Laserfiche WebLink
`l.iii CERTIFICATE OF LIABILITY INSURANCE <br />GATE'MM' 201a <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 certiflcate holder Is an ADDITIONAL INSURED, the polley{Ias) 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 confer rights to the <br />certificate holder in lieu of such endorse ner i. <br />PRODUCER <br />HIED Insurance Services, Inc. <br />3633 East Broadway, Suite 200 N-2018-223 <br />CONTACT Vivian Sundin <br />NAME: <br />HONE Ext: (562)439-9731 FAX <br />No: (562)439-9453 <br />E-MAIL ADDRESS: vivsun@hmbd. com <br />INSURI I AFFORDING COVERAGE <br />NAICC <br />Long Beach CA 90803-6035 <br />INSURER A.:Philadel hia Indemnity Ins Cc <br />'18058 <br />INSUREQ <br />INSURER B: <br />Card Integrators Corporation, DBA.: CI. Solutions <br />INSURERC: <br />3625 Serpentine Drive <br />INSURER O; <br />INSURERS <br />Los Alamitos CA 90720 <br />INSURERF: <br />COVtKAGES CERTIFICATE NUMBER:GL/A118-19 RPVI-Rlnm MI IMRFR. <br />THIS IS TO CERTIFYTHAT 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. LIMrrs SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AOOLSUB <br />INSD <br />WVQ POLICY NUMBER <br />POLICYEFF <br />MMIDDIYVYY <br />POLICY EXP <br />MMIDOIYYVY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />PHPK1S313S4 <br />6/6/2019 <br />6/6/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />-D`A AGEF�TO REDTEC1 <br />PREMISES Ea 000un.Les) <br />iD <br />$ Q, 000 <br />RED EDP (Any one person) <br />$ 5,000 <br />PERSONAL 5 ADV IN.URY <br />$ 1; 000, 000 <br />GEN'L <br />X <br />7PPODUCTF, <br />AGOR EGA( E L(MIT APRL I ES PER <br />POLICY PRO- <br />JECT LOC <br />OTHER ' <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />- A COMP/DPGG <br />$ 2,000,000 <br />_ <br />$ <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED. <br />. -AUTOS AUTOS <br />HIREDAUTOS X (NOT-OVMIED <br />— <br />PHPKI831389 <br />6/6/201e <br />-6/612019 <br />ED SINGLE LIMIT <br />al- lent <br />$ <br />BODILY INJURY(Perpersron) <br />BODI LY INJURY(Pecaopt iden) <br />$ <br />oOPERTYDAMAGC <br />Per socldeot <br />$ <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMSMADEAGGREGATE <br />EACH OCCURRENCE <br />$ <br />$ <br />-DED 7 1 RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERVLIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED' <br />(Mandatory In NH) <br />f <br />DFree, describe under <br />SCIRIPTION OF OPERATIONS bdlbw <br />N/A <br />-.. _. <br />PER OTH- <br />S'.ATUTE ER <br />E L. EACH ACCIDENT <br />$ <br />EL. DISEASE - EA EMPLOYE <br />$ <br />EI-.DISEASE - POLIO Y LIMIT <br />$ <br />DESCRIPTION OFOPEIRATIOI LOCATIONS (VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />Certificate Holder isinolued as Additional Insured per attached endorsement.. <br />City of Santa Ana Policy Dept. <br />60 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />Roddy/VIVSUN <br />ACORD 25 (2014/01) <br />1 NS0251201491) <br />The ACORD name and logo are registered marks of ACORD <br />r' <br />rin hi resnery ed. <br />