ECHAN, BARBARA A. 4 -2014 - Laserfiche WebLink

Home Browse Search

ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDA YY) 5/15/2015 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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certfflcate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER COMPLETE EQUITY MARKETS INC 1190 Flex Court Lake Zurich, IL 60047 t6sE alpliata �� ara.lee A�rK �yy NAME: NeE :(847)541 -0900 .ND:(847)541 -0444 AnDRESS_, E,_ MNRERI6) AFFORDING COVERAGE NAX:r INSURER A: Underwriters at Lloyd's London MMNU/YYYY INSURED Barbara Bohan 3056 Madeira Avenue Costa Mesa CA 92626 INSURER B: cOWEROML GENERAL LIA9anY C(AIMS+M DE E OCCUR INSURER INSURER INSURER E. EACH OCCURRENCE INSURER F' DishIMUE SE PREMS L err +arerce COVERAGES CERTIFICATE NUMBER: REVISION NUMBER 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. LM TYPE OF INSURANCE also VwwD POLICY NU ER MMNU/YYYY LIMITS cOWEROML GENERAL LIA9anY C(AIMS+M DE E OCCUR 1 EACH OCCURRENCE S DishIMUE SE PREMS L err +arerce _ S MED EXP (Any ma person) $ ��/L— �`J'�(� RICO j PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER ' POLICYFPRO- ECT LOC GENERAL AGGREGATE S PRODUCTS - COMP /OP AGO $ $ OTHER: AUTOMOBILE LIABILITY KS Ee ewdant S BODILY INJURY (Per person) s ANYAUTO ,J A�OOWNED ALMOESULED 1 —JI BODILY INJURY (Per accident) S HIRED AUTOS H AUTOSWNEO Par accgmt S S ��` LIAB kd OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS tJAB CLAIMS -MADE DIED RETENTIONS S WORICERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY R10PRMFTORIPARTNER/E)ECIITIYE OiNLERIMEMBER EXCLUDED? ❑ qrA STATUTE ER E, L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYE .... -._ S IWemtery m NH) f yea. desmbe NRder DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT _.........— S $1,000,000 Each Claim ,A Professional Liability 854476 6101115106/01/16 $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addsoral Remarks Schedule, may D, aft"ed f more apace is required) '.. This is a four page certificate. CERTIFICATE HOLDER CANCELLATION City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center Plaza (M-20) ACCORDANCE WITH THE POLICY PROVISIONS. P O Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 I ®1988 -2013 ACORD CORPORATION. Ali rights reserved. ACORD25(2013104) The ACORD name and logo are registered marks of ACORD