Laserfiche WebLink
Digital) signed <br />0 nab Y <br />'�' CERTIFICATE i�F LIABILITY INS AIVE e b A ry��t�re <br />f. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS N R�3M o ik n •i I <br />�T <br />OR NEGATIVELY AMEND, EXTEND OR AL <br />CERTIFICATE DOES ATIVELY <br />FOFMINSURANCE <br />DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSJIAG INSUw& , RIZTPr <br />BELOW. THIS CERTIFICATE <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(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />AaCONNo Ext: (4I5)97I-9111 FAXNot: (415)358-9410 <br />Paragon Commercial Insurance Brokers <br />EMAIL if no commercalrisrou <br />ADDRESS: � ik g p.com <br />One Sansome Street Suite 3500 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER : RLI Insurance Company <br />13056 <br />San Francisco CA 94104 <br />INSURED <br />INSURER B : <br />INSURER C: <br />DKF Solutions Group, LLC <br />INSURERD: <br />170 Dogwood Lane <br />INSURER E : <br />INSURER F : <br />Vallejo CA 94591 <br />COVERAGESREVISION <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 />POLICY NUMBER <br />MMfDDNYYY <br />ICY EXP <br />MMFF LDDNYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />PREMISES 'Ea occurrence' <br />$ <br />MED EXP (Anyone person) <br />$ <br />PERS013AL &ADV I13JURY <br />$ <br />GEN'LAGGREGATE LIMIT APPLIES PER : <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑ PRO- <br />JECT ❑ LOG <br />PRODUCTS-COMP,'OPADS <br />$ <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />OVJPEED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY 114JURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Paraccidenf <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y t. N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR!PARTNERlEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OE:RCER;MEMBEREXCLUDED? <br />NIA <br />EL.DISEASE- EAEMPLOYEE <br />$ <br />(Mandatary in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EE_ DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />RTP0025302 <br />03/19/2022 <br />03/19/2023 <br />Aggregate <br />Occurrence <br />$2,000,000 <br />$2,000,000 <br />DESCRIPTION OF OPERATIONS t LOCATIONS i VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana <br />20 Civic Center Plaza <br />Fax- Email: <br />ACORD 25 (2016103) <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 />Risk Mougement DIMsian <br />CA 92701 + a\@ REVIEWED & APPROVED BY: <br />O 1988-2015 ACORD i <br />The ACORD name and logo are registered marks of ACORD Ruk1 Management Specialist <br />oil <br />