Laserfiche WebLink
srr2492 10-11 <br />Commercial Certificate of Liability Insurance FARMER 5 <br />Agency LISA NEWELL INSURANCE AGENCY <br />Issue Date (MM/DD/YY) 10/04/12 <br />Name 940 CALLE NEGOCIO STE 220 <br />This certificate is issued as a matter of infunnation only and coders ro rights <br />8 SAN CLEMENTE, CA 92673 <br />upon the certificate holder, This certificate aloes not affirmatively or negatively <br />Address <br />ascend, extend or atter the coverage afforded by the policies shown below. <br />St. 97 Dist.44 Agent 393 <br />This certificate of °^crane does not constitute a contract between the issuing <br />insurer(s), authorized representative or producer, and the corbficale hour. <br />Insured MIKE LINARES <br />Companies Providing Coverage (NAIC #): <br />Name 514 CALLS CUADR.A <br />Company Letter A Truck Insurance Excliange 21709 <br />& SAN CLEMENTE, CA 92673 <br />Company Letter B Farmers Insurance Exchange 21652 <br />Address 714-754-5678 <br />Company Letter C Mld-Century Insurance Company 21687 <br />Company Letter D <br />Coverages <br />This is to certify that the policies of insurance listed below have. been issued to the insured muted above for the policy period <br />indicated. Notwithstanding any requirement, term or condition <br />of any contract or other document with respect to which this <br />certificate may be issued or maypertain, the insurance afforded <br />by the policies described herein is subject to all the terms, exclusions <br />and conditions of such poLicies. Litnits shown may have been reduced b 2aid claims. <br />Co. <br />�Ltr_ <br />Add'l. <br />Iiwd, <br />Type of Insurance <br />Poticy Numbor <br />Vtdiry Ftfrmve <br />date <br />Pait]I Fxpiratiaa <br />Oats/pp/yy) <br />Policy Limits <br />- <br />,.General <br />Liability <br />Each Occurrence <br />$ <br />FB—in---- <br />Commercial General Liab. <br />_ Liability <br />I <br />, <br />I� '[Q <br />P rerr,ai= (Yalnccur.) <br />$ <br />s <br />Medical. Eupense� `$ <br />j <br />y one persona <br />Personal 8c Adv. Injury I$ <br />Claims Made <br />Occurrence <br />General Aggregate Limit Applies <br />Ger-ral Aggregate <br />$ <br />Per Location'ProdlCom <br />s.A r.$ <br />p- OP gE <br />Per Project <br />'$ <br />q <br />I <br />I3 <br />Automobile Llability <br />i <br />! 133012384 <br />07/01!12 <br />01/0 1/13 <br />mbined $in a Limit <br />Each accident) <br />Any Auto <br />All Owned Autos <br />oedriln3 <br />P <br />S250,000 <br />! <br />Scheduled Autos <br />k$odily Iniury <br />$ 500,000 <br />— Hired A.— <br />i i(Per acciddeent) <br />Non -Owned Autos <br />,roperty D ge <br />$ 100,000 <br />Yer artident <br />Garage U biuty <br />Only -Ea. Accident <br />S <br />— Any AutoAuto <br />pAA.tl—� <br />On -1 1yn E --h Acctdent <br />S <br />Aggregate <br />A <br />X <br />U -1-11a Liability <br />015063783 <br />03/23/12 <br />03/23/13 <br />Limit <br />s-1,000,000 <br />Retention $ 250/500/100 <br />_ <br />Workers' Compensation and <br />Statutory <br />Employers' Liability <br />Each Accident $ <br />Disease - Ea. Empioyee $ <br />i <br />Disease - Poli Limit $ — <br />Description of Operations/Vehicles/Restrictions/Special iters: <br />Certificate Holder <br />Cancellation <br />Should any of the above described policies be cancelled <br />before the expiration date thereof, notice will be delivered in <br />Norm City of Santa Ana & its officers, agents <br />acco nce with the po provisions_ <br />& 8r, employees <br />Address 20 Civic Ctr Dr, Santa Ana, CA 92702 <br />Autltorized Represen ave <br />srr2492 10-11 <br />