CHAMBERS GROUP, INC. - 2013 - Laserfiche WebLink

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CHAMB-4 OP ID: W2 '`�`c..,� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/10/2013 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). PRODUCER Phone: 310-556-1900 NAME: CONTACT Kaercher Campbell & Associates Fax: 310-556-4702 1800 Century Park East #400 Los Angeles, CA 90067 Gary Lutz PHONE FAX o Extl: A/C No): E-MAADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual insurance INSURED Chambers Group Inc. 5 Hutton Centre Drive, Ste 750 Santa Ana, CA 92707 INSURERB: INSURER C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR INSURER D: INSURER E: 06/01/2012 INSURER F: MED EXP (Any one person) $ 10,00 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. ILTR NSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MM DDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE: TO RENTED PREMISES Ea occurrence $ 100,0014 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR UVEDE104595112 06/01/2012 06/01/2013 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 X POLL LIAB $1 MIL X Claims Made GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICYFX PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00 A EXCESS LIAB CLAIMS -MADE UMEDE104596112 06/01/2012 06/01/2013 AGGREGATE $ 4,000,00 DED RETENTION $ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / NI ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Error UVEDE104595112 06/01/2012 06/01/2013 Per Claim 1,000,00 & Omissions RETRO DATE - 1/1 /1978 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I 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 additional insured with respects to the operations of the named insured. APPROVED AS TO FORM Laura .Yat Sheedy /AS;ilStant City Ati.Ornev Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD