EMPLOYEE GROUP INSURANCE RENEWALS (REACH EMPLOYEE ASSISTANCE) -2011

Home Browse Search

�1aCC�iZ' °W CERTIFICATE OF LIABILITY INSURANCE �..• -�" DATE(MM/DD/YYYY) 2/16/2012 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 Van Wagner Agency PO BOX 9017 Woodbury NY 11797 CONTACT NAME: PHONE FAX A/C No Ext: - - �A/c,No):888- 290 - 0302_ E -MAIL -_- ADDRESS: _ PRODUCER - — cUSTOMER ID#: REACH -3 INSURER(S) AFFORDING COVERAGE _ NAIC # 2/17/2013 INSURED Reach Employee Assistance, Inc INSURERA:Ace American Ins. Co. 22667 AMA T RENTED PREMISES Ea occurrence - 650 North Rose Drive #350 INSURER B: INSURER C: Placentia CA 92870 INSURER D: MED EXP (Any one person) INSURER E: -PERSONAL BADVINJURY INSURER F: COVERAGES CERTIFICATE NUMBER: 2114497151 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. ILTR TYPE OF INSURANCE INSR V POLICY NUMBER MM/DD/YYY MM/DD/YYYP LIMITS A GENERAL LIABILITY ARM 149446 2/17/2012 2/17/2013 EACH OCCURRENCE $1,000,000 X AMA T RENTED PREMISES Ea occurrence - $100,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L" J OCCUR MED EXP (Any one person) $2,000 -PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $1,000,000 POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) - $ - - - - -- - - -- - ANY AUTO BODILY INJURY (Per person) - $ ALL OWNED AUTOS BODILY INJURY (Per accident) ------ - - - - -- $ -- SCHEDULED AUTOS ---------------- - PROPERTY DAMAGE (Per accident) HIRED AUTOS $ $ NON -OWNED AUTOS UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB i CLAIMS -MADE _ _ AGGREGATE _ - _ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION - �-� WC STATU- OTH- ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ N/A �-- T Y ----- ____ -- ___ $ ----- - - - - -_ -_ _ E.L. EACH ACCIDENT - -- - -- E.L. DISEASE - EA EMPLOYE -- (Mandatory in NH) If yes, describe under $ ----- - - - - -- E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below $ A Professional Liability ARM 149446 2/17/2012 2/17/2013 Each Occurrence $1,000,000 (Aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Santa Ana, Its Officers, Agents and Employees are included as additional insureds as respects to the contract between Reach Employee Assistance, Inc. and The City of Santa Ana for services provided by the Insured. City of Santa Ana Attention Kathleen Crook, Human Resources 20 Civic Center Plaza, M -34 Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V. -= © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD