Laserfiche WebLink
A`CO'RO' <br />V <br />RICHWAT-01 <br />CERTIFICATE OF LIABILITY INSURANCE <br />HRAMIREZ <br />DATE (MMIDONYYY) <br />5/512020 <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 License # 0814758 <br />Hoffman Brown Company <br />5000 Van Nuys Blvd. BUT Floor <br />Sherman Oaks, CA 91403 <br />CONTACT <br />M: <br />a/c°, No, Exl: (818) 986-3200 FAX <br />(A/C, Ne):(818) 986-8510 <br />E-MILA <br />ADD s <br />INSURERS AFFORDING COVERAGE <br />NAIC If <br />INSURER A: Via Hant Ins. Company <br />20397 <br />INSURED <br />Richards, Watson &Gershon <br />350 South Grand Ave., 37th Floor <br />Los Angeles, CA 90071-3101 <br />INSURER B: Federal Insurance Co. <br />20281 <br />INSURER C: <br />INSURER 0 : <br />INSURER E : <br />INSURER F: <br />COVERAGES CFRTIFICATF NI IMRFR• R E%'!SQ...e,.. a C am. <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 CONTRACTOR 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 />IN5R <br />TYpE OF INSURANCE <br />ADDL <br />SUBR <br />p <br />POLICY NUMBER <br />POLICY EFF <br />POL ICY EXP <br />pp <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CIAIMS-MADE [X] OCCUR <br />X <br />X <br />35293250 <br />1011/2019 <br />10/1/2020 <br />EACH OCCURRENCE <br />$ 1,000,006 <br />DAMAGEETO RES Ea�NNTED ocurnance <br />1,0001000 <br />10,000 <br />GEN'L <br />MED EXP (My one arson <br />PERSONAL B ADV INJURY <br />1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />PRo <br />POLICY JEL'T LOC <br />OTHER: <br />GENERAL AGGREGATE <br />2,000,006 <br />PRODUCTS - COMP/OP AGG <br />Included <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUrOS ONLY X A� OS ONLB <br />74967929 <br />101112019 <br />10/112020 <br />COMBI tlEDtSINGLE OMIT <br />$ 1,000,000 <br />$ <br />BODILY INJURY Werperson) <br />BODILY INJURY Peraccidenl <br />$ <br />X <br />PRerOaP.ERIlY AMAGE <br />$ <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />79611586 <br />10/1/2019 <br />101112020 <br />EACH OCCURRENCE <br />$ 9,000,000 <br />AGGREGATE <br />9,000,000 <br />DED RETENTION$ <br />B <br />WORKERS COMPENSATION <br />AND LIABILITY YIN <br />AFFICERIMEMBER EXCW�E/�?ECUTIVE ❑ <br />RMandatory In NH) <br />If as, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />71726476 <br />10/1/2019 <br />10/712020 <br />X PER <br />TAME E <br />E.L.EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE -EA EMPLOYE <br />$ 11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more s ace is required) <br />City of Santa Ana, its employees, officers and agents are named as an Additional Insured as required �y written contract per Endorsement Form #80-02-2367 <br />attached. Coverage subject to policy terms, conditions and exclusions. <br />30 day notice of cancellation applies to the certificate holder in event of cancellation except for non-payment of premium is 10 days. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <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 />REPRESENTATIVE <br />NI VRU La tzu I VIVO) U 19BB-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />