My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GUTIERREZ, ROBERTO dba LIGHTER SHADE OF BROWN
Clerk
>
Contracts / Agreements
>
G
>
GUTIERREZ, ROBERTO dba LIGHTER SHADE OF BROWN
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/23/2022 12:47:38 PM
Creation date
8/25/2022 12:58:11 PM
Metadata
Fields
Template:
Contracts
Company Name
GUTIERREZ, ROBERTO dba LIGHTER SHADE OF BROWN
Contract #
N-2022-232
Agency
Parks, Recreation, & Community Services
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
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
TracyDigitally signed by <br />Traglambs <br />Jacobs Dale:zgz2.DA14 <br />121136-2.0 <br />A� CERTIFICATE OF LIABILITY INSURANCE °"08122J"w`z0" z" <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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer fights to the <br />certificate holder In lieu of such endorsement(s). <br />PaooucER <br />coveter <br />r L- Insurance Canopy Program Support <br />Insurance Canopy <br />Pg oxB .844520.6993 F .801-763-1374 <br />PO Box 34833 <br />inro(o3insurancecenopy.com <br />North Chesterfield VA 23234 <br />INSUMISAPFOMMOCDVEMGE <br />Mee <br />—.. <br />NSUMA: Great American E&S Insurance Company <br />26832 <br />—.. <br />IRWM <br />WaIraEN a: <br />Robed Gutierrez, DBA Lighter Shade of Brown <br />WSURER e: <br />1227 Aspenwood Ave <br />NBURER o: <br />Corona CA 92881 <br />MSDRERE: <br />WSMFR F: <br />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 POUCHES 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 />pjp <br />TYPEOFMSUMM <br />onmisnal <br />Poll MMBM <br />1 Wp <br />aPo04➢ <br />UNIS <br />OM MLWBIll1Y <br />EACH OCCURRENCE <br />s 1,090.000 <br />A COMMERCLLLGENEROLLIFBnIiT <br />CRAIMSM^DE OCCUR <br />r <br />♦ <br />PREM19E8 axu,mm <br />S 300,000 <br />NgMEYPINryme Peon] <br />5,000 <br />A <br />PLE676887-CDJA76000 <br />02/02M2022 <br />02/02Y2023--- <br />PERSONA- SAW INJURY <br />_s <br />5 1,000,000 <br />GENETALAGGREMTE <br />5 2,000,000 <br />GENL AGGREWTEGMRMRJES PFA: <br />PROOLCTS-OOMaoFAGG <br />5 2.000.000 <br />5 POMCT PF0. LOC <br />ANIMAL BNLEE <br />S <br />AUTOMOBILE <br />UPOUTY <br />rr <br />ECUae sINGLEUMff <br />5 <br />BODILYINJURYIPxpemn) <br />S <br />ANY MTO <br />AU -Mal <br />FR <br />LY IPnblat) <br />OIIvIrrO <br />FNED <br />HREDAUTOS UT <br />ar9LED <br />F <br />5 <br />S <br />VMBREU — <br />OCCUR <br />F—Ir <br />EACHCCCURRENCE <br />b <br />gGGREGAIE <br />5 <br />ExcESS wV <br />CIAIMSMADE <br />DED REIEMION5 <br />S <br />WORXFNSGOMPE mmm <br />WC STAl4 Oii4 <br />AHO ('MPLDYFRS'WBIRPY YIN <br />ANYPROPRETOWPARNEWECECIrm£ <br />OFFILEAIEMaFF FXCU-DEDY ❑ <br />NIA <br />EL EACH ACCIDENT <br />s <br />EL DISEASE -FA EMR <br />S <br />IM"Meary In an <br />Irneemmeeunre <br />ELDI6E45E- PCLICYIWn <br />S <br />rr <br />DESCRcate OFOPEMTO p1tlMAeOM tar ing 6NMUIgN <br />Certificate had been aftacatl <br />oona degas additionalthe bone <br />as regarding the above men8onetl policy per aHached <br />Orga insured policyaa per <br />Insureheld. <br />ted P <br />Person <br />n or (CG 2 13) <br />Additional Insured-utory& <br />bOrganization(CG20er Notice <br />Waiver <br />Primary, Nonwnldbubry & Waiver of SubragaUon applies. Earlier Notice of Cancella8an Provided by Us applies <br />a <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />nter Plaza Santa Ana, CA 92701 <br />Es <br />CA 92701 <br />AIMMONED REPRESENTATIVE 77 <br />l c <br />01988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks Of ACORD <br />INS02519vail <br />y� X1i[MawgmleiDallimL <br />j`9_.Ies� �T& REVIEWED6A°PROVEO BY: <br />® Risk Manager ent Analyst <br />
The URL can be used to link to this page
Your browser does not support the video tag.