ARELLANO ASSOCIATES -2012 - Laserfiche WebLink

Home Browse Search

AC)RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1/31/2013 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*ndorsed If SUBROGATIPIA IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on' this t:ettifitzete=fides not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER N A - NAME: Robin Holloway W ood Gutmann & Bogart A C No : - - - Lic #0679263 E-MAIL 15901 Red Hill Ave Suite 100 ADDRESS: ., Tustin CA 92780 INSURERS AFFORDING COVERAGE NAIC # INSURER A:Assurance Company of America INSURED ARELL-1 INSURER B:HartfUrd Accident and Arellano Associates INSURER C:Ph4ladelphia Indemnity Ins Co. Genoveva Arellano ©rS INSURER D 5851 Pine Ave Ste A `' Chino Hills CA 91709 W INSURER E : ?j G, p 1 / N 00(3' C) ' C/ pC INSURER F COVERAGES CERTIFICATE NUMBER: 1533492479 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLI MM/DDIYYYY CY EFF POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY PAS037514693 /26/2012 /26/2013 EACH OCCURRENCE $2,000,000 DAMAGE TO REN ED MERCIAL GENERAL LIABILITY 01 PREMISES Ea ocur ence $2,000,000 N CLAIMS-MADE X] OCCUR 71 MED EXP (Any one person) $10,000 0 PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 POLICY JERC0j F-] LOC $ A AUT OMOBILE LIABILITY PAS037514693 /26/2012 /26/2013 -0 INGLE LIMIT Ea accident 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident A UMBRELLA LIAB X OCCUR PAS037514693 /26/2012 /26/2013 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED X RETENTION $O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 72WECDQ0297 /27/2012 /27/2013 X WC STATU- OT'- Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE N /A E.L. EACH ACCIDENT $1,000,000 ? OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Errors & Ommissions PHSD736305 /8/2012 /8/2013 2,000,000/Claim 2,000,000/Agg A Valuable Papers & Records PAS037514693 /26/2012 /26/2013 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: All Operations for the City of Santa Ana Certificate holder is named as additional insured on the General Liability per attached 9S2001 04 99. Primary and Non-Contributory applies on the General Liability per attached 9S2001 04 99. THIS CERTIFICATE SUPERCEDES ANY PREVIOUSLY ISSUED. r_F'RTIFIr_ATF Mnl r1FR r_ANr_FI I ATInNI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa AnaLaura Stitt Sheedy ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Assistant City Attorney Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD