Laserfiche WebLink
�►`CO�RO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMI DA I <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 endorsement(s). <br />PRODUCER <br />Arthur J. Gallagher & Co. <br />Insurance Brokers of CA, Inc. LIC #0726293 <br />CONTACT <br />Erika Sokolik <br />PHONE Fax <br />lAL0 Nv,.ExtL_ 818-534-3558 _______ _ yam 618-316-0990 <br />21820 Burbank Blvd. Suite 175 <br />Woodland Hills CA 91367 <br />nrMDaess, Erika Sokolik(Maig.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURER A: West American Insurance Company <br />44393 <br />INSURED Vendors <br />Downey6814 <br />INSURERS: American Fire and Casual ompany C <br />24066 <br />Suva Street <br />INSURER C: <br />INSURER D: <br />Bell Gardens, CA 90201 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 188453632 REVISION NUMBER' <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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR <br />TYPE OF INSURANCE 'IADDL$UBR' POLICY EFF POLICY EXP <br />IN ❑ POLICY NUMBER MMIODIYYYY MMIDDM/YY LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY Y !i BKW56585014 4/1G018 4/1/2019 <br />1 <br />EACHOCCURRENCE I$1,0001000 <br />CLAIMS MADE X OCCUR <br />1 <br />DAMA E TO RENTED — <br />'PRE, MISES fEa occurrence) I$100,000 <br />_ <br />MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />X I PRO- I 1 <br />POLICY: J JECT LOC <br />rGENERAL AGGREGATE 1$2,000,000 <br />_ .. <br />IFPRODUCTS- COMP/OPAGG $2000,000 ..._-- <br />$ <br />OTHER'. <br />A <br />I AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED ��., SCHEDULED <br />�-, AUTOS ONLY ,_ AUTOS <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />��J <br />BAW56585014 4IU2018 4/l/2019 <br />" COMBINED SINGLE LIMIT $1,000,000 <br />Ea accltlenl <br />_ <br />BODILY INJURY (Par person) $ <br />BODILY INJURY (Per accident' $ <br />), <br />_ <br />PROPERTY DAMAGE $ <br />1Per acmtlent) _ _ <br />B <br />X UMBRELLA LIAR X'OCCUR <br />EXCESS LIAR CLAIMSMADE, <br />_ <br />IUSA56585014 4/1/2018 <br />41112019 <br />EACH OCCURRENCE $10,000,000 <br />AGGREGATE j $10,000,600 <br />IFIDED FX I RETENTION$ <br />$ -- — <br />IIWORKERS COMPENSATION YIN I <br />ANDEMPLOYOIALIABILITY <br />ANYPRO RIETO"EXDLBDED4 ECUTIVE NIA <br />1 OF EMS aR <br />''I PER L OTH- <br />STATUTE_ ER I _ <br />EI L. EACH ACCIDENT <br />(Mandatory In NHl <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E. L. DISEASE - EA EMPLOYEE' $ <br />EL. DISEASE -POLICY LIMIT:$ <br />_ <br />A Hired Auto PD I BAW58585014 1 4/1/2018 <br />Collision Ded. - <br />4/112019 <br />$1, 000 <br />51, 000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES r 0 S VE 1 ES ACORD 101 Additional Remarks Schedule, may x!txshstl if more space isre requi <br />9 red) <br />Re: Operations of the Named Insured for the Certificate Holder. J\fr <br />City of Santa Ana, Santa Ana City <br />Hall, Santa Ana Police Dept., Santa Ana City and Santa Ana City Yard and Santa Ana LLL <br />Library of Santa Ana its officers, employees <br />agents, volunteers and representatives are named Additional Insureds with Primary Wording per attached form CG 8810 0413. <br />City of Santa Ana <br />20 Civic Center, 8th Floor <br />Santa Ana CA 92702 <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 />AUTHORIZED REPRESENTATIVE <br />0)1988-2015 ACORD CORPORATION_ All ridi <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />