WARE MALCOMB (3) - Laserfiche WebLink

Home Browse Search

Du y signed non Tori Pierson Datef2022.06.29 YL11102e0>UO' A� a CERTIFICATE OF LIABILITY INSURANCE DATE/(MNUDD 2YY) 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 endorsement(s). PRODUCER AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd Suite 230 Lafayette CA 94549 CONTACT NAME; Karin Thorpe PHONE 714-0276810 FAX No: E-MAIL ADDRESS: DeSi nProCerts AssuredPartners.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: LIBERTY INSURANCE UNDERWRITERS INC 19917 License#: 6003745 INSURED WARE MALCOMB 10 Edelman INSURERS: American Casualty Company of Reading, 20427 INSURER C: Continental Insurance Company 35289 INSURER D: Valley Fore Insurance Company20508 Irvine CA 92618 INSU0.ER E INSURER F COVERAGES CERTIFICATE NUMBER: 1363885374 REVISION NUMBER: 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. ILTR TYPE OF INSURANCE im ADOL BUBBJIM POLICY NUMBER MMIDDY)YYYY MM%DD UP LIMITS D X COMMERCIAL GENERAL LIABILITY CLAIMS-MADErx] OCCUR V Y 7015145376 6/20/2022 6/20/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Eaoxur ma $1,000,000 MED EXP (Any one person) $15,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000 POLICY JECT LOG PRODUCTS-COMPIOP AGG $2,000.000 $ OTHER: C AUTOMOBILE LIABILITY Y Y 7015145362 6/20/2022 6/20/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Par person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS I INJURY Per accitlent ( ) BODILY INJY $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTYDAMAGE Per accident $ C X UMBRELLALIAB X OCCUR 7015145359 6/20/2022 6/20/2023 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y 7015145393 7015145409 6/20/2022 6/20/2022 6/20/2023 6/20/2U23 X SPER TATUTE ER E.L. EACH ACCIDENT $1,000,000 ANVPROPRIETOWPARTNERIEXECUTIVE OFFICEWMEMBEREXCLUDEDA ❑ NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, deacdbe antler E.L. DISEASE POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A Professional Liability Claims Made AEX1964750122 6/20/2022 6/20/2023 per claim and aggr. $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Umbrella policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability 30 Day Notice of Cancellation applies Re: Project #MSA20-0054-00, Project Name: City of Santa Ana Space Planning and Architecture. City of Santa Ana are named as Additional Insured on General Liability and Auto Liability, per policy forms, with respect to the operations of the Named Insured as required by written contract or agreement. Insurance coverage includes waiver of subrogation per attached. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 Nonce or cancenanon SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU HORRED REPRESENTATIVE RbkMarugenmlMidet n1 p RENKgri&Arreut�Br. noq p low %dte ;athraaa 177988-2015 AC(TRn Cr RakMaregmem Clenu1Aide ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD