Laserfiche WebLink
'``EP'2° CERTIFICATE OF LIABILITY INSURANCE DATBIMM ODIYYYY) <br />4Irr"'� 5/6/2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER - -' <br />TWIN Insurance Services LLC - #OE52073 <br />196 S. Fir Street <br />PO BOX 1388 <br />Ventura CA 93002 -1388 <br />NANE:C Araceli Flores, AIS, AINS <br />PH�N o (805) 585 -6113 A)C NO: (805) 585-6213 <br />.adelarosa @twiw.a m <br />INSURERS AFFORDING COVERAGE <br />NAICI <br />INSURERA;Hart£ord Casualty <br />9424 <br />INSURED <br />Pacific Coast Cabling, Inc. <br />DEA: PCC Network Solutions <br />20717 Prairie street <br />Chatsworth' CA 91311 <br />INSURERB:Twin City Fire Ins Co. <br />29459 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />EACH OCCURRENCE <br />INSURERF: <br />1Se9VR;f1l" M a -.411 M IMel 11a0 11111 l:l *'.M*P i[W "IFi4.WAN)I':n4 1yT11-9ra13113 I ILri INy-� <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED; NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />LTRR <br />TYPE OF IN SURANCE <br />POLICY NUMBER <br />MMIODIYYEYYV <br />MMIODYYY�YPY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCULL GENERAL LIABILITY <br />PREMISES( ..counrag an I <br />$ 300,000 <br />A <br />CLAIMS-MADEFZ OCCUR <br />72DUN,7HO752 <br />/1/2013 <br />1/112014 <br />MED EXP(Any one person) <br />$ 10,000 <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 - COMP /OP AGG <br />$ 2,000,000 <br />POLICY <br />X PRO- <br />JEcT X LOG <br />- <br />$ <br />AUTOMOBILE <br />LIABILITY . <br />Ee accident)L <br />11000,000 <br />A <br />R <br />ANY AUTO <br />- <br />BODILY INJURY (Per pmeun) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS. AUTOS <br />2UUNJH0752 <br />/1/2013 <br />/1/2014 <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS(' NON -0YvNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per ncmde <br />$ <br />Underinsured motorist <br />$ ' <br />X <br />.UMBRELLA LIAB <br />X <br />OCCUR <br />- <br />EACH OCCURRENCE <br />$ 10,000,000 <br />AGGREGATE <br />$ 10,000,000 <br />A <br />EXCESSUAB <br />CLAIMS-MADE <br />- <br />DED I X I RETENTION$ .10,000 <br />$ <br />172RHUJH1103 <br />/1/2013 <br />1/1/2014' <br />B <br />WORKERS COMPENSATION <br />- <br />X VVC STATU- OTH- <br />TORY I Imn-8 ER <br />AND EMPLOYERS' LIABILITY YIN <br />E.L. EACH ACCIDENT - <br />$ 1,000,000 <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />- <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NHl' <br />NIA <br />72WEZQ8250 <br />/1/2013 <br />/1/2014 <br />E.L. DISEASE - EA EMPLOYE <br />$ I­000,000 <br />Ifeyas describe under <br />DESSRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is requiredl <br />GL: The City.o£ Santa Ana, its officers, employees, agents, volunteers and representatives are Additional <br />Insured as respects to operations of the Named Insured per attached HG0001 0605. This insurance is <br />primary and non - contributory to any other insurance held by Additional Insured per attached HG0001 0605. <br />A Waiver of Subrogation is added per attached HG0001 0605. Attached enorsements apply only as required by <br />written contract during the policy term. <br />APPROVED AS TO FORM <br />cmarek@santa-ana.org � SSBTORCK OBEFORE I <br />SHOULD ANY OF THE ABOVEDESCRIB �pc <br />THE EXPIRATION DATE THEREC�S%1312 lM U VERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn: Insurance Services Division M -12 <br />20 Civic Center Plaza AUTHORIZEDREPRESENTATIVE <br />Santa Ana, CA 92701 <br />R Toohey, CISC /ARACEF <br />ACORD 25 (2010105) O 1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025 (2ni0 Tot The ACORD name and logo are registered marks of ACORD <br />