Laserfiche WebLink
P, <br />µ r 4 /.?34 <br />GILL&PA-01 SMITHA <br />'4 a T ICATE OF LIABILITY INSURANCE <br />DATE 14 V) <br />� II�� � � HOLDER. <br />T <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATI ELL,�Y,,QQ{{�� NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS ��h7 'j IOFE �Rp:+j�'6E# DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIV �D(�',Ef�'; ¢l`(�QITN' CERTIFICATE HOLDER. <br />IMPORTANT: If §" ce Ificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the 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 License # OE67768 CONTACT <br />NAME: <br />IDA Insurance Services -SD PHONE 19 FAX <br />4350 La Jolla Village Drive, Suite 900 AIC No Ext :6 ) 574-6220 AIC No (619)5]4-6288 <br />San Diego, CA 92122 aDoeless: <br />INSURED <br />Gillis & Panichapan Architects, Incorporated <br />2900 Bristol St. Suite G205 <br />Costa Mesa, CA 92626 _ <br />A: RLI Insurance Company <br />a : Atlantic Specialty Insurance <br />INSURER F : <br />COVERAGES CFRTIFICATF NIIMRFR- RFVISIr1N MIIMnFR. <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 CONTRACTOR 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />JUM <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />(MMIDDA'YYYi <br />POLICY EXP <br />flMMflDMYYYYILIMITS <br />oh <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,00 <br />CLAIMS -MADE OCCUR <br />PSB0001119 <br />07/24/2014 <br />07/24/2015 <br />PREMISES Ea occurrence $ 1,000,00 <br />X <br />MED EXP (Any one person) $ 10,000 <br />Contractual Llab. <br />Dad.: $0 <br />PERSONAL &ADV INJURY $ 2,000,00 <br />X <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 4,000,00 <br />GEN'L <br />POLICY ECT [�] LOC <br />PRODUCTS-COMP/OPAGG $ 4,000,00 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,00 <br />Ea accident <br />A <br />X <br />ANYAUTO <br />PSA0001116 <br />06/01/2014 <br />06/01/2015 <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />P <br />BODILY INJURY (Per acclenl $ <br />d ) <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Parea dent <br />X <br />camp $1,000 X Coll $1,000 <br />$ <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 3,000,00 <br />A <br />EXCESS LIAB <br />CLAIMS -MADE <br />PSE0001038 <br />07/24/2014 <br />07/24/2015 <br />AGGREGATE $ 3,000,00 <br />DED I X I RETENTION$ 0 <br />1 1$ <br />1 <br />1 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE YI❑N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />PSW0001177 <br />09/01/2013 <br />09/01/2014 <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L. DISEASE - EA EMPLOYE $ 1,000,00 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 1 $ 1,000,00 <br />B <br />Prof Liab/Clms Made <br />DPL287613 <br />11/08/2013 <br />11/08/2014 <br />Per Claim 1,000,00 <br />B <br />Dad.: $5k Per Claim <br />DPL287613 <br />11/08/2013 <br />11/08/2014 <br />Aggregate 2,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: All Operations <br />The City of Santa Ana is Additional Insured with respect to General Liability per the attached endorsement as required by written contract. <br />30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. <br />.a ppr� �+ rrt �a�lYa <br />� <br />✓ i` <br />CERTIFICATE HOLDER CANCFI I ATION / ZIAC —1 ISA a- " ,,,.p,wneY 7 + <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />pp��55I 'a" <br />SHOULD ANY OF THE ABOVE DESCFIIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />Clerk of the City Council <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />oh <br />Santa Ana CA 92702 <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />