Laserfiche WebLink
ACORq CERTIFICATE OF LIABILITY INSURANCE DATE(MwUD/YYYY) <br />06/03/2013 <br />PRODUCER 714.285.4800 FAX 714.285.4810 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ZP Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2107 N. Broadway, Suite 108 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana„ CA 92706 <br />rk 4.+v mnvn INSURERS AFFORDING COVERAGE NAIC # <br />18100 Kovacs Lane <br />Ste 27 <br />Huntington Beach, CA 92648 <br />YV YL, {P'.V F V <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 />LTR <br />N9 <br />TYPE OF INSURANCE <br />POUCYNUMBE0. <br />p MNID <br />DAIS MMIDDIYYYY <br />LIMITS <br />220 S. Daisy Ave M -85 <br />GENERAL WUMLITY <br />NA105900100 <br />05/27/2013 <br />05/27/2014 <br />EACH OCCURRENCE <br />$ 1000,00 <br />RAEM BE Ea aaurena <br />S 100,00 <br />X COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any We Paraw) <br />S 5 , 00 <br />r, <br />CLAIMS MADE LXI OCCUR <br />PERSONAL S ADV INJURY <br />S .__ _ 11000,000 <br />11000 , 00 <br />A <br />GENERAL AGGREGATE <br />f 2,000,00 <br />GENLAGGREGATEUMOoR APPLIES PER <br />PRODUCTS - COMPIOPAGG <br />S 2,000,00 <br />X POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />S <br />(Ea <br />ANY AUTO <br />�y <br />ALL OWNED AUTOS <br />Lrq/ <br />I(I�r9)URYS <br />6CHEDULED AUT05 <br />! cc <br />-.._ <br />_ <br />.....__. <br />HIRED AUTOS <br />Ye �' �� <br />gP <br />p -i� <br />BODILY INJURY <br />S <br />NON -OWNED AUTOS <br />S <br />( <br />nySptY *SiiE:i:" <br />(PROPERTMDAMAGE <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />S <br />ANY AUTO <br />S <br />AUTO ONLY AGO <br />EXCESS! UMBRELLA LUmLITY <br />EACH OCCURRENCE <br />a <br />AGGREGATE <br />3 <br />OCCUR CLAIMS MADE <br />S <br />$ <br />DEDUCTIBLE <br />____- <br />$ <br />RETENTION S <br />WORKERSCOMPENSAWN <br />SWC1024313 <br />06/01/2013 <br />06/01/2014 <br />_ <br />X TORY LI R <br />AND EMPLOYER& LIABILITY <br />ANY PROPMETORlPARTNEPJEXECUTNE YO <br />EL EACH ACCIDENT <br />S 1,DOO,AO <br />E.L DISEASE-EA EMPLOYEE <br />S <br />B <br />OFFICERIMEMBER EXCLUDED? <br />(Mantlala,y in NH) <br />E . L. DISEASE- POLICY LIMB <br />— _1,000,00 <br />S 1,000,00 <br />Hyea,GSffR abler <br />SPECIAL PROVISIONS balm <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENLIORSEMBNT1 SPECIAL PROVISIONS <br />In the event of cancellation for Iron Payment, 10 days notice wil be issued. <br />The certificate holder is included as an additional insured as per the attached endorsement, <br />giver of Subrogation is included on the General Liability and Workers' Compensation. <br />ACOKU LS (TUUSIUI j .-. .� ... - -.. .._.........�..— --- --- <br />The ACORD name and logo are registered ma of CORD <br />i� <br />SNOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EKMRAT10N <br />DATE THEREOF, THEISSUNG INSURER WILL ENDEAVOR TO MAUL *30 80iwFliTEN <br />NOTICE TO THECERTURCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TOM $0 SHALL <br />City of Santa Ana <br />IMPOSE No OBLIGATION OR LUIBWTY OF ANY HIND UPON THE INSURER, ITS AGENTS OR <br />Public Works Agency <br />220 S. Daisy Ave M -85 <br />REPRESS A IVES, <br />AUTH REPAESEN nvE <br />Santa Ana, CA 92702 <br />ACOKU LS (TUUSIUI j .-. .� ... - -.. .._.........�..— --- --- <br />The ACORD name and logo are registered ma of CORD <br />i� <br />