My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ELITE SPECIAL EVENTS, INC. (2)
Clerk
>
Contracts / Agreements
>
E
>
ELITE SPECIAL EVENTS, INC. (2)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/9/2022 3:08:30 PM
Creation date
8/9/2022 3:07:31 PM
Metadata
Fields
Template:
Contracts
Company Name
ELITE SPECIAL EVENTS, INC.
Contract #
N-2022-211
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2022
Insurance Exp Date
5/7/2023
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
23
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Digitally signed <br />Angie by Angie <br />ACORO® CERTIFICATE OF LIABILITY <br />�� <br />cevedo <br />DATE IMMR OA YY) <br />07/07/2022 <br />THIS CERTIFICATE IS ISSUED AS A OF INFORMATION ONLYAND CONFERS NO UPON Tlaate:2022.0844 <br />IS <br />EOR <br />CERTIFICATE OES NOT AFFIRMATIVELY NEGATIVELY AMEND, XTEND OR ALTER HE CR <br />OVERAGE` X\)=RD DBY 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(s). <br />PRODUCER <br />United Insurance Services, Inc <br />704 S Victory Blvd, Suite 204 <br />Burbank, CA 91502 <br />CONTACT <br />NAME, Sam Muradyan <br />FAX <br />o E#: 8187618888 A/C No: 8882656889 <br />AAA No, <br />ADDRESS, Sam@libertyunitedinsumnee.com <br />INSURERS AFFORDING COVERAGE <br />NAIC P <br />License #: OF89841 <br />INSURERA: Certain underwriters at Lloyds <br />INSURED <br />INSURERS: <br />Elite Special Events, Inc <br />INSURERC: <br />11278 Los Alamitos Boulevard #101 <br />INSURERD: <br />Los Alamitos, CA 90720 <br />INSURER E: <br />INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 00001977-270182 REVISION NUMBER: 325 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PMH <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT T <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I <br />�TRR <br />TYPE OF INSURANCE <br />ADDL <br />INSO <br />SUER <br />WVO <br />POLICY NUMBER <br />MMIDDIYYYY <br />NIMIDD/YYY <br />LIMIT <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE1:1 OCCUR <br />Y <br />Y <br />ZISMB1499 01 <br />05107/2022 <br />05/07/2023 <br />EACH OCCURRENCE <br />00X <br />PREMSES Eaoccunence <br />00MED <br />EXP Any one person) <br />PERSONAL&ADV INJURY <br />00GEN'L <br />X <br />AGGREGATE LIMIT APPLI ES PER: <br />POLICY ❑JEST LOC <br />GENERALAGGREGATE <br />00 <br />PRODUCTS - COMPIOPAGG <br />$ 2000000 <br />$ <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLEUMIT <br />(E..crd.n0 <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNS <br />OWNED SCHUTOS EDULED <br />AUTOSONLY A <br />J <br />BODILY INJURY accklent) <br />$ <br />HIRED I I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per amident <br />$ <br />$ <br />1 <br />1 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS Me <br />CLAIMS -MADE <br />DELI RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LUIBILITY YIN <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ <br />OFFICERNEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY UNIT <br />$ <br />A <br />Accident/Medical <br />ZISMB149901 <br />05/07/2022 <br />05/07/2023 <br />$10,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached X more space is required) <br />Certificate Holder Is An Additional Insured <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92701 <br />CANCELLATION <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 />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Pr <br />Risk MnagementDwon <br />REVIEWED 6 APPROVED BY: <br />' <br />A,� Auv4to <br />Risk Management Specialist <br />Of <br />
The URL can be used to link to this page
Your browser does not support the video tag.