Laserfiche WebLink
rrdncjne Fi. Francine N.Vllareal <br />Date: 2020.09.02 <br />Villareal <br />10:18;53-07'00' <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MNVDO/YY Y) <br />OB/MDDf0 <br />1 <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />New York NY Office <br />One Liberty Plaza <br />165 Broadway, Suite 3201 <br />CONTACT <br />NAME: <br />PHONE (g66) 263-7122 <br />(AID. No. Erik FAX No I: t800) 363-0105 <br />E-MAIL <br />ADDRESS: <br />New York NY 10006 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIL # <br />INSURED <br />Las Angeles SMSA LP <br />dba Verizon wireless <br />INSURER A: National UniOn Fire Ins Co of Pittsburgh <br />19445 <br />INSURER B: AIU Insurance Company <br />19399 <br />INSURER C: American Home Assurance Co. <br />19380 <br />1095 Avenue of the Americas <br />New York NY 10036 USA <br />INSURER D: New Hampshire Insurance Company <br />23841 <br />INSURER E: <br />INSURER R <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. Limits shown are as requested <br />INSR LTR <br />TYPE OF INSURANCE <br />INSD <br />YJVD <br />POLICY NUMBER <br />POLICY F <br />MMIDD <br />MMIDD LAP <br />LIMITS <br />A <br />MMERCIAL GENERAL LIABILITY <br />CIAIMS-MADE �% OCCUR <br />TX_1C <br />Y <br />GL <br />EACH OCCURRENCE <br />$2,000,000 <br />AMA RENTF <br />PREMISES Ea occurrence) <br />$2, 000,000 <br />APED EXP(Any one person) <br />$10,000 <br />U Cmenage is Included <br />PERSONAL 6 ADV INJURY <br />$2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRo- <br />X POLICY JECT LOGEl <br />GENERALAGGREGATE <br />$5,000,000 <br />PRODUCTS-COMPIOP AGG <br />$5, 000, 000 <br />OTHER: <br />A <br />AUTO MOBILE L,,GuTy <br />CA 4594298 <br />ADS <br />06/30/2020 <br />06/30/2021 <br />COMBINED SINGLE LIMIT <br />Ea accieent <br />$1.000,000 <br />BODILY INJURY (Par Person) <br />A <br />X ANYAUTO <br />CA 4594299 <br />06/30/2020 <br />06/30/2021 <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HREDAUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />MA <br />CA 4594300 <br />VA <br />06 30/2020 <br />/ <br />06/30/2021 <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />(Per accident <br />A <br />See Next Page <br />06/30/2020 <br />06/30/2021 <br />UMBRELLA LRB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />H <br />CLAIMS -MADE <br />AGGREGATE <br />OED <br />RETENTION <br />B <br />C <br />WORKERS COMPENSATION AND <br />EMPLOYERS'Lb1BIUTY YIN <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandator, In NH) <br />If yes <br />DES6describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WC045886576 <br />ADS <br />WC04S886575 <br />CA <br />06/30/2020 <br />06/30/2020 <br />06/30/2021 <br />06/30/2021 <br />X <br />I PER STATUTE <br />OTH- <br />ER <br />E.L EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASEEAEMPLOYEE <br />$1,000,000 <br />E. L. DISEASE -POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addalonal Remarks Schedule, may be attached if more space is required) <br />The above -referenced General Liability policy shall cover the tort liability of the Certificate Holder assumed under the <br />underlying agreement between parties for which the certificate has been issued. City of Santa Ana its council members, <br />officers and employees are included as Additional Insured with respect to the General Liability pOIicy. The General Liability <br />policy shall apply as Primary and Non -Contributory Insurance to each Additional Insured listed herein. Where permitted by law, <br />the Named Insured parties listed herein waive all rights against City of Santa Ana, its council members, officers and employees. <br />listed herein for recovery of damages to the extent these damages are covered by the above -referenced General Liability policy <br />and, as further limited by written contract between the parties. <br />`ar <br />C <br />0 <br />2 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE J <br />POLICY PROVISIONS. Risk <br />Of management <br />And AUTHORIZED REPRESENTATIVE <br />20 c Management Plaza, 4 <br />20 Civic Center Plaza, 4th Floor a �sbt���r <br />Santa Ana CA 92701 USA � <br />_ Risk Mmilagenod Division <br />©1988-2015 ACORD COP <br />RENE*D& APPROVED BY: <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I, f -t' f+.�*c:�t P. vxa <br />link Management Malys) <br />