Laserfiche WebLink
Ut I I'"Itf JU11 ume: eu«.uc.us inv:el <br />-0]'00' <br />,�►coRO® CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMMIDDYYYY) <br />06/02/2022 <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 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 NAME: Darren Rosenbaum <br />Taylor & Taylor Ltd. <br />PNONE (818) 981-9700 FAX (818) 981-9703 <br />AIC No EXt: A/C, No: <br />15060 Ventura Boulevard <br />AoonEss; dosenbaum@taylorinsurance.com <br />Suite 201 (License #0731414) <br />INSURER(S) AFFORDING COVERAGE <br />NAICk <br />Sherman Oaks CA 91403-2436 <br />INSURER A: Federal Insurance Company <br />20281 <br />INSURED <br />INSURER B: <br />TV Pro Gear, Inc. <br />INSURER C: <br />1630 South Flower Street <br />INSURER D: <br />INSURER E: <br />Glendale CA 91201 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 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 />AUDLSUWK <br />INSD <br />MD <br />POLICY NUMBER <br />POLICY EFF <br />Mldn) YYY) <br />POLICY EXP <br />(MMIDD/YYYY) <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADEDAMAGE <br />N OCCUR <br />Y <br />79567606 <br />06/10/2022 <br />06/10/2023 <br />EACHOCCURRENCE <br />$ 1,00D,000 <br />O ENTED <br />PREMISES RENT rrence <br />1,000,000 <br />$ <br />MED EXP(Any one person) <br />$ 10,000 <br />PERSONAL&ADV INJURY <br />$ 1,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />X POLICY P- ❑ <br />JECTROLOC <br />OTHER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS-COMP/OPAGG <br />$ Included <br />$ <br />AHIANYALTO <br />AUTOMOBILE <br />LIABILITY <br />OWNED SCHEDULED <br />AUTOSONLY AUTOSHRED H <br />NON-OWNED AUTOS ONLY AUTOS ONLY <br />79567607 <br />06/10/2022 <br />06/10/2023BODILY <br />COMBINED SINGLE LIMIT <br />Ea accearl <br />$ 1,000,000 <br />BODILY INJURY(Per person) <br />$ <br />INJURV(Peracceent) <br />$ <br />Per accident <br />$ <br />A <br />X <br />I <br />UMBRELLA LIAB <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />79962588 <br />06/10/2022 <br />06/10/2023 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />I <br />DIED <br />$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y <br />ANY PROPRIETOR/PARTNER/EXECUTIVE � <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />byes, describe under <br />DESCRIPTION OFOPERATIONS below <br />NIA <br />79963560 <br />07/22/2022 <br />07/22/2023 <br />;/ PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be coached If more space Is required) <br />City of Santa Ana, officers, agents, employees, and volunteers is included as Additional Insured with respect to claims arising out of the negligence of the <br />Named Insured. Coverage is primary and noncontributory if required by written contract. <br />City of Santa Ana Risk Management Division <br />20 Civic Center Plaza <br />4th Floor <br />Santa Ana <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 „y B1al!lMmMsntiiMldCA <br />/'� REvrEMED&APPROV®Br. <br />CA 92702 T :R y'_ � a 7W <br />. 1 J / 7j _ _ _ <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />