CORDOBA CORPORATION 3A - Laserfiche WebLink

Home Browse Search

Client#: 1259431 305CORDOCOR ACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE (MMID 1/19/2012) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB&T Insurance Services of Orange County g ty ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 680 Langsdorf Drive Suite 100 POLICY NUMBER Fullerton, CA 92831 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Sentinel Insurance Company, Ltd 11000 Cordoba Corporation 1401 N. Broadway INSURER B: Everest National Insurance Co 10120 INSURER C: Property & Casualty Ins Co of H 34690 Los Angeles, CA 90012 INSURER D: INSURER E: COVERAGES 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 LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A GENERALLIABILITY 72SBACP3130 01/20/2012 01/2012013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDffence, $1.000.000 MED EXP (Any one person) $10,000 CLAIMS MADE Ez OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2 OOO OOO X POLICY I PROT LOC C AUTOMOBILE LIABILITY X ANY AUTO 72UECUS9769 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT (Es accident) $1,000,000 (PrINJURY e$ ALL OWNED AUTOS SCHEDULED AUTOS , .- r X HIRED AUTOS X NON -OWNED AUTOS '. 1�{�/ BODILY INJURY Per accident) $ ( en ) PROPERTY DAMAGE a (Per accident) - It (- . ,, _ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCESS I UMBRELLA LIABILITY TOCCUR 0 CLAIMS MADE 72SBACP3130 01/20/2012 01/20/2013 EACH OCCURRENCE $5.000.000 AGGREGATE $5,000.000 $ $ DEDUCTIBLE X RETENTION $ 10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY CA20011117121 01/20/2012 01 /20/2013 X WC ST MTTj OTH- I E.L. EACH ACCIDENT $1 000 000 ANY PROPRIETOR/PARTNER/EXECUTWE OF.ICEj=T. ftAr EXCLUDED? N E.L. DISEASE - EA EMPLOYEE $1,000,000 (M If Syyea,describe under PECUIL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Perform SS0008 04/05 pages 11-13 of 24 attached, the following are named as Additional Insureds, as respects to General Liability, as required by written contract. Additional Insureds: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are named as additional insureds with regard to liability and (See Attached Descriptions) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN Transportation & Traffic Engineer Public NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Works Agency M-93 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Attn: David Biondolillo; 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE oT s *58U7U5U1/M8064223 ® 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN