DOWNEY VENDORS, INC. - Laserfiche WebLink

Home Browse Search

DATE(MMIDD/YYYY) ACORV li.� CERTIFICATE OF LIABILITY INSURANCE Acct#:2785030 1Dnvz9z6 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 terms 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 CNAMONTACT E: Loekton Affinity, LLC Lockton Affinity, LLC P. O. Box 879610 PHONE UJC.NO EXq: 877-320-9393 FAX (aC, xa): 913-652-7599 E.MAILADDRESS: EFM&MIcturaffinity.coon Kansas City, MO 64187.9610 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: INSURER C Downey Vendors Inc. INSURER D 6814 Suva Street INSURER E Bell Gardens, CA 90201 NSU RERF: CERTIFICATE NUMBER REVISION NUMBER VvTHIS 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 INSD SUER WVD POLICYNUMBER POLICY EFF (MMIDDIYYYY) POLICY UP (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Claims Occur PREMISES Ea ocminence MED EXP (Any one arson PERSONAL A AOV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PROJEC LOC PRODUCTS-COMP/OPAGG OTHER !1 AUTOMOBILE LIABILITY L499050-20 C0112020 OA/01/2021 Ea accitlanl $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS SCHEDULED BODILY INJURY (Per accident) $ AUTOS p TYDAMAGE $ HIRED AUTOS ONLY NON -OWNED Par accM.n $ AUTOS UMBRELIALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ E CESS LMB CLAIMS- DED RETENTION $ $ WORKERS COMPENSATION 10 STATUTE I ER YIN MYPRO RIETOR'DABILItt E.L. EACH ACCIDENT $ OFFICE IMEMBHIPARTNEDEXECUTIVE EXCLUDED? N/A NH) (Mandatory in H (f E.L. DISEASE - EA EMPLOYEE $ yes,dgryln DESCRIPTION OF OPERATIONS below DESCRIPTION E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks Schedule, maybe attached ifmore space is required) GPBR:2FL5 Policy provides protection for any and all operations/)obs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required y written contract Waiver of Subrogation included by written contract Insurance is primary and non-cootdbutory. Thirty (30) day prior written notice of cancellation. City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Oft RWeMRuBanmtDNt+iDn �I LREVIEWEDfipAPPROYBJBY,:: al '�' r 4FaY.Nae 1�. V:.�.c�tcG Risk Management Analyst .00