URBAN FUTURES, INC. 2 - 2014 - Laserfiche WebLink

Home Browse Search

Policy Number: Date Entered: .44C4C>R0 CERTIFICATE OF LIABILITY INSURANCE `.� DATE 12/115/20155/2015 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 Michael Geffre Insurance Agency 496 N Coast Hwy, Suite A Laguna Beach, CA 92651 CONTACT NAME: Ef:(948)484-7261 AC No:(949)494-4481 E-MAIL nDDRESS: Jana@ mgf armers . com 60470390 12/08/2015 12/08/2016 INSURERS AFFORDING COVERAGE NAICp INSURER MERCER INSURANCE COMPANY $ IDU, OOD MED EXP (Any one person) INSURED URBAN FUTURES, INC. INSURER B: FARMERS INSURANCE GROUP PERSONAL &ADV INJURY and DHA ISOM ADVISORS INSURER C: MID-CENTURY INSURANCE COMPANY GENERAL AGGREGATE INSURER D: PRODUCTS-COMP/OP AGG 3111 N TUSTIN SUITE 230 ORANGE, CA 92865 N S C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS INSURERURER FE 03/11/2015 COVERAGES CERTIFICATE_ NIIMRFR- REVISION NHMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YM LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR 60470390 12/08/2015 12/08/2016 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ IDU, OOD MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC OTHER'. GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $NOT COVERED $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS 605900024 03/11/2015 03/11/2016 COMBINED S INGLE LIMIT Ea accitlent $1r 000, UUU BODILY INJURY (Per person) -i- BODILY INJURY (Per accident)$ PROPERTY DAMAGE Peraccident $ $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 60470390 I 12/08/2015 12/08/2016 EACH OCCURRENCE $2,000,000 AGGREGATE $ DED RE I IS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICFWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N0915 67 09 02/08/2015 I 02/08/2016 PER OTH- STATUTE ER E.L EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT I $1,000,000 ✓ / V DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) THE CITY OF SANTA ANA ATTN: R-1-CHacRD—M9ND17ZA_ 20 CIVIC CENTER DR. SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE GEFFRE ©1 ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www. Forms Boss.com', Impressive Publishing 800-208-1977 All rights reserved_ (T7 eo( // I ✓P �151 Il f�