Laserfiche WebLink
MVRCONS-02 - QEIETSC <br />CERTIFICATE OF LIABILITY INSURANCE °A'-11 <br />��"M'°°A""I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J/LV4Y <br />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 <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of <br />this certificate does not confer rights to the certificate holder in lieu of sr <br />PRODUCER License 8 21J4110 <br />HUB International Mountain States Limited <br />2600 Rose Hill <br />Suite 101 <br />Boise, ID 83705 <br />INSURED <br />MVR Consulting <br />P.O. Box 236 <br />Calimesa, CA 92320 <br />COVFRAr:FA <br />must have ADDITIONAL INSURED provisions or be endorsed. <br />certain policies may require an endorsement. A statement on <br />-- �`r" EV SION NUMBER• <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE <br />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 <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE <br />BEEN REDUCED BY PAID CLAIMS. <br />INSR AODL SUER <br />D, POLICY NUMBER POLICYEFF POLICY EXP <br />TYPALGE OF NERAL <br />A COMMERCIAL GENERAL LIE LIMITS <br />CLAIMS -MADE ff ttOCCUR OCCURRENCE 2,000,000 <br />I_J X 34SBMIJ6649 212212020 212212021 DAMAGE TO RENTED 11000,000 <br />MEOEXP IAnv une us«, 10,000 <br />PERSONAL&ADV ,u" S 2,000,000 <br />GENLAGGREGATE LIMIT APPLIES PER: <br />IJ GENERAL AG EIT <br />POLICY ❑ JECT LOC T4,000,000 <br />oo - OMPMPAGG 8 <br />OTHER: moo4,000,000 <br />_ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />S <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS' <br />BODILY INJURY PIT anon <br />$ <br />FOW� <br />BODILYIIWURY Per actld n <br />PROem'tlent <br />$UTQ <br />AMAGE <br />Por <br />3 <br />UMBRELLA LIAR <br />OCCUR <br />3 <br />EXCESS LIAR <br />CLAIMS -MADE <br />FALHOCCURRENCE <br />AG A E <br />DED I I RETEMION$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />PER OTH- <br />$ <br />ANYPROPRIETURIPARTNERIEXECUTNE YIN <br />Wp�FICandEatoRIry IMEnn) MAq EXCLUDED? <br />(M <br />NIA <br />ELEACHACCIDENT <br />I/ edgo, under <br />DESCRIPTION OF OPERATIONS bebw <br />EL DISEASE -EA ETdPL YE <br />L. DISEASE - POUCY LIMIT <br />The City of Santa Ana �t s o(Ocers employees, agents and volunteers are AdditionalYInsureds <br />wharms <br />th respects to General Liability wh <br />contract per form SS0008 04105, Including Primary/Non-Contributing Wording. an required by written <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in Accordance wlth Policy Provisions. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />CERTIFICATE HOLDER <br />NCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE DELIVERED IN <br />Risk Management Department ACCORDANCE WITH THE POLICY PROVISIONS. - <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTADVE <br />ACORD 25 (2016103) <br />. moo-'U 10 AcutaO CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />