RANESES, MICHAEL-N-2020-091 - Laserfiche WebLink

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ACII CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MM/ODnYYY) 01 /27/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA 520 Madison Avenue Floor PNC, No ExIl' (888) 202-3007 pA/C No : I. EMAIL ADDRESS: contact@hiscox.com INSURERS AFFORDING COVERAGE NAICH New York, NY 10022 INSURER A: Hiscox Insurance Company Inc 10200 INSURED MICHAEL RANESES INSURER B: 2409 MIRA MONTE CT INSURER C INSURER D TUSTIN, CA 92782 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y UDC-2163525-CGL-20 02/01/2020 02/01/2021 EACHOCCURRENCE $ 1,000,000 DAMAGE TORENTED PREMISES Esoccummes $ 100,000 GEN'L X MEMO EXP (My one elsan) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT ❑ LOC OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO s S/r Gen. Agg $ AUTOMOBILE 1 LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Es accident $ BODILY INJURY(Per person) $ BODILY INJURY Per accitlent ( ) $ PROPERTY DAMAGE Per accident $ Is UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DID RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBEREXCLUDEDP (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 20 Civic Center PI Santa Ana, CA 92701 RT- a15k MpNpC1EMc,�• - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE gY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN n r]9 ryt ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD The ACORD name and logo are registered marks of ACORD reserved.