C3 OFFICE SOLUTIONS - 2012 - Laserfiche WebLink

Home Browse Search

ACORN® CERTIFICATE OF LIABILITY INSURANCE 1/8/20131 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 pollcy(les) 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). PRODUCER CONTACT NAME: Tutton Insurance Services, Inc. alco� Ex : (949)261 -5335 FAX No: (949)261 -1911 2913 S Pullman Street ADDRESS: PRODUCER 00017378 CUSTOMER ID 0. Assfst INSURER(S) AFFORDING COVERAGE NAICi Santa Ana CA 92705 INSURED INSURERA :Travelers Indemnity Company, 5658 Reprographics Fax Group, Inc INSURER B: 6809BO11777 DBA: C3 Office Solutions INSURERC: DAMAGE TO RENTED- PREMISES Ea occurrence 1565 -C McGaw Avenue INSURERD: $ 5,000 INSURER E : $ 2,000,000 Irvine CA 92614 INSURERF: COVFRAGFS CFRTIFICATF NIIMRFR•12 /13 GL /RA - /WC RFVISIr1N NIIMRFR- 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 A POLICY NUMBER POLICY EFF MMIDOIYYYY POLICY EXP MMIDDIYYYY LIMITS Laur GENERAL LIABILITY ORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Assfst t City AttorneV EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X OCCUR 6809BO11777 /23/2012 /23/2013 DAMAGE TO RENTED- PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GE N'L AGGREGATE LII,11T APPLIES PER PRODUCTS - COMP /OP AGG $ 4,000,000 X POLICY JE 7 LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 86850919 /23/2012 /23/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS Medcel payments $ 5,000 Uninsured motorist combined $ 1,000,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under NIA UB3C72153812 0/2/2012 0/2/2013 WIC STATU- I JOTH- X TORY LIMITS I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives are named additional insured per attached CG D1 05 04 94. r- nvLUCR "'^' i V i'V167iH - <= LLAIIVN C` Z SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Laur y itt SA ORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Assfst t City AttorneV AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 Stanley Tutton /KARLA�t�a °y AGVKU ZO (ZUUUIUB) © 1988 -2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD