Laserfiche WebLink
8/22/19, 9:37 AM <br />CERTIFICATE OF LIABILITY INSURANCE <br />-- 0811 2019 <br />TH19 CERTIFICATE IS ISSUED A9 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 />------------- <br />IMPORTANT: If tha certificate holder is en ADDITIONAL INSURED, the policy(les) .at 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 Ileu of such endomement(s). <br />PRooucE I Cornish Insurance SLAKE E. CORNISH <br />B016 South Sepulveda NAME <br />_r•••ae+o Blvd, Sib i06 <br />INSURED Constant&Associates INC. maUNER A:••"•••••• ""uourarawae GUMYANY 27987 <br />3655 Torrance Blvd STE 430 N <br />ame. FARMER INSURANCE EXCHANGE zvsz <br />Torrance CA 90503 INSURER C: MID CENTURY INBURANE COMPANY zta97 — <br />INSUREA D: STATE FUND 35079 <br />INSURER E; RLI t9086 <br />Farmere Insurance EXohange —--_.31652 <br />COVERAC.FS ..�..�,�.�.__... __ weuRERF: -'- <br />--•. �• •..... nvmacn[ <br />7MIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED <br />REVISION NUMBER: <br />BELOW HAVE BEEN ISSUED TII THE INSURED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION <br />NAMED ABOVE FORgLCERIO,,DLICY <br />PERIOD <br />OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPWHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTHE <br />AND CONDITIONS OF SUCH POLICIES. <br />IN" LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TERMS.EXCLUSIONS <br />ADOLSUMTR TYPE OF INSURANCE POUCYNUMBER YPoLICY EFFCOMMERCU,LGENERM-LNBIIJTY <br />✓ ✓ WS383207 07/12/2019 07% L2020 <br />uEACH <br />✓ OCCUR <br />OCCURRENCE <br />00,000CLNMS-MADE <br />A <br />PREMISES (Ee=urte ),000MEDEXPIAnyDnapa <br />,0PERSONALSADV <br />LIMIT gPPLIE3 PER. <br />VIIURY00r00O <br />i" POGGREGATE <br />❑ JECCT LOCOTHER: <br />GENERALAGGREGATE <br />0,0D0✓PoLIGY <br />,PRODUCTS-GOMpIOPAGG0,000AUTOMOBILE <br />. — _.. _ <br />LMBIIRY ✓ <br />ANYAUTO <br />COMeId.M)'NGt LINT <br />C.M..IEenq <br />S1,000,000 <br />F ✓ AUTO ONLY OWNED ✓ SCHEDULED <br />608753174 (17/11/2019 07/11/2020 <br />(BODILY INJURY IParpasonl_S <br />ED <br />BODILY INJURY (Pere¢eem) <br />s <br />AUTOSONLV AUNONTOSONLYAUTOS ONLv <br />PPoOPeCEPR,EI�DANAGE <br />S <br />UMSREUL LIAR OCCUR <br />S <br />EXCESSUAG CLAIMSMADE <br />EACHOCCURRENCE <br />S <br />DEB RETENTIONS <br />AGGREGATE <br />S <br />WORKERS COMPENSATION ✓ 9150620.2D19 <br />AND EMRGYERe'L48111ry g1/11%iD19 91/11t202D <br />✓ _ <br />DR <br />s <br />YIN <br />MBE <br />STATUTE <br />OF CIhff INPEXXCLUOE�7ECUTVE NIA <br />D IM"Metm In NHI <br />ELEACH ACCIDENT <br />g1,000,000 <br />n 11w. aewltre urNer <br />OESCRIPTN)N OF OPERATIONS Debw <br />EL DISEASE - EA EMPLOYEE <br />— -: — — — <br />$1,DDD,DDD <br />ERROR AND OMISSIONS ✓ RTPOO11983 O1H012019 <br />E.L DISEASE . PoUCY LIMIT <br />S 1,000,000 <br />E 01/1012020 <br />�O <br />Aggregate Umik <br />Par Claim: <br />t3.W0,0W <br />I2,000,W0 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACO uu. MEIUmal Remarks Schedule. may b ahoche N <br />mac open la nHiulree) <br />CGL AND Auto Insurance deductible Is 81,000.00. Error <br />and Omissions deductible IS $2,500.00. <br />Location: 3655 Terrance Blvd Ste 430, Torrance, CA 90503 <br />Certificate holder, its officers, agents, and employee are named as additional insured in regards to general liability per Bp04470197 <br />30 Days notice of cancellation. <br />Primary and Non Contributory Endorsement Included. <br />CERTIFICATE HOLDER ,,, <br />_ <br />Y Of Santa Ana, <br />lk Management Division <br />Civic Center Piz, 4th Floor <br />nta 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 />&APPROVED <br />IGEMENT DIVISION AmHORREDREFRESENTATNE <br />BLAKE E. CORNISH <br />)Q gain 08M412019 <br />about:biank <br />AMA THA M. LAMBERT Page I of 2 <br />