Laserfiche WebLink
<br />OP ID: JL <br />ACORO <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br />(MMIDD/YYYY) <br />705/10/12 <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 endorsements . <br />PRODUCER <br /> <br />909-135-0230 <br />CONTACT <br />NAME: <br />Sawyer Cook Insurance 909-798-7971 <br />1200 California St. <br />Ste 260 PHONE FAX <br />vc No Ex1:_ Alc, No <br />, <br />Redlands, CA 92374 E-MAIL <br />ADDRESS: <br />Small Business Unit PRODUCER <br />CUSTOMER ID #: COMMU-5 <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED Westbound Communications, Inc. INSURER A: Hartford Insurance Company 22357 <br />625 The City Dr., Ste 360 INSURER B : <br />Orange, CA 92868 <br />INSURER C <br /> INSURER D : <br /> INSURER E : <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 />INSR <br /> <br /> <br /> <br />TR TYPE OF INSURANCE ADDL UBR POLICY NUMBER <br />EFF YY <br />MM DDYIYY <br /> <br />EXP <br />MMLDDYlYY <br />YY <br /> <br /> <br />IMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 <br />A X COMMERCIAL GENERAL LIABILITY X 72SBAAE3737 05/06/12 05/06/13 PREMISE DAMAGE LEa Nib <br />S occurrences <br />$ 300,00 <br /> _ <br />CLAIMS-MADE 11 X OCCUR MED EXP (Any one person) $ 10,00 <br /> PERSONAL & ADV INJURY $ 2,000,00 <br /> GENERAL AGGREGATE $ 4,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,00 <br /> 1771 PRO $ <br /> POLICY <br />LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2 <br />000,00 <br /> (Ea accident) , <br /> ANY AUTO BODILY INJURY (Per person) $ <br /> <br /> <br />A ALL OWNED AUTOS <br /> <br />72SBAAE <br />7 <br />7 <br /> <br />05106/12' <br />05/06/13 <br />BODILY INJURY (Per accident) <br />$ <br /> SCHEDULED AUTOS 3 <br />3 i <br /> PROPERTY DAMAGE <br />$ <br /> X HIRED AUTOS (Per accident) <br /> X NON-OWNEDAUTOS $ <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION X WC STATU- OTH- <br /> AND EMPLOYERS' LIABILITY TORY LIMITS ER <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />N/A 72WECLR3783 09/28/11 09/28112 E.L. EACH ACCIDENT $ 1,000,00 <br /> OFFIC ER/MEMBER EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,00 <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) S <br />City of Santa Ana, it's officers, employees, agents,volunteers and D A5 <br />representative are named as additional insured with respects to general li <br />Y <br />bilit <br /> <br />% <br />a <br />y. <br />RCY l , <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 <br />X03 i? <br />© 1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD