HIRED 'NONSONLY <br />'AUTOS ONLY ✓ AUTOS ONLY <br />I� I <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 4nrAA7nB REVISION NIIMRER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />(NSR-'AODLSSER' POLICY EFF POLICVE%P <br />LT TYPE OFINSURANCE POLICY NUMSE0. MIOD MMIDOPy1'YY <br />-- _ ...._....._..__... <br />1 LIMITS <br />A ,/ COMMERCIAL GENERAL LIABILITY ,✓ 1680-3F126214-1742 12/27/2017 12/2712018 <br />.1 <br />CLAIMS -MADE OCCUR <br />j EACH OCCURRENCE520, <br />'DAMAGETORENTED <br />i PREMISES(Ea <br />Mpccunence) <br />EDEXP(Any one person) <br />00000 <br />— ._..__..._._. <br />X5300000 <br />$5000 <br />PERSONAL SAW INJURY <br />1$2,000000 <br />LJ _ <br />I GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY JECT L_J LOC <br />GENERALAGGREGATE <br />Is4,000,000 <br />1 PRODUCTS_-COMPIOP AGG <br />F _—__ —_ _ _ _._ <br />I, $4000000 <br />_.._....._. <br />1 OTHER: <br />I <br />I�—� <br />A., AUTOMOBILE LIABILITY 12127/20171,12/2712018 <br />'.88Q-3F726214-17-42Ea <br />O 1 <br />COMBINED SINGLE UMIT <br />acGden <br />$ 1000000 <br />BODILY INJURY (Per Person) <br />$ <br />�OWNEDANY <br />OWNED SCHEDULED <br />HIRED ONLY AUTOS I <br />HIRED 'NONSONLY <br />'AUTOS ONLY ✓ AUTOS ONLY <br />I� I <br />BODILY INJURY (Per accident) <br />PROPERTYDAMAGE �$ <br />Ler acntlang_�_ <br />--_ <br />UMB0.ELLAUAB OCCUR <br />Ir 'EXCESS LIAS CLAIMS-MADEI <br />EACH OCCURRENCE <br />I,$ <br />AGGREGATE__!_$ <br />DED RETENTION$g <br />WORMRSCOMPENSATIM <br />ANDEMPLOYERS'LIABILITY <br />IANYPROPRIETOWPARTNERMX'ECUTIVE ❑ , <br />IOr FFIERnbeundsr CLUDED7 YIN NlA <br />(Mandatory�Y 1 <br />DESCRIPTION OF OPERATIONS below ( <br />PER <br />MORH <br />�L� <br />$ <br />DISEASE <br />74-E.L. DISEA EMPLOYEE <br />$ <br />(E.L DISEASE -POLICY LIMIT <br />B IlProfessional E&O Liability 1 MG8a9448 ;111512017 111/5/2015 <br />I i <br />1$1,000,600 Per Claim/Aggregate <br />DESCRIPTION OF OPERA71MSI LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohedule,maybetaachedlr more space is required) li <br />The City of Santa Ana, its officers, employees, agents, and respresentatives are additional insured on the Csep t�' Lliabili With (triml <br />& non-contributory per attached endorsements. vl � <br />'30 day notice of cancellation *10 day notice for non-payment of premium �7. <br />The City of Santa Ana <br />its officers, employees, agents, <br />and representatives <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2016103) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORMEGREPRESENTATIVE /f <br />I.—Gnrrnn <br />5 ACORD CORPORATION. All riehts reserved. <br />The ACORD name and logo are registered marks of ACORD <br />40684708 1 COMPR-1 1 11-18 GL, Auto, SAO I Na Sen Phi12n 1 3/5/20L8 2:00:05 IN (PST) I Page 1 of 5 <br />