Laserfiche WebLink
Client#: 1258425 <br />Francine R. <br />305COMPUMreal <br />DI9Id Ilwlgned LV Fmnenes <br />Vlllweal <br />ACORDT,, CERTIFICATE OF LIABILITY INSURANCE <br />TE <br />D4/01/1(MMIY) <br />/01/202 1 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer any rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />McGriff Insurance Services <br />2400 E Katella Ave Suite 1100 <br />Anaheim, CA 92806 <br />714 941-2800 <br />CONTACT Aide Radilla <br />NAME: <br />PHONE 714 941-2850 FAX 877 297-9245 <br />AIC, No, Eat : A/C, No <br />E-MAIL ADDRESS: aradilla@mcgriff.com <br />l_, 9 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Star Net Insurance Company <br />40045 <br />INSURED <br />Compulink Mgmt Center Inc <br />dba Laserfiche <br />3545 N. Long Beach Blvd. #110 <br />Long Beach, CA 90807 <br />INSURER B: Allmerica Financial Benefits <br />41840 <br />Westchester Surplus Lines Insurance <br />INSURER C: P <br />10172 <br />INSURER DHomeland Ins Co <br />34452 <br />Lloyds of London <br />INSURER E. Y <br />INSURER F: Radnor Specialty Ins CO <br />15756 <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 INSURANCE <br />NSB <br />SUBR <br />MID <br />POLICY NUMBER <br />MM/DDY/YYYFY <br />MM/DD VFY-XYV <br />LIMBS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />X <br />TCP701616011 <br />3/13/2021 <br />03/13/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADEOCCUR <br />PREMISESEoacu �nce <br />$1,000,000 <br />MED EXP(Any one person) <br />$15,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$2,000,000 <br />POLICY PRO <br />❑ JECT PRO- LOC <br />PRODUCTS-COMP/OPAGG <br />$2,000,000 <br />$ <br />OTHER'. <br />A <br />AUTOMOBILE <br />LIABILITY <br />TCP701616011 <br />3/13/2021 <br />03/13/2022 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />DAMAGE <br />Per accident <br />$ <br />X <br />HIRES ONLY X NONOWNEDPROPERTY <br />AUTOS ONLY <br />A <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />TCP701616011 <br />3/13/2021 <br />03/13/2022 <br />EACH OCCURRENCE <br />$20000 000 <br />$20OOD OOO <br />EXCESS LIAB <br />CLAIMSMADEAGGREGATE <br />LED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE _N] <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />W231144370100 <br />1/01/2021 <br />01/01/2022 <br />X PER OTH- <br />ER <br />EL EACHACCIDENT <br />$1,000,000 <br />EL.DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL.DISEASE -POLICY LIMIT <br />$1,000,000 <br />**SEE BELOW FOR <br />**SEE BELOW FOR <br />ADDITIONAL <br />ADDITIONAL <br />COVERAGES** <br />COVERAGES** <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />ADDITIONAL COVERAGE/POLICY INFORMATION: <br />C. Insurer: Westchester Surplus Lines Insurance (Non Admitted) - NAIC #: 10172 <br />Technology E&O, Cyber, Privacy & Network Security and Media Liability <br />Policy Number: F14774865003 <br />Policy Effective: 03/13/2021 - Policy Expiration: 03/13/2022 <br />(See Attached Descriptions) <br />City of Santa Ana <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2016103) 1 of 2 <br />#S27696010/M27543148 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD ( <br />The ACORD name and logo are registered marks of ACORD <br />Rink Management Division <br />REVIEWED&APPROVEDBY: <br />Risk Management Analyst <br />