|
_f_77"9 10
<br />Page 1 of 2
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/ODWY-yY)
<br />-
<br />12/11/2019
<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 NOTCONSTITUTEA CONTRACT BETWEEN. THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE. CERTIFICATE HOLDER,
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSUREp, the poiicy(iI S I In; have ADDITIONAL INSURED provislons or be -endorsed.
<br />If SUBROGATION.IS WAIVED, Sti"ect,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
<br />Willis Insurance Services of Georgia, ino,
<br />a(o 26 Century Blvd
<br />@.O, sox 30519}
<br />Nashville, 'TN 372305191 USA
<br />INSURED
<br />Fidelity National Financial Ins and its Sabsidiarise
<br />C0N_
<br />NAME:
<br />HONEPAX
<br />PLwc 1-77�945-378�Ns F.A. _- Not. 1-888-467-2378
<br />E-MAIL ----
<br />AOo fi5• caxti£Scat willis'emn
<br />INSURER S AFFORDING COVERAGE
<br />19682
<br />42307
<br />INSURER A;. Bartfcrd Fir® Snsusanoo Company
<br />INSURERB; Navigators Insurance Company
<br />INSURERC; Hartford As and Indemnity Company
<br />22357
<br />:Attu: Risk 149mt Dept
<br />6pl RaversideAvs, Hitlg 5
<br />e'ackaoavill¢, FL 32209
<br />INSURER O: Twin City P.reInstirance C amPany.
<br />2y459
<br />INSURER E:. A111ena Global Risks. US Insurance :Company
<br />95300
<br />INSURER F:
<br />___
<br />_-_. ._..._.._...__. -- Ktvl31UN NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
<br />NAMED ABOVE.FOR THE
<br />OF ANY CONTRACTOR OTHER DOCUMENT
<br />POLICY PERIOD
<br />WITH RESPECT
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES
<br />TO WHICH THIS
<br />DESCRIBED. HEREIN IS SUBJECT TO
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE. BEEN REDUCED BY
<br />ALL THE TERMS,
<br />ILTRNSR Aguys
<br />PAID CLAIMS..
<br />TYPE INSURANCE POLICYNUMSER
<br />POLICY EFF POLICYEXP
<br />MNIDO/YYYDD
<br />X COMMERCIALGENERA4LIABILITY
<br />--- LIMITS
<br />---
<br />EACHOCCURRENCE
<br />$ 1,.000,000
<br />CLAIMuorL aOCCUR
<br />A X Bost Diquor Liability
<br />PREMISES Fe UicUr a
<br />-$ 11.0001000
<br />y
<br />MEO E%P.�one arson
<br />0
<br />$
<br />20CSEC90929
<br />11/15/2019 11/15/2020
<br />PERSONAL&ADV INJURY
<br />$ S,000,pp0
<br />GEN4AGOREG�gTEI LIMIT APPLIES PER:
<br />X POLICY L^,J JECT 100
<br />GENERALAOGREOATE
<br />$ 10,.000,000
<br />PRODUCTS-COMPlOPAGG
<br />$ 2,D00,000
<br />OTHFR:
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />MBINEOS LE LIMIT
<br />Eas am -
<br />$ 1,900,000
<br />X
<br />ANY AUTO
<br />BODILY INJURY (Per Parson)
<br />-INJURY
<br />.$
<br />A
<br />OWNED SCHEDULED
<br />AUTOSONLY AUT06
<br />2000AC90930
<br />11 /15/2019
<br />11/15/2020
<br />800IL (Per aecideno
<br />HIRED.. NLY NON�OWONED
<br />��a �Ui of sb�Yd
<br />PROPERTY DAMAGE
<br />Per ciitlenl
<br />—'
<br />X
<br />Dan eae i X
<br />$
<br />,E X UMBRELLA LIAR X OCCUR
<br />EXCESS UAB CLAIMS MADE eA19tPAi203TAR}V
<br />.EACH OCCURRENCE
<br />11j15/2019 11/15/2020
<br />$_-1p,000, OOtl
<br />oED %< NETENHONto
<br />AGGREGATE
<br />$ 10,000, 000
<br />WORKERS COMPENSATION
<br />X PER
<br />$
<br />AND EMPLOYERS' LIABILITY ,YIN
<br />TU E FI
<br />C ANYPROPRIETOMPARTNEWrXECUTIVE No NIA
<br />OFFICERIMEMBEREXCLUDID? 20WNC90926
<br />EL. EACH ACCIDENT
<br />11/15/2019 11/15/2020
<br />$ 1r009,000
<br />(Mandatory in NH)
<br />If yes, describe antler
<br />E.LDISEASE-Eq EMPLOYEE-$
<br />11000,000
<br />DESCRIPTION Of OPERATIONS beIOw
<br />E.L. DISEASE -POLICY LIMIT
<br />$ 1.1000,000
<br />D Workers. Compensation and 20WERC90927
<br />11/15/2019 11/15/2020 E.h. Each Accident
<br />$1,000,000
<br />Employers Liability -
<br />E,Z. Uiaeapa- Ea Van,
<br />$1,000,000
<br />state
<br />Par Statute
<br />E.L,-Digaass-Pal Limi
<br />$1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHCCLES (ACORD 101, Additional Stearns Schedule,
<br />may bealtached.Ifamnapace is requfred)
<br />Additional Named lTitledCo
<br />g APPROVED
<br />Y L1
<br />REVIEWEDl.X APPROVED
<br />Commonwealth Land Title Company
<br />fi Y L. @'` 4J'
<br />BEE. ATTACHED
<br />A A EM DiVIS(ON
<br />jBvRisk
<br />DEBBIE SCOULEISTRA
<br />(`FRTIFIr:ATP LU l TIME)
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza, 4th floor
<br />Santa 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 />AUTHORIZED REPRESENTATIVE
<br />All rights reserved.
<br />-r , uv r+vvw name auu lego are registered marks Of ACORD
<br />ss ro: 18926734 eArca, 1488542
<br />
|