Laserfiche WebLink
A -Zola, org -02. <br />CERTIFICATE OF LIABILITY INSURANCE I DATE 1100A'YY11 <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(les) 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 endomement(s). <br />PRODUCER TenhSwrvw Alliance Services Corn. CONTACT <br />fit pT:Tr:as <br />INSURED <br />The Comdyn Group, Inc. <br />569 Rustic Hills Dr <br />Simi Valley CA 93065 <br />rnl9eo Arec r POTICIr ATIP tJ11MRER- rnAren91 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 />Gas <br />TYPE OF INSURANCE <br />AdOL <br />SUBn <br />pOLK:Y NUMBER <br />MNIDCY EFF <br />POLO UPSign <br />]LIMITS <br />D <br />✓ <br />COMMEMMGEMMR LIABIU7Y <br />CLAIMS -MADE ©OCCUR <br />✓ <br />NDA0791984 <br />6/15/2019 <br />6/15/2020 <br />EACH OCCURRENCE <br />$1000000 <br />REMI�AMA9ES PRo Mow e, <br />S'I000 000 <br />MED EXP (An Anpffaon) <br />$10.000 <br />PERSONAL A ADV INJURY <br />$1000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />s2,000,000 <br />PRODUCTS -DOMP/OP AGG <br />$2 000,000 <br />✓ POUCY n JECT E-1 LOD <br />S <br />011 <br />D <br />AUTOMOBILELIABILITY <br />NDB0791984 <br />6/15/2019 <br />6/15/2020 <br />COMBI EDSINGLE LIMIT <br />1Ee aacltlenil <br />S 1 000 000 <br />BODILY INJURY (Per parson) <br />$ <br />ANY AUTO <br />BODILY INJURY (Par actldem) <br />$ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOE <br />✓ AUTOS ONLY ✓ AUTOS ONLY <br />(Par accj IiwA 5 If <br />$ <br />S <br />UMBRELLALIAB <br />/ <br />OCCUR <br />,/ <br />N000791964 <br />6115/2019 <br />61152020 <br />EACH OCCURRENCE <br />§1000000 <br />AGGREGATE <br />$1 000 000 <br />EXCESS UAB <br />CLAIMS -MADE <br />BED <br />I ✓ I RETENTION S 10.000 <br />L <br />IS <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNEREXECUTIVE Y <br />OFFICERIMEMBEREXCLUDED7 <br />(Mandatory In NH) <br />NIA <br />WC0791984 <br />6/152019 <br />6/15/2020 <br />PEA STATUTE _g <br />__ <br />E.L. EACH ACCIDENT <br />$1000,000 <br />E.L. DISEASE -EAEMPLOYEE <br />§ ,QOO,000._. <br />EL. DISEASE - POLICY LIMIT <br />II qas, desvlbe under <br />DESCRIPTION OF OPERATIONS below <br />s1000.000 <br />DPOtProfessional <br />A <br />Liab <br />me - 3rd Party Blanket <br />✓ <br />NDA0791984 <br />CR0791984 <br />6/15/2019 <br />6/15/2019 <br />6/15/2020 <br />6/152020 <br />$1.000,000 Ea Claim/$2,000,000 Aggregate <br />$100,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101, Additional Remark* artedWa, may baaUsch d If more apace Is required) <br />City of Santa Ana, Its Officers, Agents and Employees are Additional Insured as respects to General Liability <br />per attached CG2010 1093 Additional Insured Endorsement. Should any of the above described ppolicies be Cancelled or reduced before the expiration <br />date thereof, the issuing Insurer and/or agent will endeavor to mail 30 days Written notice the the Certificate Holder, but failure to do so shall <br />impose no obligation or liability of any kind upon I11e Insurer, Its agents or representatives. All policies referenced above are primary and <br />non-contributory by policy language. <br />rcoTICIr ATc unr ncfa CANCFI I ATlnN <br />City of Santa Ana REVIEWED & APPROVED <br />Risk Management Division By Risk MANACIEMENT Divisio <br />Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 16 019 <br />S14OU LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />q THE EXPIRATWTHDATTHE POLICY THEREOF,PRONOTICE WILL BE DELIVERED IN <br />ACCORDANCE20 <br />AUTHORIZED REPRESENTATIVE <br />Mark S. Roberts <br />• Loll 19115-ZU15 ADUKU CUKYUYIA I IUN. All ngnrs resemen. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />50459011 1 Condyn Inc 19-20 Approval Cerrif icate I dill Norton 1 8/7/2019 12:02:49 PM MUTT I Page 1 of 2 <br />