HUMAN OPTIONS, INC. 10 - 2008 - Laserfiche WebLink

Home Browse Search

OP ID Y ACORD CERTIFICATE OF LIABILITY INSURANCE HUMAOPI DATE (MMIDD/YYYY) 09/26/07 PRODUCER (OC) Heffernan Insurance Brkrs 1855 Katella Ave, Suite 255 Orange CA 92867-4459 Phone:714-997-8100 Fax:714-997-1994 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Human Options A-2008-069-33 Mindy Wbinheimer 55401-A Trabuco Road Irvine CA 92620 INSURER A: Philadelphia Indemnity Ins. Cc INSURER B: INSURER C: INSURER D: INSURER E: rnvcoer_rc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MIWDD Y) EXPIRATION DATE IUY DWYY UMTS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) $100,000 A X X COMMERCIAL GENERAL LIABILITY PHPK262913 09/23/07 09/23/08 MED EXP (Any one person) $5,000 CLAIMS MADE O CCCUR PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $1,000,000 Ben. 1,000,000 POLICY jEROT F LOC A AUTOMOBILE LIABILITY ANY AUTO PHPK262913 09/23/07 09/23/08 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per acddent) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ ANY AUTO EXCESS!UMBRELLALIABILITY EACH OCCURRENCE s4,000,000 A X OCCUR F� GLAIMSMADE PHUB095526 09/23/07 09/23/08 AGGREGATE s4,000,000 $ $ 0DEDUCTIBLE $ X RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ If Ves, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER A Prof. Liability PHPK262913 09/23/07 09/23/08 Occurence $1,000,000 &DployeeDishonestyPHPK262913 1 09/23/07 09/23/08 Blkt BPP $578,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Funding to provide counseling services in the City of Santa Ana. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured on the General Liability policy per the attached endorsement PI -NP -003 (9/03). *10 Day Notice of Cancellation for non-payment/non-reporting. CERTIFICATE HOLDER CANCELLATION C.+IOFSAN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO i City of Santa Ana 20 Civic Center Play Santa Ana, CA 92701 ACORD 25 (2001/081 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Jim D CORPORATION 1988