Laserfiche WebLink
PRIOR-5 <br />OF IDJS <br />DA04/19/2019Y) <br />04/19/2019 <br />ACORO' CERTIFICATE OF LIABILITY INSURANCE <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(ies) 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 endorsements . <br />PRODUCER 951-290-5040 <br />ISU Ins. Svc. Cormarc Tasman <br />License# OE63467 <br />25220 Hancock Ave. #200 <br />Murrieta, CA 92562 <br />cpNTACT Bill Frederick <br />`NBME;.— - - - - <br />II PHONE <br />EatJ:951-290.5040 FAX Ne).951-278.0664 <br />E-MAIL - <br />AD REss: <br />INSURER LSJ AFFORDING COVERAGE NAIC# <br />Bill Frederick <br />_ <br />INSURER A: Financial <br />Pacific Ins. Co.,AXI 31453 <br />Fr URED ✓� _�O-�� I�—y/' INSURERS, Capitol Indemnity Corp, A, IX <br />n(((8rity Landscape Services rr <br />tt INSURERC: _ <br />J21Mercury LaneLL <br />Brea, CA 92821 OI tv 4�1 - D1 'INSURER D: <br />INSURER E: <br />INSURER F : <br />COVFRAGFS CFRTIFICATF NIIMRFR• RFVLCInM NI IIVIRFR- <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 />INSR rypE OF INSURANCE ADDL WDR POLICY NUMBER POLICY EFF <br />POLICY E%P <br />Yyy <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />1,000,000 <br />CLAIMS -MADE X OCCUR 60503512 04I21I2019 04/21/2020 <br />X <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />100,000 <br />$ <br />5,000 <br />M ED EXP LAny one pemom <br />$ <br />1,000,000 <br />__- <br />PERSONAL B ADV INJURY <br />$ <br />2,000,000 <br />GEN'L AGGREGATE LIM IT APPLIES PER: GE NERAL AGGREGATE <br />X POLICY ',J JEET L- LOC <br />PRODUCTS - COMP/OP AGO <br />$ <br />2,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accitlem $. <br />ANY AUTO <br />OWNED (SCHEDULED <br />BODILY INJURY Per arson $ <br />AUTEEO��S ONLY —!AUTOS <br />BODILY INJURY Per aaiaem $ <br />AUTOS �I gUTOS ONED <br />P�20PERdYtDAMAGE $ <br />ONLY <br />B <br />_ UMBRELLALIAB OCCUR <br />EACH OCCURRENCE_ <br />5,000,000 <br />X EXCESS LIAB 'CLAIMS -MADE XS18000406-01-746522 04/21/2019 04/21/2020 <br />�DED <br />_$ <br />AGGREGATE $ <br />5,000,000 <br />I I RETENTION$ <br />$ <br />i WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PER OTH- <br />'STATUTE ER <br />Y / N <br />�AAOFFICERPRIETgORqIEXCLUDED?ECUTIVE - NIA <br />E L. EACH ACCIDENT _ _$_ <br />(Mantlatory In NH) - <br />E.L. DISEASE - EA EMPLOYEE $ <br />If yes, tlescbbe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be aMchetl if more space Is requinun <br />The City of Santa Ana, It's Officers, Employees, Agents, and Representative <br />are included as additional insured to General Liability per form CG201 OR <br />1211. <br />Eby 1 <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED Q, I 'BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, N E WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />