Laserfiche WebLink
Francine R.°oa,�hm, <br />Villareal g,. m <br />ACC> CERTIFICATE OF LIABILITY INSURANCE <br />�' <br />DATE (MMIDO YYY) <br />1 08/18/2020 <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(les) 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 endorsements. <br />PRODUCER <br />NextAssure Insurance Services <br />3151 AirwayAve F203 <br />NAMEpCT Nanc Valle <br />PHGNE 714258.2800 EA No: 714258-2820 <br />ADDRESS: nancy.vallo@noxtassure.com <br />Costa Mesa, CA 92626 <br />INSURERS AFFORDING COVERAGE <br />NAICp <br />License #: OG81352 <br />INSURERS: Travelers <br />25682 <br />INSURED <br />INSURERB: Arntrust North America <br />42376 <br />INSURER c: CNA <br />60604 <br />Cornerstone Communications & Public Relations Inc. <br />PO Box 10246 <br />Newport Beach, CA 92658 <br />INSURERD: Scottsdale Insurance Company-41297 <br />INSURER E <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 00000186-1024746 REVISION NUMBER: 127 <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 />INSR <br />LTR <br />TYPE OF <br />ADDL <br />SLIDE <br />POLICY NUMBER <br />POLICY Err <br />M IDONYYY) <br />POLICYEXP <br />IMMIDDI <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />6806E535136 <br />05/20/2020 <br />06/2012021 <br />EACH OCCURRENCE <br />$ 2000000 <br />CtAIMSMADE ❑OCCUR <br />DAM M PREBEE EGE TO RocouD c <br />$ 300,000 <br />MED EXP A one arson) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 2,009000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4000000 <br />SENT <br />�( <br />POLICY jE T LOG <br />PRODUCTS - COMP/OP AGG <br />$ 4,000 000 <br />BPP <br />$ 26.522 <br />OTHER. <br />A <br />AUTOMOBILE <br />LIABILITY <br />BA-001R553052 <br />07/09/2020 <br />07/09/2021 <br />OMBINEDIBIAGUE LIMIT <br />$ 1000000 <br />BODILY I WILEY(Per person) <br />$ <br />ANY AUTO <br />OWNED SAUTOSCHEDULED <br />AUTOS ONLY !t <br />BODILYINJURY Feracddent) <br />$ <br />PROPERTY DAMAGE <br />axitle 1 <br />$ <br />X <br />HIRED NON-0WNED <br />AUTOS ONLY X AUTOS ONLY <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OMy FFICERIMEMBEREXOLUDED4ECUTIVE � <br />(Mandatory In NH) <br />NIA <br />QWC1107762 <br />05/20/2020 <br />05/2012021 <br />)t ISTATUTE ERµ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE_ <br />$ 1,000,000 <br />bo under <br />ESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1000000 <br />C <br />Errors and Omission <br />596695840 <br />06/17/2020 <br />0611712021 <br />Occ/A99 1,000,00012,000,000 <br />D <br />EPL <br />EKS3334112 <br />06/07/2020 <br />06107/2021 <br />Agg. <br />1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may W attached if more space is required) <br />Those usual to the Insured's Operations. As respects to General Liability Coverage, Certificate Holder is an additional Insured <br />per Form CG D1 05 04 94-Blanket AI.Owners, Lessees or Contractors, but only as respects to work performed by our insured. <br />Blanket Waiver of Subrogation included per form CG D8420219. As respects to General Liability Coverage, coverage is <br />afforded on primary & non contributory basis per Form CG T1000219. <br />Scheduled Vehicle on auto policy: 2019 Ram 1500 Limited, 4DR Cab, 5.71- (VIN 1C6SRFHT4KN764348). <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th floor <br />Santa Ana, CA 92701 AUTHREPRESENTATIVE <br />©1988-2015 ACORD CO � RirlsMid w ser <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD ( REVIIv7EOSAPPaI <br />Printed by N �' f4elc o�w P'.. _�ii <br />