|
CERTIFICATE OF LIABILITY INSURANCE 1 DATE
<br /> 02/04/20 6YY)
<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 be endorsed. If SUBROGATION IS WAIVED,subject to the
<br /> terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT JOHN DIEHL
<br /> State Farm Insurance NAME:
<br /> P HONE Ext:626-791-9915 aC No):626-791-9918
<br /> 180 S. Lake Ave Suite 405 E-MAIL JOHN JDIEHL.COM
<br /> O Pasadena, CA 91101 PRODUCER
<br /> ADDRESS: OD75608
<br /> CUSTOMER ID#:
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURED INSURER A:State Farm Fire and Casualty Company 25143
<br /> NETFILE, INC. INSURER B:State Farm Fire and Casualty Company 25143
<br /> PO BOX 27320 INSURERC:
<br /> FRESNO, CA, 93729 INSURERD:
<br /> INSURER E
<br /> 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 INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
<br /> A GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
<br /> DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY 92-XV-7702-4 03/01/2026 03/01/2027 PREMISES Ea occurrence $ 300,000
<br /> CLAIMS-MADE � OCCUR MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 2,000,000
<br /> GENERAL AGGREGATE $ 4,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000
<br /> X POLICY PRO LOC $
<br /> JECT
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
<br /> (Ea accident)
<br /> ANY AUTO ❑❑ BODILY INJURY(Per person) $
<br /> ALL OWNED AUTOS BODILY INJURY(Per accident) $
<br /> SCHEDULED AUTOS PROPERTY DAMAGE
<br /> HIRED AUTOS (Per accident) $
<br /> NON-OWNED AUTOS $
<br /> A X UMBRELLA LIAB X OCCUR 03/01/2026 03/01/2027 EACH OCCURRENCE $ 2,000,000
<br /> EXCESS LIAB CLAIMS-MADE 92-EO-Y230-0 AGGREGATE $ 2,000,000
<br /> DEDUCTIBLE $
<br /> RETENTION $ $
<br /> A WORKERS COMPENSATION X ORY LIMIT
<br /> ATU_ OETH
<br /> R
<br /> AND EMPLOYERS'LIABILITY
<br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? � N/A 92-MW-G743-9 03/01/2026 03/01/2027
<br /> E.L.DISEASE-EA EMPLOYEE $ 1,000,000
<br /> (Mandatory in NH)
<br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000
<br /> B TECHNOLOGY ERRORS&OMISSIONS E] 342022 702/11/2026 02/11/2027 $2 000,000-EACH WRONGFUL ACT
<br /> $2,000,000-TOTAL LIMIT OF LIABILITY
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
<br /> DATA AND INFORMATION STORAGE
<br /> CANCELLATION NOTICE: IF ANY POLICIES ARE CANCELED BEFORE THE EXPIRATION DATE,STATE FARM WILL TRY TO MAIL A WRITTEN NOTICE
<br /> TO THE CERTIFICATE HOLDER 30 DAYS BEFORE CANCELLATION.
<br /> CERTIFICATE HOLDER CANCELLATION APPROVED
<br /> By Tu Tram guyert at ll:28 a ,Felt 9,2C9 a
<br /> CITY OF SANTA ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
<br /> ATTENTION:JENNIFER HALL,CITY CLERK POLICY PROVISIONS.
<br /> 20 CIVIC CENTER PLAZA, M-30
<br /> SANTA ANA,CA,92701 AUTHORIZED REPRESENTATIVE
<br /> DIANA IBARRA
<br /> ©1988-2009 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD 1001486 132849.4 02-11-2010
<br />
|