COACH MAX CORP - Laserfiche WebLink

Home Browse Search

77/30/2024 (MM/DD/YYYY) A`oRo° CERTIFICATE OF LIABILITY INSURANCE 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 NpP'E^CT d a TIB Transportatio Insurance Brokers, LLC PH NE y 425 W. Broadw ulte 300 A/' "" E $ a/ 90 Glendale CA 91 126j/% ^� �\ AM RFSS: a e. INSURER(S) AFFORDING COVERAGE NAIC # • License#:OK07568 INSU _R II C a INSURED COACMAX-01 INE R, ? BLJYV Of 10n Coach Max Corp. ftwof DBA: Transportation USA IP t1RER 500 N. Ford Blvd. SURER East Los Angelei4 90022 ' INSURERE COVERAGES APE=\ ■ ffrMIFLAffE1RMM01371i39L4 ■ REVISION NU-MRF3 - _ THIS IS TO C TIFY OF URA S EENS T E RED D AB V F E LI PERIOD ANY OR TOE CERTIFICATE F CATE MAWIBESTANDING ISSUEED OR MAY PERTAIN, N, THETERM INSURP 4CFO.--%FFORDEOD BY THE O ICIES DES IBED HEREIN S S B ECT TO ALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOP..: MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y KCA26628352 8/24/2023 8/24/2024 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY PRO ❑ LOC El JECT X PRODUCTS - COMP/OP AGG $ $ OTHER: A AUTOMOBILE LIABILITY Y Y KCA26628352 8/24/2023 8/24/2024 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X FIR ERTYDAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Sexual Abuse and Molestation B0621 PCOAC000824 7/26/2024 7/26/2025 $1,000,000 $10,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Santa Ana, its City Council, its officers, officials, employees, agents and volunteers are included as Additional Insured with respects to their interest in the operations of the named insured. Waiver of subrogation applies. Coverage is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Attn: Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRC orz,N�F RAManagmumtDiviaian 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE' REVIEWED&PaPPROVmBY: Santa Ana CA 92702 4Acev44 _ ®, �1 Risk Management Specialist ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD