KIDWORKS COMMUNITY DEVELOPMENT CORPORATION (6)

Home Browse Search

A..°°°-® m CERTIFICATE OF LIABIL ITY INSURANCE 5/21013 0DATE6/005 /2013 PRODUCER (949) 218-0840 Narver Insurance 641 W, Las Tunas Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Gabriel CA 91776- INSURERS AFFORDING COVERAGE NAIL# INSURED NSURERA: PHILADELPHIA INDEMNITY 18056 KidWorks Community Development Corporation INSURER B: EVEREST NATIONAL 10120 1902 West Chestnut Avenue INSURER O: NSURER O: Santa Ana CA 92703- INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED'. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDffION 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR IN RD TYPE OF INSURANCE POLICY NUMBER DATE MMIDDNY DATE MMIDDNY LIMITS A GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ee omu .... ce $ 100,000 X 5 000 CLAIMS MADE OCCUR MED EXP(Fay one Parson $ . , PERSONAL&AOV INJURY $. 1,000,000 PHPK 957 375 01/07/2013 01/07/2014 GENERALAGGREGATE $ 3,000,000 GEML AGGREGATE UNIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 3,000,000 X POLICY LEE LOC AU TOMOBILE LIABILITY J J / J COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea accident) ALL OWNED AUTOS l J J / BODILY INJURY SCHEDULED AUTOS (Par Person) X HIRED AUTOS PHPK 957 375 01/07/2013 01/07/2014 BODILY INJURY X NON-OWNED AUTOS (Per accident) $ / I J J PROPERTY DAMAGE (Par accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ R ANY AUTO J / l J OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESSMMBRELLA LIABILITY / / I J EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ )B WORKERS COMPENSATION AND 5900001267-131 02/01/2013 02/01/2014 g L 81 A . GET H: TORY Li ITS E EMPLOYERFLIASIUTY ANY PROPRIE'ROR{PARTNERIFXEGUTIVF E.L. EACH ACCIDENT $ 1,000,000 OFFICEWMEMBER EXCLUDED? RL. DISEASE EA EMPLOYEE $ 1,000,000 If yes, descOm antler SPECIAL PROVISIONS balmy 4I CASE, POLICY LIMIT $ 1,000,.000 OTHER A PROFESSIONAL LIAB PHPK 957 375 01/07/2013 01/07/2 x $1,000,000 --A E $1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNBHICLES/EXCLUSIONS ADDED BY ENOORSEMENTEPECIAL PROVISIONS Ot AE: USE 06 CITY OF SANTA PARKING LOT AT 220 S 'rO + C DAISY AVENUE g . . ?,,qq G ??rr °i l i a CITY OF SANTA ANA NAMED AS ADDITIONA I SURE P T C '1$ " ' l L N D ER AT A HED SPECIAL ENDORSEMENT iJ? IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN oil, CERTIFICATE HOLDER CANCELLATION `Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA y BEFORE THE EXPIRA'T'ION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT CITY OF SANTA ANA FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 20 CIVIC CENTER PLAZA INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE h/ ?fv__ Santa Ana CA 92701- A{?CORD 25 (2001108) © ACORD CORPORATION 1988 q,,- NS025(0105}.PI ELECTRONIC LASER FORMS, INC.-(800)32'!-0845 Pagel aFZ