Laserfiche WebLink
RUMAN-5 all HJ! VA <br />(MMIDCERTIFICATE OF LIABILITY INSURANCE D0912612019YI <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($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements). <br />PRODUCER 949366.5104 9RWT Patricia Anderson <br />Brakke-Schafnitz Ins. Brokers PHONE 949.366 6104 PAX 949 313 3265 "- <br />License #OK07568 )wc, No Exn __ _ _-In7c� <br />28202 Cabot Road, Suite 600 ILc pattt anderson9+Sslg <br />Laguna Niguel, CA 92677-1251 p n ss. __.�__.__.�_ " —. _ <br />—,JN..UWLsiAFFOeg. ovE-ggq.F.—.._.__.___._. yalc n — <br />"_ NsuaERg_GuideOne Mutual <br />INSURED Catholic Charties of Orange <br />County <br />1820 E 16th Street UNg-C----------------""----- <br />Santa Ana, CA 92701 <br />INSURER F: <br />AGO CERTIFICATE NUMBER: REVISION'NUMB <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />II la TYPE OF INSURANCE ADDL SUB POLICY NUMBER PWQ EFF POLICY E%P LIMITS <br />COMMERCIAL GENERAL LIABILITY .._ <br />_ .EACH OC7C(U]RRENCE_- <br />CLAIMS-MADE El OCCUR C'R AEMi$ES-{Ej 4�$41ErC0_NOXII <br />,_,,... ,,,_.-»-•----••-_,,,_,,.,,., MED EXP.-.1NDY.94 1?afaoni_.,$_.. <br />. __........... <br />F,jt- LAq MrPAT LIMIT APPLES PER: GENERAL AGGR_E9ATE <br />POLICY jE LOC PRODUCTS+COMPIOPAGG <br />..�..� <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />ANY AUTO PdJOLY-INJD (�sr DSl$9$i.,.?_ <br />OWNED SCHEDULED <br />AUTOS ONLY AUUTTOOSWI�Fp 19AX IN JURY eracrdPA <br />__. AUTOS ONLY .._...AUTOS UNLY PA PERQ DAMAS3E J�. "--- <br />. <br />_ UMBRELLA LIAR _ OCCUR 1EAGH QOCIJIj[2FxNG,F�_.____.. §..� <br />EXCESS LIAR .". CLAIMS -MADE <br />DED I RETENTION$ <br />A WORKERS COMPENSAJION PCR - �i OTN— <br />ANDEMPLOYERS'LIABLITY YIN X SSATUTF. 511 <br />ANY PROPRIETORIPARTNERIEXECUTIVE Y 10005295 07/0112019 07/01/2020 tlA 9 1 000,000 <br />pF�FICERIM M EXCLUDED4 NIA E L EAL C, QU N $ ._ <br />Usechord e and ear lEP s,_gg yP,LOyOp 3_-_ 11000,000 <br />Use dss. be under 1 000,000 <br />D (-RIPTigN 4F PPFBAS40NS b9MW E L OISE.ASE-POLICY LIMIT , $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 1Uf, Addltlonal Remarks Sch.d.la, maybe aaa.hed if mare spec. Is r.q.1r.d) <br />Waiver of subrogation WC0403060484 is extended on behalf of City of Santa <br />Ana, its officers,. employees, agents and representatives <br />City of Santa Ana REVIEWED & APP <br />Risk Management II Risk MANAGEMENT <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 my An nod <br />ACORD 25 (2016/03) <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 />©1988-2015 ACORD CORPORATION. All rights reserved <br />ad marks of ACORD <br />