AMBK, INC. DBA BIOSOCAL - Laserfiche WebLink

Home Browse Search

Francine R. Digitally signed by Francine R. Villareal Villareal Date: 2021.06.30 09:28:34 -07'00' ACO2o® CERTIFICATE OF LIABILITY INSURANCE 0610s/os12oz1 91200(YYYY) `� 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement an this certificate does not confer Hahts to the certificate holder in lieu of such endomementls). PRODUCER Ari Berman Insurance Agency Inc "'"' Ad Berman 333 N Lantana Street, Suite 102 _ PHONE 805484-7470 FAX 805 482 6412 — �(. C�NR):_-__ Camarillo CA 93010 EAI'iR`E_all: _ ADDR-MESS:ari@abermaninsurance.eom INSURER(9I AFFORDING COVERAGE NAIL9 _ _ INSURER A:CaPitOl Si INSURER Insurance Corp INSURED AMSK, INC dba: Bio SoCal INSURER e_National Liability & Fire Insurance Co 31127 Via Colinas #803 _ INSURER c:State Compensation Insurance Fund Westlake Village CA 91362---_-- —— — - INSURERD: INSURER E: THIS 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. ✓ COMMERCIALGENEMILIASILm' I ✓ I ✓ CLAIM&MADE ✓ OCCUR I GEN L AGGREGATE UMITAPPLIES PER: ✓ PRO. POLICY JECT GC AUTOMOSILELIABILITY I ✓ ✓ ANYAUTO I OWNED SCHEDULED AUTOS ONLY WeAUTOS HIRED NON_OWNED ✓ AUTOS ONLY ✓ AUTOs ONLY ✓ comp 1000 f/ co111000 UMBRELLALIAS OCCUR EXCESS LIAR CLAIM&MADE YIN NfA Liability I I ./ -- X IREHTE� . — _ PREMI$ESLz oco�nmce) TDD,DD_D_ _ 810612020 08106/2021 MEO EXP IAnxne Damon)_ �s10,000 _ - PERSONALaADVINJURY 51,660,0 GENERAL AGGREGATE _-00 $2,000,000 P—ROOUCTs-COMPIOPAGG s2,000,000 BOOILY INJURY(Par personl $ BODILY INJURY 1Pmercidant) s PROPERTY—DAMAGEis —._ Is EACHOCCURRENCE _ S AGGREGATE _ �$ ✓ PER DISEASE -EA EMP DISEASE - POLICY Nona] Liability FV2e20067701 0810612020 08I0612021 1 OF OPERATIONSI LOCATIONS I VEHICLES (ACORD 101, Additional Ramerlu Schedule, may be amachad If more space Is required) )F SANTA ANA, IT'S OFFICERS, EMPLOYEES, AGENTS, AND REPRESENTATIVE ARE NAMED AS ADDITIONAL INSURED IN TO GENERAL LIABILITY PER ATTAHCED CG201511 88 ADDITIONAL INSURED FORM. City of Santa Ana will be mailed 30 days written notice of policy cancellation and the references endeavor to and failure to mail such :e shall Impose no obligation or liability of any kind upon the company, Its agents or representatives CIVIC CENTER PLAZA ,NTA ANA, CA. 92701 ACORD 25 (2016103) The ACORD name and logo are Produced using Farms Boss Web somsam. w .Forme Per claim SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KOJ f marks of ACORD Impresslue Publishing 800-205-19TT RiskMVWgmuntDiHelon K"'[RENEWED6pAPPR.t,VMSY: tt.' , Risk Management Analyst