LIEBERT CASSIDY WHITMORE(LCW) - Laserfiche WebLink

Home Browse Search

LIEBCAS-Cl ACARDARAS CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)3/29/2024 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, c .,r,,ai ligies rrW requ' an endorsement. A state en on ' ' &owl this certificate does not nfer rights to the certcate holder in lieu of such endorse) lent( ). PRODUCER CONTACT 1 LU I I y 4J I I NAME: Bolton Insurance Servic PHONE Z6 799-7000 FAX 626 441-3233 3475 E. Foothill Boulev (A/C, No, EXt): ( ) (A/C, No):( ) n le L Suite 100 ADDRESS: Pasadena, CA 91107 9I SU DI C VE A NAIC # INSURED Liebert CaACA i or a io I or r 6033 W. C5th C1 Los Angel f_[l\/FRAnP_Q f_1=RTI1=If_AT1= All IMRFR- INSURER A - jenti► Insurance Co a td. 1100 INSURER F :Feder I m 2 84< • URE► C : �.niC 1 ur 1... r Ora 10 I OF _R D : ,RER E : • • USURER F: 0 RF\/ICI[lAl All IMRFR- 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE [X] OCCUR X X 72SBAAK0318 12/14/2023 12/14/2024 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY D PRO- � LOC JECT PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 290009000 $ BODILY INJURY Perperson) $ ANY AUTO 72SBAAK0318 12/14/2023 12/14/2024 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 41000,000 EXCESS LIAB CLAIMS -MADE 72SBAAK0318 12/14/2023 12/14/2024 DED X RETENTION $ 109000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A X 71750595 4/1/2024 4/1/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Professional Liabili LAW2163901 12/10/2023 12/10/2024 Each Claim/Aggregate 590009000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability forms apply to Automobile as written in the policy. GL Additional Insured applies per SS 00 08 04 05 attached, only if required by written contract/agreement. GL Primary & Non -Contributory Wording applies per SS 00 08 04 05 attached. GL & WC Waivers of Subrogation apply per SS 00 08 04 05 & WC040306484 attached. RE: Legal Services Agreement A-2021-138 Additional Insured(s): City of Santa Ana, its officers, officials, employees and agents CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIRFD 130LICIFS RF CANCELLED RFFORF THE EXPIRATION DATE THEREO ACCORDANCE WITH THE POLICY PR( AUTHORIZED REPRESENTATIVE lrr � orsa ue Risk DMSlon REVIEWED & APPROVED BY: Risk Management Specialist ACORD 25 (2016/03) © 1988-2015 ACORD The ACORD name and logo are registered marks of ACORD . All riahts reserved.