ARCHIE'S ICE CREAM - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DAT03124120226 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Veracity Insurance Solutions, LLC PHONE (A/C, No, Ext): (844) 520-6992 Veracity Insurance Solutions, LLC. FAX (A/C, No): Pleasant Grove, UT, 84062 E-MAIL ADDRESS: info@fliprogram.com INSURED INSURER(S) AFFORDING COVERAGE NAIC # ARCHIE'S ICE CREAM INSURER A: Accelerant National Insurance Company 10220 745 N. HARITON STREET ORANGE, CA, 92868 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVR (MM/DD/YYYY) (MM/DD/YYYY) EACH OCCURRENCE $1,000,000 GENERAL LIABILITY DAMAGE TO RENTED $300,000 ✓ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS -MADE ✓❑ OCCUR MED EXP (Any one person) $5,000 A PROFESSIONAL LIABILITY ❑ ✓ N0276GL00000100- 09/12/2025 09/12/2026 PERSONAL & ADV INJURY $1,000,000 (CLAIMS -MADE FORM) F330112 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP POLICY ❑ PROJECT ❑ LOC $2,000,000 AGG AUTOMOBILE LIABILITY ANY AUTO ❑ ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS HIRED AUTOS ❑ NON -OWNED AUTOS EACH OCCURRENCE 0 UMBRELLA LIAB ❑ OCCUR AGGREGATE 0 EXCESS LIAB ❑ CLAIMS -MADE $ DED ❑ RETENTION $ LJ WC STATUTORY LIMITS LJOTHER $ WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE EA EMPLOYEE $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. DISEASE POLICY LIMIT $ ❑ OFFICE/MEMBER EXCLUDED N/A ❑ (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space required) It is understood and agreed that the Certificate Holder is named as Additional Insured per attached CG 20 26 (Ed. 04 13) - Additional Insured - Designated Person or Organization subject to all policy terms, conditions, and exclusions. A waiver of subrogation applies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Attention: Library Services, Dylan Dario WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, M42 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 1988-2014 ACORD CORPORATION. All rights reserved. APPROVED By Tu Tran Nguyen at 11:11 am, Apr 16, 2026 ACORD 25 (2014101) INS025 (201401) The ACORD name and logo are registered marks of ACORD