Laserfiche WebLink
Francine R. D§naly speed by Francine R. <br />Wheat <br />Villareal Date: 20M.11.09 14:m93 -0a OT <br />A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMwoorvvyri <br />10/28/2020 <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 <br />Advanced Brokers Insurance Services <br />CONNAME:TACT Nicole Hardin <br />PXO% ) FAX (858)436-7998 <br />(858 436-7999 ,Vc wo: <br />A t26 a, service@advancedbrokeminc.COm <br />360 N El Camino Real 1A <br />INSURER 3 AFFORDING COVERAGE <br />NAIL # <br />INSURER A: Liberty Mutual Insurance <br />Encinitas CA 92024 <br />INSURED <br />INSURERB: AXIS Surplus Insurance Company <br />INSURER C: <br />Eco/Nomics, Inc. dba Ecal/nomics, Inc. <br />INSURER D: <br />832 Camino Del Mar Stet <br />INSURERE: <br />INSURER F: <br />Del Mar CA 92014 <br />COVERAGES CFRTIFICATF MIIMRFR- REVISION NUMBER: <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 />LTR <br />TYPE OF INSURANCE <br />AMITIM ADDL <br />SUBR <br />POLICY NUMBER <br />NO D�DY EFF <br />mpWDNFyxypn <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE 19 OCCUR <br />DAMAGETO E TIED <br />PREMISES Eaeccurr <br />$ <br />MED EXP (Airy one person) <br />$ 15,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />A <br />X <br />X <br />BKS57048355 <br />12/09/2019 <br />12JO912020 <br />GEN'L AGGREGATE LIMB APPLIES PER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OP AGO <br />$ 2,000,000 <br />X POLICY D ECT LOC <br />OTHER: <br />AUTOMOBILE LIABILITY <br />A <br />COMBINED SINGLE LIMIT <br />Ea awidem <br />$ 1,000,000 <br />BODILY INJURY (Per Person) <br />$ <br />ANYAUTO <br />BODILY INJURY (Per amident) <br />$ <br />A <br />�/ OWNED SCHEDULED <br />/� AUTOS ONLY AUTOS <br />XHIRED NON -OWNED <br />AUTOS ONLY x AUTOS ONLY <br />X <br />X <br />BAS57048355 <br />12/11/2019 <br />12/09/2020 <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />UMBRELLA LIM <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIM <br />CLAIMS -MADE <br />DEO I I RETENTION $ <br />$ <br />WORHERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYE <br />$ <br />OFFICERIMEMSER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />IT yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />B <br />Professional Liability <br />X <br />X <br />EMP19001661-01 <br />10101/2019 <br />10/01/2020 <br />Each Claim <br />Aggregate <br />$1,000,000 <br />$2,000,000 <br />Deductible <br />$5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached a mere space is required) <br />City of Santa Ana, its officers, employees, agents, and representatives are Additional Insureds with respect to General Liability, Auto Liability, Professional and <br />Pollution Liability per the attached endorsements or as required by written Contract. Insurance is Primary and Non -Contributory. <br />*30 Days' Notice of Cancellation with 10 days' notice of Non -Payment of premium in accordance with the policy provisions. <br />Operations of the insured Covered under the above policies. <br />City of Santa Ana <br />Risk Management Division, 4th floor <br />20 Civic Center Plaza <br />Santa Ana <br />CA 92702 <br />ACORD25(2016/03)- The ACORD-name and logo are <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 />Rime Mrnlaganad Diaisian <br />REVIEWED &{APPRcrvED By., <br />rr <br />'nsil"ni'l[m Risk Management Analyst <br />