Laserfiche WebLink
Francine R. Vi <br />Francine R. <br />"`` "J"" CERTIFICATE OF LIABILITY INSURANCE r nATE( <br />V DATE m, r, IYYYI') <br />THIS CERTIFICATE IS ISSUED qO A MATTER OF INFORMATION ONLY AND CONFERS NO 3/2021 RIGHTS UPON THE CERTIFICATE HOLHIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND BELOW, THIS CERTIFICATE OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />---- ........ • " ••_ �...... cmn uoloer Is an AUUITIONAL INSURED, the <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of <br />this certificate does not confer rights to the certificate holder in lieu of <br />PRODUCER <br />(OC) Heffernan Insurance Brokers <br />18004 Sky Park Circle, Suite 210 <br />Irvine CA 92614 <br />INSURED <br />211 Orange County <br />1505 E. 17th Street, Suite 108 <br />Santa Ana, CA 92705 <br />Pluvisions Or be endorsed. <br />certain policies may require an endorsement. A statement on <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NETHEABOVESION B ORER, 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 />R ISAODL SUER .TR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP <br />A X COMMERCIAL GENERAL LIABILITY y MM/ODIVYYy MMIOD/YYYY LIMITS <br />2021-03104 2/1/2021 2/1/2022 <br />CLAIMS -MADE OCCUR nnnne Oc .n oftENCE $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY JECT � LOC <br />OTHER: <br />A AUTOMOBILE LIABILITY 2021-03104 <br />A2/1/2021 <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />A X UMSRELLALIAB X OCCUR 2021-03104UMB-NPG <br />- _ 2/1/2021 <br />EXCESS LIAB ,,...... .. _ <br />YIN <br />1-1 <br />8 I Crime <br />107377947 2/1/2021 <br />2/1/2022EPE'.'RT.Y <br />entED SINGLE LIMIT $1.000,000 <br />INJURY (Per person) $ <br />INJURY (Per accident) $ <br />n DAMAGE $21112022 <br />2/1/2022 i Employee That <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace le required) <br />Re: As Peinsuredr Contract or Agrand eement on File with Insured. City of Santa Ana, its officers, agents, employees, representatives and volunteers are included as an <br />hasbeenrequested far the General Liability non-contributory) <br />p licy from the inon General surance coimpanyer the <br />and if approveddwill be forwiardediwhen eceivedCancellation notice endorsement <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION Y ACCORDANCE W THDTHE POLICY PROVISIONS.E WILL BE <br />City of Santa Ana DELIVERED IN <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 AUTHORIZED REPRE/S�EJ'N/TA/TIVE <br />,ssnexe RIAMmmgamentD[VI <br />+ {- REVIEWED%. APPROVED BY.- <br />ACORD 25 2016l03 ©1988.2015 ACORD C 8` . 3 <br />( ) The ACORD name and logo are registered marks of ACORD <br />J Risk Management Analyst <br />