|
WISECAC-Cl
<br />.�COJ7OWAYNE
<br />4..� CERTIFICATE OF LIABILITY INSURANCE DATEIMMMDR,,YY)
<br />II
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,
<br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN
<br />THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER..
<br />IMPORTANT- If the certificate holder is an ADDITIONAL INSURED,. thepolicypes) must have ADDITIONAL INSURED provieloos or be endarsetl,
<br />If SUBROGATION IS WAIVED, subject to the terms and so Ill the
<br />of policy, eerialh policies may require an. endorsement, A statement on
<br />this certificate does not confer rights tothe -certificate holder In lieu of such endarsemenE s
<br />.
<br />PROOUCEIT Or
<br />Bolton & Compsrr�ryy I—_�__.•_._,_,_ _
<br />Suite100 `. N 626
<br />A� e,rt; 799-7000 a"c No: 626)441.3233
<br />Pasadena,
<br />Pasadena, CA 01107 e•
<br />,CA91107
<br />ropcosudLYMPOITOPICO.Com
<br />SURE SAFFORDING GIVE GE NAIC
<br />—
<br />INSUREDNS4RERA-Philadalohla Insurance Company 23850
<br />- uRERB: New York Marine & General Ins. Co. 18608
<br />Wisoplace, CA Corp, Wise Silver Center dba: INSU ER c� ---
<br />1411 N. Broadway .---.-- _—
<br />Santa Ana, CA 92706 INSUR
<br />'HSU ERE::
<br />NSURERpI
<br />COVER
<br />QES CERTIFICAIF
<br />NUMBER:
<br />LISTED BELOWKkVESEEN.
<br />TERMr OR
<br />ISSUEDTO
<br />THE INSURED
<br />REVISIONNUMBER:
<br />NAMEDASOVE FORTHE POLICYPERIOD
<br />THOS
<br />INDICATED
<br />IS TO CERTIFY THAT THE POLICIES
<br />NOTWITHSTANDING ANY
<br />or
<br />REQUIREMENT,
<br />INSURANCE
<br />CERTIFICATE
<br />EXCLUSIONS
<br />MAY BE ISSUED OR MAY
<br />ANOD ONDITIONS OFSUCH
<br />PERTAIN,.
<br />POUCIES.
<br />CONOrPCN OF
<br />THE INSURANCE AFFORDED. BY
<br />LIMITS SHOWN
<br />ANY CONTRACTOR
<br />THE POLICIES
<br />OTHER
<br />DES CRIBCRIB
<br />DOCUMENTWITH RESPECTTO WHICH THIS
<br />ED HEREIN IS SUBJECT TO THE TERMS,
<br />bSRI
<br />MAY HAVE BEEN
<br />REDUCED BY
<br />CLAIMS,
<br />TYPE OF INSURANOE
<br />ADM
<br />URN
<br />POUCYNUMSER
<br />'POLICYEFF ,(
<br />POLICYEXP
<br />A
<br />as"'�m
<br />-umns
<br />�1
<br />CLAIMSMADE'16ay
<br />X
<br />PHPK1924744
<br />0ll01l201g
<br />��:6�c
<br />EACHOCC WREN 11000,000.
<br />U C' i
<br />oauAGEa kENTEo
<br />Icrs� �_ 100,000
<br />EQ€xE. An and �_..�_. 5,000
<br />.F.ERMAJ,& OV INJURY 1.Op0,p00
<br />GEMLAGGREGAT APPLIES PER:
<br />JLIMIT
<br />PODGY P Q C00
<br />I
<br />G A GRE AT 2,0OO,OpO
<br />oTHEas
<br />PMCUCTS•COMPIOPAGG 2.000,000
<br />A
<br />AUTOMOBILE LIABILITY
<br />SEXUAL PHYSICAL g' 1,000,000
<br />.i411Sb
<br />PHPKY924'74a
<br />i
<br />IOt70112079.
<br />COMBINED SINGLE LAMIT
<br />SIp6Rta ,
<br />9GWEOUCEp
<br />OTl0�f72d2O'
<br />SODILYINJURY Per amen .$
<br />T SONLY
<br />NAUTOS
<br />NLB ast
<br />I_
<br />EOOILY INJURY fFarac Itlenl Lg
<br />y�r9
<br />f
<br />F�eOe oeiltlenty7AMAGE ,_ $
<br />A
<br />X UMBRELLA LIAO I X OCCUR
<br />I
<br />a
<br />I
<br />EXCESS61A9 CLAIMS-MAOE
<br />IP
<br />HUS660328
<br />011OV2019104
<br />t20; 16`
<br />�EACHOCC R .NCE E 1,000,000
<br />-OED X RETENTIONS 10,000
<br />Ili.
<br />GGREG E
<br />Aggregate 1
<br />B
<br />pQI ��ttEe E��SA,���p
<br />AwNRREMFOYERa"LIAB gTNy YIN
<br />-OSt15l2019Ip
<br />r
<br />000,000
<br />'PER OTH.
<br />TAT
<br />ANY PROPRIETORIPARTNERIEXECUTIVE
<br />FFICERIMEMNMEXCLUGEG4
<br />YMantlafoyinHNi
<br />NfA
<br />iWC201900006833
<br />i
<br />'SPd926'
<br />E. EACH AC 0 NT
<br />E "5 dMobe under
<br />SCRIPTIONDFOPERAT NSbHaw
<br />t
<br />i
<br />EL.0I$E4SFiEAEMPLOYE 1 000,000
<br />q
<br />Professional Liabili
<br />FHPK1924744
<br />01t01f2019
<br />011011202UI
<br />E 1,D
<br />EL OISEA POLICY
<br />'SE IMtT OO,QOp
<br />A
<br />Crime
<br />pHPKi924744 I01/0V2019
<br />0110112020I
<br />"BGRP"ON Op CPFAATIONS Q LOCATIONSI VEIIICLES IACORO 10I, Additional Remerke Sphodule, mey be.U.e hM If more space Is redulreeJ
<br />GL Additional Insured applies per CG2013C413 attached, only it required by
<br />written contract/agreement.
<br />Primary and. Non -Contributory Wording. applies: per PIGLOOS0712 attached,
<br />Notice of Cancellation applies per IL00171198 attached,
<br />Additional insured(a): City of Santa Ana, ItsNtloel�gppiVe& apggts„vpla)pt b:md representatives,
<br />RE: Operations ofthe named insured. YYYY CCLCIJ IClViSiON
<br />By
<br />By IZISk NAGEMEN7pDIVISiON
<br />MEET
<br />CERTIFICATE HOLDER 9
<br />NAMATHAM.L4Mt3E SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />Cityo Santa Ana 11 UC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />1Ohspp fiATslYwlT,.�,�.` ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Canter Plata, 4th floor
<br />Santa Ana, GA 92701 AUTHORI2E0 REPRESENTATIVE
<br />&t,64 z
<br />25(2016103) '
<br />v..,... v..nrancr,f w". Ali rignts reserved.
<br />The ACORD name and logo are registered marks of ACORp
<br />
|