My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
EL GALLO GIRO
Clerk
>
Contracts / Agreements
>
E
>
EL GALLO GIRO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/26/2024 9:08:01 AM
Creation date
9/17/2019 4:57:26 PM
Metadata
Fields
Template:
Contracts
Company Name
EL GALLO GIRO
Contract #
N-2019-170
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Destruction Year
2024
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
13
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
6411D GrV <br />AC" or CERTIFICATE OF LIABILITY INSURANCE <br />DATE/(MMIDD 9 ) <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 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 endorsement(s). <br />PRODUCER <br />Wood Gutmann & Bogart <br />15901 Red Hill Ave., Suite 100 <br />Tustin CA 92780 <br />CONTACT <br />Jackie Burleson <br />PHONE FAX <br />- 714-824-8355 AIc No:714-573-1770 <br />nooaless: 'budeson bib.com <br />INSURERS AFFORDING COVERAGE <br />NAICp <br />INSURER A: Travelers Property Casualty <br />25674 <br />INSURED ELGAL-2 <br />EJ Gallo Gino Corp - AtUmeX,_ <br />12754 Florence Ave. - - -- <br />INSURERS: StarStone National Ins CO <br />25496 <br />INSURER C: Travelers Casualty and Surety <br />INSURER D: <br />Santa Fe Springs CA 90670 <br />INSURER E: <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 589617179 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />I rypE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDM'YY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />C <br />X <br />COMMERGIALGENERAL LIABILITY — <br />CLAIMS -MADE 1XI OCCUR <br />6301 N391276 <br />=019 <br />2F <br />EACH OCCURRENCE <br />$1.000,000 <br />DAMAGE T RENTED <br />PREMISES lEa occurrence <br />$300,000 <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL&ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- ❑ <br />JECT LOC <br />GENERAL AGGREGATE <br />$2,000.000 <br />PRODUCTS - COMP/OP AGG <br />$2,000,000 <br />$ <br />OTHER: <br />C <br />AUTOM084ELIMBILITY-..r <br />— <br />BMN3900711943 <br />=019 <br />9ryyyyp <br />�+� <br />COMBINED SINGLE LIMIT <br />Ea accitlent <br />$ i 000 D00 <br />Y. <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL SCHEDULED <br />AUUTOSS AUTOS <br />Per amdent <br />BODILY INJURY ( ) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTO S <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />Com /Coll Deductible <br />S$1,000 <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />CUP114812825 <br />22/2019 <br />2W020 <br />EACH OCCURRENCE <br />$2,01]0,000 <br />AGGREGATE <br />$2000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />F—FDED <br />RETENTIONS <br />$ <br />B <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOMPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />T1019(1655 <br />1/29/2019 <br />X PER OH_ <br />STATUTE ER <br />ELEACHACCIDENT <br />$1,CooJMO <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />Hyas, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$1000o00 <br />DESCRIPTION OF OPERATIONS below <br />A <br />Excess Liability <br />ZUP61M7341419NF <br />M2019 <br />21W2020 <br />Each Occurrence 8,o00=0 <br />Aggregate 8,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana Risk Management, it's officers, employees, agents,representatives, and volunteers is named as additional insured an the General Liability. <br />Primary and Non Contributory :ppplies on the General Liability per attached CGD0370405. 30 day notice of cancellation will be provided to the certificate holder, <br />except for non-payment of premium in which 10 days notice will be provided. Endorsements apply as required by written contract subject to the terms and <br />conditions of the policy. THIS CERTIFICATE SUPERCEDES ANY PREVIOUSLY ISSUED. <br />14 2019 SHOULD ANY THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana 1 ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza SAMANTHA M. LAMBER#JTHORIZED REPRESENTATIVE <br />Santa Ana CA 92701 , <br />©1988-2014 ACORD CORPORATION. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.