Laserfiche WebLink
AC ® -DATE CERTIFICATE OF LIABILITY INSURANCE 08/19/2021 <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 endorsement(s). <br />PRODUCER CONTACT BRIAN NORCUTT <br />NAME: <br />StateFarm STATE FARM INSURANCE COMPANY PHONE 714-256-8873 FAX No: 714-629-0957 <br />iw BRIAN NORCUTT AGENCY E-MAIL <br />ADDRESS: --- <br />605 E.IMPFRIAL HWY STE#A INSURERS AFFORDING COVERAGE NAIC# <br />BREA CA , 92821 INSURER A; State Farm Mutual Automobile Insurance Company 25178 <br />INSURED ------ --- — -- . __ <br />ENSURER B : <br />PEST OPTIONS INC. DBA INSURERC: _ <br />LANDSCAPE PEST MANAGEMENT INSURER D : <br />PO BOX 5827 INSURER E : <br />ORANGE CA 92863-5827 <br />INSURER F <br />COVERAGES CFRTIFIrATF NIIMRFR• PPVI...InN NJ]MRI=P- <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 />TYPE OF INSURANCE <br />ADDL�SUBR <br />iWVD <br />POLICY NUMBER <br />POLICY EfF <br />MMIDDIY <br />POLICY EXP <br />MWDD <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />CLAIMS -MADE OCCUR <br />DAMAGERENTED <br />PREMISESS Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER', <br />GENERAL AGGREGATE <br />$ <br />POLICY PRO <br />JECT LOC <br />PRODUCTS - COMPIOPAGO <br />S <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />Y <br />Y <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,00() <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />OWNED NLY AUTOS SCHEDULED <br />AUTOS O <br />568 5146-B 17-75 <br />01/23/2021 <br />02/1712022 <br />BODILY INJURY (Peracrident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS CNLY <br />PROPERTY DAMAGE <br />Peraccideni <br />S <br />S <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATEH <br />$ <br />EXCESS LiAB <br />CLAIMS -MADE <br />RED 7T RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS` LIABILITY Y1N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />I IPER I I OTH- <br />STATUTE 1 IER <br />F.L. EACH ACCIDENT <br />5 <br />OFFICERIMFMHER FXCLUDE07 <br />N I A <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />{Mandatory in NH) <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DI, EASE LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED. <br />THE CITY OF SANTA ANA, RISK MANAGEMENT, IT'S OFFICERS, EMPLOYEES, AGENTS, REPRESENTIVES, AND VOLUNTEERS AS ADDITIONAL <br />INSURED. <br />INSURANCE iS PRIMARY AND NOT -CONTRIBUTORY WITH RESPECT TO INSURANCE OR SELF-INSURANCE MAINTAINED BY THE CITY. <br />THIRTY(30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SANTA ANA ACCORDANCE WITH THE POLICY PROVISIONS. <br />RISK MANAGEMENT DIVISION <br />7777---L <br />20 CIVkC CPNTER PLAZA. 4TH FLOOR o,,os.�eSANAT ANA CA 92702REmEwm 6 MrRmw er. <br />%au �sa"raacs <br />C 1988-2015 ACORD CO _f <br />Risk Marwgement Cienr lAide <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />