WTLC (WOMEN'S TRANSITIONAL LIVING CENTER) -2011

Home Browse Search

A ORDTM, CERTIFICA* OF LIABILITY INSURAP�E 04izizo11 PRODUCER 310.393.9477 FAX 310.393.7186 White Sutton & Company Insurance Services P 0 Box 70 Santa Monica, CA 90406 -0070 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Women's Transitional Living Center PO Box 6103 Orange, CA 92863 INSURERA: Philadelphia Ins Co POLICY EFFECTIVE INSURER B: LIMITS INSURER C: INSURER D: PHPK703647 INSURER E: 04/04/2012 rn11=Q A!]FC 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MI LIMITS GENERAL LIABILITY PHPK703647 04/04/2011 04/04/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 1P DAMAGE TO RENTED $ 1,000,000 MED EXP (Any one person) $ 20,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY PRO - JECT AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO PHPK703647 04/04/2011 04/04/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 p rsoNn)URY (Per BODILY $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROVED j is TO FOE M X X X BODILY INJURY (Per accident) $ LISA E. STORK PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY Assistant city Attorney AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY PHUB341091 04/04/2011 04/04/2012 EACH OCCURRENCE $ 51000,000 __R1 OCCUR ❑ CLAIMS MADE AGGREGATE $ 5,000,000 A $ $ HDEDUCTIBLE X RETENTION $ 10 , OO $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY W C STATU- OTH- T IIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER /MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS City of Santa Ana, its officers, agents, employees, and volunteers are additional insureds as per form G 20 26 07 04 and Primary Insurance as per form CG00 01 1207, both attached to the general liability policy and accompanying this certificate. 'Except for 10 days written notice of cancellation for non - payment of premium. City of Santa Ana - CDBG M -25 ESG Attn: Frank Hernandez P.O. Box 1988 M -25 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30'° DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ellie Liu, CISR /EL1 ACORD 25 (2001/08) FAX: 714.647.6549 ©ACORD CORPORATION 1988