Laserfiche WebLink
,n`cors CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />06127/2011 <br />I <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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />PHONENo. (866) 283-7122 FAX (847) 953-5390 <br />(AIC. Ext): AIC. No.): <br />Aon Risk Services Northeast, Inc. <br />New York NY Office <br />E-MAIL <br />ADDRESS: <br />199 water Street <br />New York NY 10038-3551 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Steadfast Insurance Company <br />26387 <br />INSURER B: Great Northern Insurance Co. <br />20303 <br />Jones & Stokes Associates, Inc. <br />ICF International, Inc. <br />9300 Lee Highway <br />INSURER C: <br />INSURER D: <br />Fairfax VA 22031-1207 USA <br />INSURER E: <br />INSURER F: <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. Limits shown are as requested <br />LTR <br />B <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X❑ OCCUR <br />INSR <br />WVD <br />POLICY NUMBER <br />4 <br />Package - Domestic <br />1MMIDDIYYYY1 <br />IMM/DDrr(YY1LIMITS <br />EACH OCCURRENCE <br />$1,000,000 <br />PREMISES Ea occurtence <br />$1,000,000 <br />MED EXP (Any one person) <br />$10 , 000 <br />PERSONAL 8 ADV INJURY <br />$1,000,000 <br />X Prod -Comp Op Ind in Gen'I Agg <br />GENERAL AGGREGATE <br />$2,000, 000 <br />PRODUCTS - COMP70P AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO LOC <br />B <br />AUTOMOBILE LIABILITY <br />73522955 <br />Automobile - All States <br />0 2 2011 <br />25 2012 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY ( Per person) <br />X ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />ASTOMM <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />�/7 <br />(Per accident) <br />UMBRELLA LUIB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />W' <br />/ <br />EACH OCCURRENCE <br />AGGREGATE <br />DED I RETENTION <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y 1 N <br />ANY PROPRIETOR I PARTNER I EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />NIA <br />Cit <br />•- <br />A <br />ORY sMIS ERH <br />E.L. EACH ACCIDENT <br />E-L. DISEASE -EA EMPLOYEE <br />E.L. DISEASE -POLICY LIMIT <br />It yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />I E&O-MPL-Primary <br />PEC 913140704 <br />Erro& Omissions <br />06/25/2011 <br />06/25/2012 <br />Prof Liab - All <br />Aggrs <br />Overall policy aggrt <br />$1,000,000 <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />1 - Professional Liability is a Claims Made policy. There is no Additional Insured status on the Professional Liability <br />coverage. <br />2 - The City of Santa Ana, its officers, agents, volunteers and employees are included as Additional insureds as their interest <br />may appear. <br />3 - Subject to the standard terms and conditions of the individual policies, the indicated coverage is primary and <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />city Of Santa Ana AUTHORIZED REPRESENTATIVE <br />Planning Division, M-20 <br />20 Civic Center Plaza <br />Post office Box 1988 <br />Santa And, CA 92702 USA <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />