SUTTER, KATHERINA (3) - Laserfiche WebLink

Home Browse Search

.4`vizo CERTIFICATE OF LIABILITY INSURANCE DATE I12W202YYYY) aDrzvzaza 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 CONTACT Maguire Insurance Agency, Inc. FWI 1 Bela yn St a 100 Pi Gala Cynwytl, PA 19004-1401 NAME: PHONE INC, No, EMI: FAX (qIC, No): E-MAIL 610.61T7900 ADDRESS: INSURERS) AFFORDING COVERAGE NAIC 9 INSURERA: Philadelphia Indemnity Insurance Company 18058 INSURED INSURERS: Katherina Sutter 4307 Archway INSURER C: INSURER D : Irvine, CA 92618 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD VAT POLICY NUMBER (MM/DDM'YY) (MMIDDIYYYY) LIMITS A X COMMERCIALGENEIIALLIABILITY X PHPK2304127-002 07/2112023 07I21/2024 EACH OCCURRENCE $100000 CLAIMS -MADE ❑X OCCUR DAMAGETORENTED PREMISES (Ea occurrence) $100,000 X MED EXP(Any one person) $2,500 PROFESSIONAL LIABILITY PERSONAL B ADV INJURY $1,000.000 GEN'L GENERALAGGREGATE $3,000,000 AGGREGATE LIMIT APPLIES PER: POLICY El PROJECT ❑LOC X PRODUCTS - COMPIOP AGO $3,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMB (Ea accident) g ANY AUTO BODILY INJURY (Par person) $ OWNED AUTOS SCHEDULED AUTOS ONLY BOOILYINJURY(Per accident) $ HIRED AUTOS NON -OWNED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ E WORKERS COMPENSATION PER OTHER AND EMPLOYERS' LIABILITY YIN STATUTE ANYPROPRIETOR/PARTNE W EXECUTNE N/A OFFICEWMEMBER EXCLUDED? E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ (Mandatory in NH) If yes, describe under EL. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) his understood and agreed that the following entity is added as an additional insured but only with respect(s) to the operations of the named insured except that Iiabiliry resulting from the additional insurside sole negligence. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza Fl4 Santa Pna, CA 927014058 AUTHORIZED I MR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1gekAfmagartmtDN6len t REviEWmSAPPROVEDBY: ,111 A-ft Ac.EF44 ® Risk Management SpeOalist ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD