Laserfiche WebLink
A4001?" CERTIFICATE OF LIABILITY INSURANCE <br />ATE <br />gMMIDDIYYYY <br />D3/29/20 6 ) <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(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 />Insurance IncorporatedPRONE <br />6809 Indiana Avenue <br />Suite 202 <br />Riverside CA 92506 <br />CT <br />NADMNT Cynthia Brown <br />(877)898-9333 (951) 300-9332 <br />"MDRESS: AIL CbrOWn@insuranceinc.com <br />AD <br />INSURERS AFFORDING COVERAGE NAICN <br />INSURER A.EVereat Indemnity Insurance Cc 10651 <br />INSURED <br />TMC Shooting Range Specialists, Inc. <br />27431 Santa Clarita Road <br />Santa Clarita CA 91350 <br />INSURER B:Pro reasiVe Insurance 24260 <br />INSURERC:State Comp Insurance Fund of 35076 <br />INSURER D : <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:2016-2017 REVISION NUMBER: <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 />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />fmMfDDIYMI <br />POLICY EXP <br />(MMIDDfYYYY1LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑X OCCUR <br />X <br />AUTHORIZED REPRESENTATIVE <br />EF41xII.05247161 <br />4/4/2016 <br />4/4/2017 <br />EACH OCCURRENCE $ 1,000,000 <br />DATOERDrence $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL B ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY PRO-JECT F7 LOC <br />ECT <br />PRODUCTS-COMPIOPAGG $ 2,000,000 <br />Property damage -single limit $ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT -T-1, 000, 000 <br />Ea accident <br />BODILY INJ URY(Per person) $ <br />B <br />X <br />ANY AUTO <br />ALL OSCHEDULED <br />AUUTOSS AUTOS <br />017041023 <br />7/31/2015 <br />7/31/2016 <br />BODILY INJURY (Per accident) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />$ <br />UMBRELLA LIABOCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />OED RETENTION <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOMPARTNEMEXECUTIVE <br />OFFICERIMEMSER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />909391916 <br />3/26/2016 <br />3/26/2017 <br />ER X POTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE $ 1,000 000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />*Ten-day notice of cancellation provided in the event of cancellation due to nonpayment of premium. <br />City of Santa Ana, its officers, agents and employees are included as Additional sure or -espet <br />rt'�n <br />General Liability per the attached endorsement. O IV <br />CERTIFICATE HOLDER <br />CANCELLATION <br />r <br />gfradella@santa-ana.org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES <br />BE CANCELLED BEFORE <br />City of Santa Ana Police Department <br />THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE DELIVERED IN <br />Attn: Purchasing Dept. <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701-4010 <br />James Henderson/KT �..�....,..... <br />¢� <br />ACORD 25 (2014/01) <br />INS025 (2ounv <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />