ELITE SPECIAL EVENTS, INC. - Laserfiche WebLink

Home Browse Search

Digitall si nec ACOR" CERTIFICATE OF LIABILITY DA:E(MM/DD/YYYY) b4n9W4/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGILA UPON THE CF ,21 FxC 1Q HO_ , LQ�R. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF /RD IES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAC E H I UI Ra1, AeUT0�2E�•O I REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. C U [I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must ave A I ON ' ff ,UR provisi ,LoQ, ,nd�r� 0 O If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may reruir , an endors r 4 � 9(� U this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Liberty United Insurance Services, Inc PHONE Sam M8888 .: FAX 704 S Victory Blvd, Suite 204 (AC, No Ext): 8187618888 A/c, No): 8882666889 IL Burbank, CA 91502 ADDRESS: Sam@libertyunitedinsurance.com License #: OF89841 INSURER(S) AFFORDING COVERAGE NAIC# UJSURERA: uerialn unaerwrners at L.Io a's INSURED Elite Special Events, Inc 11278 Los Alamitos Boulevard #101 Los Alamitos, CA 90720 INSURER B INSURER C: INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 304 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y ZISMB1499 06/07/2021 06/07/2022 EACH OCCURRENCE $ 1,000,000 X CLAIMS-MADE1:1 OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ 300,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ECT LOC �POLICY PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Accident/Medical ZISMB1499 06/07/2021 06/07/2022 $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder Is An Additional Insured CERTIFICATE HOLDER CANCELLATION City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92701 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IZISIZ IL M88g:D D BD & APPROVED Y:REVIEWE ni z ©1988-2015ACORD, -�,_� I? i5k Management Specialist The ACORD name and logo are registered marks of ACORD Pr