PUBLIC LAW CENTER (2) - 2012 - Laserfiche WebLink

Home Browse Search

r PUBLLAW-01 PATRA6 ACORN DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 312912012 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). NTACT E. PRODUCER License # 0522024 NAM cnapman PHONE 1 626 405-8031 "" AIC No Ext : ( ) Alc No : 1 (626) 405-0585 PO COX 5455 Pasadena, CA 91117-0455 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Nonprofits' Insurance Alliance of California INSURED INSURER B : Public Law Center INSURER C : 601 Civic Center Drive INSURER D : Santa Ana, CA 92701 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 'ADOL, UBR ' IN SR WVD POLICY NUMBER POLICY EFF (MMIDDNYYY) POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 A X COMMERCIAL GENERAL LIABILITY X '.. 20122205ONPO 2/1/2012 2/1/2013 PREMISES Ea occurrence $ 500,0001 CLAIMS-MADE C.. OCCUR MED EXP (Any one person) $ 20,000 X Sexual MISCOndUCt PERSONAL & ADV INJURY $ 1,000,000 X $1 M/$1 M GENERAL AGGREGATE $ 2,000,0001 1 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 h POLICY PRO- LOC JECT Emp. Benefits $ INCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,0001 $ A ^I ANY AUTO 20122205ONPO 2/112012 , 2/1/2013 BODILY INJURY (Per person) $ ALL OWNED 'AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ 'HIRED AUTOS _ AUTOS Per accident $ UMBRELLA LIAB OCCUR A5 T EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE pROVSD s. AGGREGATE $ DED RETENTION $ ` '.. $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY S O ! WC STATU- 0TH-? TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE NIA c !? ?, usA r^ ` @ rn Attu i E.L. EACH ACCIDENT : $ 1 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) nk V Assista 1 l E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT'! $ I li II? DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) IThe City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured with respect to the operations of the named insured per the attached CG 2026 endorsement. Such insurance is primary and non-contributory. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 , AUTHORIZED R PRESENTATIVE E ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD