Laserfiche WebLink
DATE <br />CERTIFICATE OF LIABILITY INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANU GONYGKJ NU KROKI0 urvN Inc l IZKIH`IuAlc nVwcK. InIJ <br />'ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />JELOW. 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 AUUI I IL <br />the terms and conditions of the policy, certain policl <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Edaewood Partners Insurance Center <br />ne, CA 92612 <br />send Public Affairs, Inc <br />White Road, Suite 251 <br />CA 92614 <br />1L INSURED, the policy(les) must he endorsea. It ZiUldrctTVeAI IVIN m WAIVCU, suolem to <br />may require an endorsement. A statement on this certificate does not confer rights to the <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 CR 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 />IGTRR. A.D <br />TYPE OF INSURANCE <br />R. .�.,_...,._.. w POLICY EFF RVZI Vn -- <br />I POLICY NUMBER MMU IYYV MMIDDIY LIMITS <br />11 <br />A <br />GENERAL LIABILITY <br />PPS05312733 <br />8/3112013 <br />8/3112014 <br />EACH OCCURpREENNCE <br />$ 2,000,000 <br />'_E4 aarvinn�ca <br />2040:400 <br />51' COMMERCIAL GENERAL LIABILITY <br />AR MISE <br />CLAIMS -MADE OCCUR <br />MED EXP (Any one person) µ <br />$ 14000 <br />n <br />1��� <br />PERSONAL &ADVINJURY <br />S Excluded <br />GENERAL AGGREGATE <br />S 4,000:000 <br />GATE LIMIT APPLIES PER: <br />GENT AGGREGATE <br />PRODUC- COMPIOPAGG <br />S <br />$ 4:000:000 <br />_.. p <br />POLICY I tt M LOG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />PP305312733 <br />8/3112013 <br />8/31/2014 <br />d o 1 LE U&ST <br />1!1a__.�._._.... r. <br />$ X000000 <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />_.�.�.__� <br />ALLOWNED SCHEDULED <br />BODILY NJURY(Peraccldenl) <br />$ <br />AUTOS AUTOS <br />NON-OWNED <br />Fq <br />(P �dcclorr't, MACE <br />$ <br />HIRED AUTOS <br />A <br />UMBRELLA UAS occuR <br />PPS05312733 <br />8/3112013 <br />8/31/2014 <br />EACH OCCURRENCE <br />$ 6000000 <br />_. <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />$ 5 D <br />DED Lid RETENTION $0 <br />d OrD .lee <br />$ 5 000,000 <br />QS7.gLejions.. <br />a <br />WORKERS COMPENSATION <br />W LIMITS �C% <br />AND EMPLOYERS' LIABILITY YIN <br />- <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />E EACH ACCIDENT <br />$ <br />OFFICERIMEMBER EXCLUDED? F-1 <br />(MandalOPf In NH) <br />NIA <br />- <br />E.L, DISEASE• EA EMPLOYEE <br />$ <br />If yes, describe under <br />DFSC N F PERATI S below <br />E.L. "EASE• POLICY LIMIT <br />$ <br />A <br />Employment Practices Liability <br />PPS05012733 <br />8131/2013 <br />8131/2014 <br />$100,000 <br />Deductible: $2,500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACOR091li, AddlliPnal RgMgeN @84h @dNle, if more space la reeulred) <br />10 Day notice of cancellation far non aymant 130 pay notice of cancellation for all other. This notice will be sent in the event of company election, <br />The CedlIficatel holder is -na i n <br />h respects eneral /lab I policy limits, <br />CER IFICA.. LD R _ <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attention: Alma Flores <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P. O. Box 1988 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92707 <br />Jahn P, <dltcheSs <br />V ivoo -Au Iu HI,VRU C ORFORAI i0m All I I1j11451GJul Vum, <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />CER1' NO.: 1'1375347 CLIENT CODE: T01INWIni. Clnniena K1m 8123 /').1113 10:35 12 M Ymge 1 of 2 <br />