Laserfiche WebLink
WITTENT-01 AGIMROTH <br />'4` °,R° CERTIFICATE OF LIABILITY INSURANCE <br />1 <br />DA <br />O <br />IDYYYY) <br /> 6 <br />13 <br />114/20 <br />8114/ <br />013 <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 policy0es) must be endorsed. It 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 Ilw of such endorsement(s). <br />PRODUCER CONTACT <br />NAME: <br />Western Elite Insurance Solutions P e 259-6900 <br />(916) <br />(966) 2-0---- <br />6.8646 <br /> <br />Destiny Drive <br />6970 __, e; <br />__..___ <br />M9.E91: <br />Rocklin, CA 95677 _ <br />ADDRESS: <br /> W5URER(S7 AFFOROURCOVERAGE NAILS <br /> _____ <br />NWRER A: Granite State Insurance 23809 <br />Msuaeo <br />INSURER B: <br />Wittman Enterprises LLC INSURERC: <br />PO Boa 269110 INSURER D : <br />-"- -_-- <br />Sacramento, CA 95828 <br />?1 <br />/y <br />/J? INSURER E_... _.._.__._._._...____. <br />/ <br />{- V <br />r `osei-DI <br />- <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 /> <br />iF__-060EY7Y ............ <br />TRSR <br />0 WEIR <br /> TYPE OF INSURANCE 1. POLICY NUMBER NAMMONYYY1 TTY LIMIT S <br /> GENERAL UABUTY EK OCCIIPRENce S <br /> COMMERCMI GENERALLM9altt `PREM? EOaE? S <br /> <br />CLAIMS-MADE L? OCCUR <br />! <br />MED BAR (A, arse Penw,) _ <br />S <br /> PERSONAL A AOY INJURY 3 <br /> I GENERAL AGGREGATE S <br /> _ <br />GWL AGGREGATE LIMITAPPLIESPER. PRODUCTS -COMPpP AGO S <br />- <br /> PDUCY PRO. LOC s <br />-- <br /> AUT OMOSILELIABILITY 4[O?NBM LIMI <br />-LFiA1 epideM <br /> ANY AUTO . BODILY INJURY (PM" 3.) S <br /> ALL O?FO SCHEDULED <br /> D N S <br /> HMEDAUTOS <br />R <br />AUTOS <br />od.t) <br />API, <br /> $ <br /> UMBRELLA LAS OCCUR EACH OCCURRENCE I S <br /> EXCESS LW ctaMS+AAce I AGGREGATE ! S <br /> __. <br /> DED RETENTIONS I S <br /> VIO RKERSCOMPENSATION <br />XT <br />V STATU- JOTH-1 <br /> A <br />AND E <br />MPLOYERS'UASIUTY YIN T <br />-1-1 . <br />A ANY PROPNETOPJPARTNEREXECUTIVE <br />OFFICERMIEMIER EXCLUDED? <br />NIA lIC161250372 71112013 I 7112014 E I.. EACH ACCIDENT 11000.00 <br />S <br /> (Mmdalmyln NH) _ <br />EL DISEASE - EA EMPLO _ <br />3 1,000,000 <br /> N Yu.dMMwe wldM -- ------- <br /> OESCRIPTICNOFOPERATIONSb. E.L. DISEASE - POLICY LINT S 11000,00 <br /> i <br />DESCRIPMN OF WUAnONSI LOOATIONSI VEHICLES (AII4Ch ACORD Im, Ad4iti.V W..K, SChedVle, N RM4.pm.l. r. <br /> <br />SIC <br />O <br />FO v7 <br />r Sa <br />,D?9SS' <br />ndo <br />S <br />Cr <br />y <br />'9t <br />The City of Santa Ana <br />1439 S. Braodway <br />Santa Ana, CA 92707 <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 />®1988-2010 ACORD CORP <br />AVUHU 25 (2010105) The ACORD name and logo are registered marks of ACORD