My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ROJAS, ALICIA (5)
Clerk
>
Contracts / Agreements
>
R
>
ROJAS, ALICIA (5)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/1/2025 12:43:35 PM
Creation date
1/21/2025 11:02:52 AM
Metadata
Fields
Template:
Contracts
Company Name
ROJAS, ALICIA
Contract #
N-2024-394
Agency
Public Works
Expiration Date
10/31/2025
Insurance Exp Date
1/23/2026
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
29
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORO° CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDIYYYY) <br /> 02/04/2025 <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 NAME: Monica Valerio <br /> NE <br /> Nancy Rangel Insurance&Financial Services AIC,No EXt: (714)378-1580 FAX No): (714)378-1583 <br /> 6032 Warner Ave E-MAIL-ADDRESS: <br /> -MAIL i el.com <br /> servce nanc ran <br /> ADDRESS: service@nancyrangel.com <br /> g <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> Huntington Beach CA 92647 INSURERA: HISCOX INSURANCE COMPANY INC 10200 <br /> INSURED INSURERB: biBerk,a berkshire Hathaway Company 524210 <br /> Santa Ana Community Artist Coalition INSURER C: <br /> Alicia Rojas INSURER D: <br /> 1205 W Saint Gertrude PI INSURER E: <br /> Santa Ana CA 92707-3132 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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/DD/YYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE O <br /> CLAIMS-MADE1:1 OCCUR PREM SESEa oNcur ence $ 100,000 <br /> MED EXP(Any one person) $ 10,000 <br /> A Y P101.174.712.3 01/23/2025 01/23/2026 PERSONAL&ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER; Crime Coverage $ 250,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY YIN STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ <br /> ❑ <br /> OFFICER/MEMBER EXCLUDED? N I A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> each occurrence 1,000,000 <br /> B Professional Liability Y N9PL719945 01/23/2025 01/23/2026 <br /> aggregate 2,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Additional Remarks Schedule,may be attached if more space is required) <br /> Additional Insured:City of Santa Ana,agents,officers,employees,and volunteers <br /> DIgltallyslgned APPROVED <br /> Tu Tran byTra��T <br /> Nguyen <br /> Nguyen oat0:44-08'00' B Tu Tran Nguyen at 11:40 am,Feb 19,2025 <br /> ,:aa:as-os'o.1 y <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana <br /> Attention:Suzi Furjanic, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> 20 Civic Center Plaza M-22 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Monica Valerio <br /> Santa Ana CA 92701 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.