Laserfiche WebLink
4 - ;,611-1� �( <br />Ac ux1J CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDlYYYY) <br />08/30/11 <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 />Unique Risk Mgmt Ins. Svrs, LLC <br />2 South Poi nte Drive, #135 <br />Lake Forest, CA 92630 <br />Phone (949) 305 -5577 Fax (949) 305 -5077 <br />CONTACT <br />NAME: Michelle Henricks <br />PHONE (949) 305 -5577 , No): (949) 305 -5077 No, <br />ADDRESS: michelle@uniquerisk.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Zurich <br />INSURED <br />Townsend Public Affairs Inc <br />2699 White Road #251 <br />Irvine, CA 92614 949 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />EACH OCCURRENCE <br />INSURER E: <br />A <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 />INTR <br />TYPE OF INSURANCE <br />IN SR <br />VD <br />POLICY NUMBER <br />MM/DCDY� <br />MM/L DfYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000.00 <br />A <br />❑ COMMERCIAL GENERAL LIABILITY <br />❑ F] CLAIMS -MADE ❑ OCCUR <br />❑ <br />PASO4896041 <br />08/31/2011 <br />08!3112012 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 2,000,000.00 <br />MED EXP (Any one person <br />$ 10,000.00 <br />PERSONAL & ADV INJURY <br />$ 0.00 <br />❑ <br />GENERAL AGGREGATE <br />$ 4,000,000.00 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />❑ POLICY ❑ PROT- ❑ LOC <br />PRODUCTS - COMP /OP AGG <br />$ 4,000,000.00 <br />$ <br />AUTOMOBILE LIABILITY <br />❑ ANY AUTO <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,00000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ALL OWNED ❑ SCHEDULED <br />❑ AUTOS AUTOS <br />HIRED AUTOS © NON -OWNED <br />AUTOS <br />❑ ❑ <br />PASO4896041 <br />08/31!2011 <br />08!31/2012 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />❑ UMBRELLA LIAB ❑ OCCUR <br />❑ EXCESS LIAB ❑ CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />❑ DED ❑ RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />W C STATU- OTH- <br />❑ TORY LIMITS ❑ ER <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Employment Practices Insurance <br />PASO4896041 <br />08/31/2011 <br />08/31/2012 <br />$100,000 <br />DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RM <br />w <br />�Lwrc r rrra.r%1 c rIULUCrt CANCELLATION <br />City of Santa Ana <br />PO Box 1988 <br />Santa Ana, CA 92707 <br />ACORD 25 (2010/05) CIF <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE V <br />U 1988 -2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />