|
Client#: 1097 H. 1ARK
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE DA112512 DDIYYYY)
<br />ans12D1a
<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 certMlcate holder Is an ADDITIONAL INSURED, the pollcy(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 />Professional Insurance Assoc.
<br />429 Hackensack St.
<br />P.O. Bax 818
<br />Carlstadt, NJ 07072
<br />INSURED
<br />HAP Marketing Services, Inc.
<br />265 Industrial Way West, Unit 7
<br />Eatontown, NJ 07724
<br />PH—OAY
<br />AIIC, No. E,L 201 438_-7500
<br />LA, No): 201438-8781
<br />E-MAILADDRESS.
<br />rsmith@pianj.com
<br />-
<br />WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
<br />POLICIES DESCRIBED
<br />HEREIN IS SUBJECT IO ALL THE TERMS,
<br />INSURER(S) AFFORDING COVERAGE NAIC r_
<br />INSURER A:
<br />Indiana Insurance Company
<br />_
<br />INSURERS:
<br />Excelsior Insurance Company
<br />A GENERAL LIABILITY x BOP856233Its
<br />INSURER C:
<br />EEAACCHH OECCCpU�RRENCE 82,000,000
<br />t+
<br />X COMMERCIAL GENERAL LIgBIUIv P G A
<br />INSURER D:
<br />PREMISES L a ociunenccl {E50,000_
<br />C.LAIMS.MADE Xl OCCUR:
<br />INSURER E:
<br />MED EXP IAOy ane persa,n ESyOOO
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN
<br />ISSUED TO THE INSURED
<br />NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY
<br />CONTRACTOR OTHER DOCUMENT
<br />WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
<br />POLICIES DESCRIBED
<br />HEREIN IS SUBJECT IO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN
<br />REDUCED BY PAID CLAIMS.
<br />INSR ADDL9UBR
<br />LTR TYPE OF INSURANCE INSfl VND POLICY NUMBER
<br />POLICY EFF POLICY EXP
<br />(MMIDD6"' (MMI..DIYY'YY)
<br />LIMITS
<br />A GENERAL LIABILITY x BOP856233Its
<br />211012013 121101201
<br />EEAACCHH OECCCpU�RRENCE 82,000,000
<br />t+
<br />X COMMERCIAL GENERAL LIgBIUIv P G A
<br />�o �R
<br />PREMISES L a ociunenccl {E50,000_
<br />C.LAIMS.MADE Xl OCCUR:
<br />MED EXP IAOy ane persa,n ESyOOO
<br />'I PERSONAL S AIV INJURY s2,000,000
<br />111
<br />n
<br />IyL A/_ 1
<br />LGENERAL AGGREGATE E4000000
<br />GFNY AGGREGATE LI MIT APPLIES PER
<br />I
<br />o9/rf1P
<br />DC
<br />PRODUCTS-COMPIOPAGG E4000000-
<br />PRO.
<br />$
<br />POLICY LOC t..
<br />JR11t f` y
<br />bt;ITY
<br />A AUTOMOBILE LIABILITY BDP856T339
<br />1719 I�T31211OI201
<br />COMBINED SINGLE. LIMIT
<br />(Eaeccieenll i$11,000,000
<br />ANY AUTO
<br />BODII Y INJURY (Pnr pe,cnn) $
<br />ALL OS SCHEDUR ED
<br />BOOK Y INJURY Pnr nauoemC $
<br />AUTOS ' AUTOS
<br />I NON OWNED
<br />X X
<br />PROPERTY DAMAGE
<br />HIRED AUTOS
<br />_ AUTOS
<br />(per accitlanU -
<br />-
<br />$
<br />-
<br />B 1( UMBRELLA LIAB X OCCUR X I CU8566139
<br />-
<br />12/10/2013k211012014
<br />EACH OCCURRENCE a5 000000
<br />EXCESS LIAR CLAIMS I
<br />AGGREGATE E5r000 000
<br />DED XI RETENTION$10000""�
<br />i $
<br />B WORKERS COMPENSATION WC8565139
<br />1211012013112/1012011X
<br />WC STAID LITH
<br />AND EMPLOYERS' LIABILITY Y I N
<br />.TORY LIMITS. LR
<br />ANY PROPRIETORIPARTNERIEXECUTNE
<br />EL EACH ACCIDENT $1,000,000
<br />OFF EXCLUDED' NIA
<br />N
<br />nd� or, In
<br />E L DISEASE - EA EMPLOYEE x1,000,000_..
<br />Nves aescdhennea,
<br />DESCRIPTION OF OPERATIONS hemw
<br />LELL DISEASE POLICY (IMIT , $
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AIMch ACORO 101, Additional Ramarm Schedule, If mon epees Is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; Its officers, employees, agents,
<br />volunteers and representatives are additional Insureds with regard to liability and defense of suits arising
<br />from the operations and uses performed by or on behalf of the named Insured. This Insurance is primary and
<br />Non -Contributory with any other insurance carrier by or for the benefit of the additional Insureds.
<br />Parks, Recreation & Community
<br />Services Agency -M23
<br />20 Civic Center Plaza
<br />PO Box 1988
<br />Santa Ana, CA 92702
<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 />1RRR.7n1n ACORn CARPORSTION All rinhta rwaorved
<br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S1315891M128157 MGD
<br />
|