Laserfiche WebLink
Francine R. ViIlareal ManlbMomhr`a„e KIIII. ,I <br />sue, laxalool l L17504Taa <br />4CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWODNYYY) <br />�i 09/23/2020 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsementfs). <br />PRODUCER <br />GGNIAGI <br />NAME: <br />Josie Ruzette <br />Newfront Insurance Services, LLC <br />PHONE <br />(415) 754-3635 wC <br />552nd Street <br />E-MAIL <br />No: <br />josie.ruzette@newfront.com <br />Floor 18 <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIL# <br />San Francisco <br />CA 94105 <br />INSURERA: <br />Sentinel Insurance Company Ltd <br />11000 <br />INSURED <br />INSURERS: <br />Prop & Cas Ins Co Hartford <br />134690 <br />Chattel, Inc. <br />13417 Ventura Blvd <br />Sherman Oaks <br />CA 91423 <br />rr1VFRAr:FA rFRTIFICATR MI IMRPD- OC1/I0If%kI alnaaDce. <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 INSURANCE <br />ADDLSUBR <br />INSO <br />mn <br />POLICYNUMBER <br />POLICY EFF <br />MWODIYYYY <br />POLICY EXP <br />MWDDA'YYY <br />LIMITS <br />A <br />x <br />COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE � OCCUR <br />x <br />57 SBA BK9041 DX <br />08/01/2020 <br />08/01/2021 <br />EACHOCCURRENCE <br />$ 1,000,000 <br />DAMAGETORENTEO <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />GEN'L <br />x <br />MED EXP (Any one parson) <br />$ 10,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY PECROT ❑ LOC <br />J <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGO <br />$ 2,000,000 <br />$ <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OS OWNED SCHEDULED <br />NON -OWNED <br />HIREDAUTOS H AUTOS <br />X <br />57 SBA BK9041 DX <br />08/01/2020 <br />08/01/2021 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />BODILY INJURY (Per accident)UTOS <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />A <br />X1 <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />57 SBA BK9041 DX <br />08/01/2020 <br />08/01/2021 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />M <br />AGGREGATE <br />$ 1,000,000 <br />DEO I x I RETENTION $ 10000 <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />AN <br />OFF CER/MEMBEREXCLUDED?ROPRIETOWPARTNERAEXECUTIVE ❑NIA <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />x <br />57 WEC AB9AXK <br />08/01/2020 <br />08/01/2021 <br />x PER OTH- <br />STATUTE ER <br />E.LL. EACH ACCIDENT <br />$ 1,000,000 <br />E.DISEASE-EA EMPLOYE <br />$ 1,000,000 <br />EL.DISEASE - POLICY LIMIT <br />I $ 1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1e1, Additional Remarks Schedule, maybe attached if more space is required) <br />RE: Agreement Nos A-2017-172 and A-2017-290 <br />City of Santa Ana, its officers, employees, agents and representative are included as additional insureds on General liability and Auto liability. Primary and <br />Non -Contributory is included. Waiver of Subrogation applies. <br />30 days Notice of Cancellation with 10 days notice for non-payment of premium in accordance with the policies provisions. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Piz FI 4 <br />Santa Ana <br />ACORD 25 (2014101) <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 />AUTHORIZED REPRESENTATIVE <br />CA 92701 / <br />WdeMnwgemmtDiyidan <br />REM MM&APPROVD9Y: <br />©1968-2014 ACORD C R. Vj&nuI <br />The ACORD name and logo are registered marks of ACORD - Risk Management Analyst <br />