Laserfiche WebLink
' ® CERTIFICATE OF LIABILITY INSURANCE DATDI <br />044!06//06/201100 <br />,a`coRo <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />GOLDEN LOTUS INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />11770 WARNER AVE., #206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />FOUNTAIN VALLEY, CA 92708 <br />LICENSE NO. 0693822 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA: LANDMARK AMERICAN INSURANCE CO. <br />INSURER B: <br />CSNP, INC. <br />INSURER C: <br />18090 BEACH BLVD, SUITE #5 <br />INSURER D: <br />HUNTINGTON BEACH CA 92648 INSURER E: <br />rwcowr_oc <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />LTR INSR <br />ADD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MMIDD/YYYY) <br />POLICY EXPIRATION <br />DATE (MMIDD/YYYY) <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />LBA 040149 <br />04/25/2009 <br />04/25/2010 <br />EACH OCCURRENCE $ 1,600,000 <br />A A N 100,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 5,000 <br />CLAIMS MADE X OCCUR <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ INCLUDE <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />POLICY PRO LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />BODILY INJURY $ <br />(Per person) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />As 10 <br />OVE-� <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />t� <br />AUTO ONLY: AGG $ <br />EXCESS I UMBRELLA LIABILITY <br />! <br />�� <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />—1 OCCUR E:I CLAIMSMADE <br />_ YFy. <br />C�lc� <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PRO PRI ETOR/PARTNER/EXECUTIVE� <br />WC STATU- ER <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE $ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />E.L. DISEASE -POLICY LIMIT $ <br />If yes, describe under <br />A <br />OTHER <br />BUS. PERSONAL PROPERTY <br />EA149 <br />04/25/2009 <br />04/25/2010 <br />LIMIT: TIBL 0 <br />DEDUCTIBLE: $1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />CERTIFICATE HOLDER CANCELLATION <br />Certificate holder is also an additional insured <br />City of Santa Ana, Parks, Recreation & Community Services <br />26 Civic Center Plaza <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reservea. <br />The ACORD name and logo are registered marks of ACORD <br />