PROCURE AMERICA, INC. (2) - Laserfiche WebLink

Home Browse Search

Tori Pierson Digitally signed by Tor! Pierson Date: 2022.06.07 45A5:17 417'00' PKUL.U-1 TE D 0512612 V022 05/26/22 ACORo' CERTIFICATE OF LIABILITY INSURANCE 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER 949-365-5116 D TAD? Frank Dungan Brakke-Schafnitz Ins. Brokers License #OK07568 PHONE 949-365-5116 FAX NC, No, Eet : C, No): 3 Polaris Way,4th Floor Aliso Viejo, CA 92656 E-MAIL ran un an si .us Frank Dungan INSURER(SI AFFORDING COVERAGE NAIC# INSURER A: Sentinel Insurance Company 11000 INSURED Procure America 31103 Rancho Viejo Rd. #D2102 San Juan Capistrano, CA 92675 INSURER B INSURER C INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER- RFVISION NIIMRFR- 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICYEFF POLICY UP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR of 72SBAAP4101 01/06/2022 01/06/2023 EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED 1,000,000 10,000 NED UP An one arson PERSONAL INJURY 2,000,000 GEN'L AGGREG TE LIMIT APIPUEIS PER: X POLICYL JECOT I�J LOC OTHER: GENERAL AGGREGATE 4,000,000 PRODUCTS -COMP PAGG 4,000,000 A LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOB ONLY X AIOfTNOO ONLB 72SBAAP4101 01/06/2022 01/06/2023 COMBINED SINGLE LIMB 21000,000 BODILY INJURY Per person) POMOBILE BODILY INJURY Per accident PeOaiude^t AMAGE A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 72SBAAP4101 01/06/2022 01/06/2023 EACH OCCURRENCE 1,000,000 AGGREGATE 1,000,000 DED I X I RETENTION$ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETORIPARTNERIFXECUTIVE PFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, d.scribe under DESCRIPTION OF OPERATIONSbeim NIA PER OTH- EJ,. EACHACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMB DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured per SS00080405, includes Waiver of Subrogation & Primary Non -Contributory Wording CITYSAN City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) 9)1988-2015 ACORD C( The ACORD name and logo are registered marks of ACORD