Laserfiche WebLink
Francinell Villareal <br />CORy CERTIFICATE OF LIABILITY INSURANCE l0/14/20211 <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. <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 endorsement($). <br />PRODUCER <br />DAWOOD INSURANCE AGENCY <br />18800 Delaware St #304 <br />Huntington Beach, CA 92648 <br />ONTACT <br />NAME <br />PHONE (999)417-0204 <br />^ NO EM aC No (714) 842-9791 <br />ADDRESS. kato@ dawoodinsurance . com <br />IN9URE1491 AFFORDING COVERAGE <br />NAICY <br />INSURER A. ADMIRAL INSURANCE COMPANY <br />24856 <br />INSURED Pyramid Group International, Inc. <br />25771 Rapid Falls Road <br />Laguna Hills, CA 92653 <br />INSURER <br />INSURER <br />NSURER U <br />INSURERE <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />LI RR <br />TYPE OF INSURANCE <br />POOL <br />I aD <br />sues <br />VWD <br />POLICY NUMBER <br />PULIC EFF <br />V WDOM'W <br />POLICY EXP <br />M1WDDM'YY <br />LIMITS <br />Tolmmescu"' DENFIUILIABRIttEACH <br />DO N R ❑ OCCUR <br />OCCURRENCE <br />s 2 000 000 <br />PREMISES Ea °ccvrence <br />s 50,000 <br />MED ExP IAny oDa Par.GRl <br />§ 5 000 <br />PERSONAL S ADV INJURY <br />s 2,000,000 <br />A <br />FEI-ECC-28399-00 <br />03/22/2103/22/22 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POUCYE]PRO-JECT ❑ LOG <br />GENERAL AGGREGATE <br />s 2,000,000 <br />PRODUCTS - COMPIOP AGG <br />§ 2,000,000 <br />§ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />Ea acadent <br />§ <br />ANY AUTO <br />BODILY INJURY (Pa person) <br />§ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />BODILY INJURY (Per ecpldenq <br />3 <br />Per aondenl <br />§ <br />s <br />UMBRELLA LIM <br />OCCUR <br />EACH OCCURRENCE <br />s <br />EXCESS LAB <br />CLUMSA DE <br />AGGREGATE <br />s <br />DEO I I RETENTION § <br />§ <br />WORRERS COMPENSATION <br />AND EMPLOYERSLIABILITY VIM <br />ANY PROPRIEtORIPARiNER,EYECUrIVE <br />OFFIGE"EMBER EXCLUDEm ❑ <br />NIA <br />STATUTE ER <br />E.L EACH ACCIDENT <br />§ <br />E.L. DISEASE � EA EMPLOYE <br />$ <br />PAIN MM M MN) <br />It yes. tlascdDe under <br />DESCRIPTION OF OPERATION, W. <br />EL DISEASE - POLICY UMIT <br />§ <br />OCCURRENCE <br />— <br />2,000,000 <br />A <br />Professional Liabili <br />FEI-ECC-28399-00 <br />03/22/2103/22/22 <br />AGGREGATE <br />2,000,000 <br />CLAIM EXPENSE <br />2 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tot AGdd,0ral RamaUv SmeWle may De asaflleG mae epace,9 rep,iredt <br />This Certificate of Insurance names: City, its City Council, officers, employees, agents and <br />volunteers are named as additional insureds. <br />Primary/Non-Contributory Endorsement form must be provided in addition to the Certificate of <br />Insurance for General Liability included and it will follow upon the issuance of the policy. <br />ADDITIONAL INSURED <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA ,CA 92702 <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 />AOUH1Jzb(2Ut SIU3) The ACORD name and logo are registered marks of ACORD <br />c) CI <br />CORPORATION. <br />s <br />Risk ManagmlerdliMslurl <br />REmEwm & APPROVm BY: <br />F.Fu�R.VtG uP <br />Rua Management Analyst <br />