Laserfiche WebLink
ACORDTN CERTIFICATE <br />OF LIABILITY INSURANCE <br />DATE (MMIDDY Y) <br />PRODUCER <br />Centerpointe Insurance Service <br />California License #0735759 <br />807 - B Camarillo Springs Road <br />Camarillo, CA 93012 -9464 <br />4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />POLICY NUMBER <br />NAIC# <br />INSURED B & D TOWING, INC., DBAt BALCACERES <br />& DAVALOS TOWING <br />1502 N. SUSAN STREET <br />SANTA ANA, CA 92703 <br />B &DT00 <br />HERRERA: NATIONWIDE MUTUAL INS. CO. <br />• <br />23787 <br />INSURER B: TOPA INSURANCE COMPANY <br />ACP 7806214975 <br />18031 <br />INSURER C: *REVISED* <br />EACH OCCURRENCE <br />$ 1,000,000 <br />INSURER D�. <br />X COM MERCIAL GENERAL LIABILITY <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />ED <br />INSR <br />20 CIVIC CENTER PLAZA (M -30) <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYV <br />POLICYEXPIRATION <br />DATE MMIDDIYV <br />LIMITS <br />• <br />GENERAL LIABILITY <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COM MERCIAL GENERAL LIABILITY <br />DAMAGES RENTED <br />PREMISES Eaoccurence <br />$ 100,000 <br />CLAIMSMADE ©OCCUR <br />MED EXP(Any one person) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2, 000,000 <br />GEN L AGGREGATE <br />LIMIT APPLIES PER <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000 <br />POLICY <br />PEco� LOC <br />• <br />AUTOMOBILE <br />LIABILITY <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(E.nddent) <br />$ 1, 000,000 <br />BODILYINJURY <br />ALLOWNEDAUTOS <br />X <br />SCHEDULED AUTOS <br />(Per person) <br />BODILYINJURV <br />X <br />HI RED AUTOS <br />X <br />NON- OWNEDAUTOS <br />(Perecoldent) <br />$ <br />PROPERTY DAMAGE <br />$ <br />(Perecoldent) <br />• <br />GARAGE LIABILITY <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />AUTOONLY- EAACCIDENT <br />$ <br />OTHERTHAN EAACC <br />$ 1,000, 000 <br />ANYAUTO <br />$ <br />AUTOONLV: AGG <br />• <br />EXCESSIUMBRELLA LIABILITY <br />XL6602203 -03 <br />07/19/2013 <br />07/19/2014 <br />EACH OCCURRENCE <br />$ 4,000,000 <br />X OCCUR 1-7 CLAIMSMADE <br />AGGREGATE <br />$ 4, 000, 000 <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERSCOMPENSATIONAND <br />WCSTATU- OTH- <br />TORV LIMITS E <br />EMPLOYERS LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br />ANY PROPRIETOMPARTNEIBEXECUTIVE <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />Ityes,deecdbeunder <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />OTHER <br />ACP 7806214975 <br />07/19/2013 <br />07/19/2014 <br />PER VEH SCHED $100,000 <br />ON HOOK /CARGO <br />DEDUCTIBLE $ 1,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />The City, its officers, employees, agents, volunteers and representatives are additional insured BE <br />respects to the City, this policy is primary and non contributory and contains a waiver of <br />subrogation. GARAGE KEEPERS LIMITS AND LOCATIONS SCHEDULE ATTACHED. SEE ATTACHED ENDORSEMENT. ACOR <br />101 (2008/01) ADDITIONAL REMARKS FORM ATTACHED. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD25(2001 108) ' ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI <br />CITY OF SANTA ANA <br />DATE THEREOF, THE ISSUING INSURER WILIXMI15IL N10 MAIL30 DAYS WRITTEN <br />CLERK OF THE COUNCIL <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT $C9D�k°XINI$ICXl$MIXYdC94d[LL <br />20 CIVIC CENTER PLAZA (M -30) <br />7[ 7088IXMVS�S� $k7[d6�XMK8Ci[f67Ir�&GR <br />P.O. BOX 1988 <br />90)@RIfUNULYdro. <br />AUTHORIZED REPR ATIVE {� <br />SANTA ANA, CA 92702 -1988 <br />DS <br />ACORD25(2001 108) ' ACORD CORPORATION 1988 <br />