Laserfiche WebLink
DATE(MM/DD/YYYY) <br /> ACORN° CERTIFICATE OF LIABILITY INSURANCE <br /> 09/24/2024 <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 CONTACT Nica Llorin <br /> B2 Insurance Services NAME: <br /> 1426 Aviation Blvd, Suite 203 A/C.No. xt E : (424)286-9400 PHONE FAX <br /> No): (424)888-7660 <br /> Redondo Beach, CA 90278 E-MAIL <br /> ADDRESS: nlCaCb2lnSurarlce.COm <br /> License#: 0122551 INSL RQJg4a11mcjamd by Angie NAIL# <br /> F"1A[t-ftL-(Jeqc1aIty Insurance Co <br /> INSURED %I UR RB: r.!!­; ',Ule , <br /> Brightlife Designs LLC INSURERC: Cid' It01 <br /> 16351 Gothard St - <br /> Ste C INSURERD: Scottsdale Insurance <br /> Huntington Beach, CA 92647-3633 INSURERE: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 00006370-1889171 REVISION NUMBER: 203 <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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR I POLICY NUMBER MM/DD/YYYY MM/DDIYYYY <br /> A X COMMERCIAL GENERAL LIABILITY Y Y MP000401610085200 08/10/2024 08/10/2025 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE DAMAGE TO RENTED <br /> X OCCUR PREMISES Ea occurrence $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2 000 000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y BA040000070299 10/09/2024 10/09/2025 (CEO,acccidentslNGLE LIMIT $ 1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY X AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> X Deductible-10 0 Comp/Collision $ 1000 <br /> C UMBRELLA LIAB X OCCUR Y Y XS22030363-02 08/10/2024 08/10/2025 EACH OCCURRENCE $ 2,000,000 <br /> X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 <br /> DED RETENTION NONE $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> D Employment Practices Y Y EKS3519197 04/07/2024 04107/2025 1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> The city of Santa Ana, its officers,employees, agents and representatives are Additional Insureds with respect to General <br /> Liability and Auto Liability per the attached endorsements or as required by written contract. Insurance is Primary and <br /> Non-Contributory <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRI <br /> City of Santa Ana - Risk Management Division THE EXPIRATION DATE THEREOF,NO Risk ManagementDMsinrt <br /> ACCORDANCE WITH THE POLICY PRC a" �F <br /> 4th Floor REVIEWED&APPROVED BY. <br /> 20 Civic Center Plaza °( �. g, e j�ee„44 <br /> AUTHORIZED REPRESENTATIVE <br /> Santa Ana, CA 92702 I /p, ®' Risk Management Specialist <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by NLL on 09/24/2024 at 11:06AM <br />