CORDOBA CORPORATION 2 - Laserfiche WebLink

Home Browse Search

Client#: 1259431 3nnr c-iPnr]Cr]R ACORD,- CERTIFICATE OF LIABILITY INSURANCE DATE2012 YYYY) I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR 1/19/2012 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB&T Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange County HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 GENERAL LIABILITY Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED Cordoba Corporation 1401 N. Broadway Los Angeles, CA 90012 INSURER A: Sentinel Insurance Company, Ltd 11000 INSURER B: Everest National Insurance Co 10120 inlsu'ER C: Property & Casualty Ins Co of H 34690 NSURER D: INSURER E: :OVERAGES 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 POLICY EFFECTIVE DATE MM/DD/YYYV POLICY EXPIRATION GATE MM/OD/YYYY LIMITS A GENERAL LIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $1,000,000 AUTHORIZED REPRESENTATIVE X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1,000,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN -L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 X POLICY J Co- LOC C AUTOMOBILE LIABILITY X ANY AUTO 72UECUS9769 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT $1,000,000 (Ea accitlanl) BODILY INJURY $ (Par person) ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per accitlenl) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA AGC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS/ UMBRELLA LIABILITY 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE s5,000,000 X OCCUR CLAIMS MADE AGGREGATE $5,000,000 $ DEDUCTIBLE $ X RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY CA20011117121 01/20/2012 01/20/2013 X I T'"M YSU_;orH- E L EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFF, C ER/M7MWHFR EXCLUDED? N (Mandatory n )) E.L. DISEASE - EA EMPLOYEE $1,000,000 _____[SPEC If AL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Per form SS0008 04/05 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects General Liability, as required by written contract. Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and defense of suits arising from the operations and uses preformed by or on behalf of the named insured. GEKIIFIGAIE HULUEK CANCELLATIUN lU Ua s Tor Non-va ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -,A n DAYS WRITTEN 20 Civic Center Plaza NOTICE TO THE CERTIFICATE HOLDER NAMED TO. THE LEFT, BUT FAILURE TO DO SO SHALL Santa Ana, CA 92702-1988 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 1 of 2 #S8070243/M8064223 (D 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN