Laserfiche WebLink
A °® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDO Y YI <br />01/09/2014 <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 BELOW, <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE <br />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 the <br />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 />COMPUPAY INSURANCE SERVICES INC <br />3450 LAKE SIDE DR <br />MIRAMAR, FL 33027 <br />(866) 890 -9965 <br />X3247 70A <br />CONTACT <br />jaCNNo, Ext): (8661890 -9965 (XC, NO): (888) 733 -5112 <br />E -MAIL <br />ADDRESS: travelersselect,a rollseraces trevelers.com <br />PRODUCER _ 2724T7130 <br />CUSTOMER to 9 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />TOWNSEND PUBLIC AFFAIRS, INC. <br />1401 DOVE ST, STE 330 <br />NEWPORT BEACH, CA 92660 <br />INSURER A71RAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />INSURER B: <br />INSURER C: <br />$ <br />INSURER D', <br />$ <br />INSURER E <br />$ <br />INSURER F: <br />$ <br />COVERAGES CERTIFICATE NUMBER: 696816317080900 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS <br />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADOL <br />INSR <br />SUER <br />wwr, <br />POLICY NUMBER <br />POUCYEFF <br />(MMIDD/YYYYI <br />POLICY EXP <br />MINVIDO YYY I <br />LIMITS <br />GENERAL LIABIITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE E OCCUR <br />EACH OCCURRENCE <br />$ <br />T' <br />A IS E ur range) <br />$ <br />MED EKE (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO - <br />POLICY F7 JECT LOG <br />PRODUCTS -COMPIOP AGG <br />$ <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY(Peraccident) <br />$ <br />PROPERLY DAMAGE <br />(Pereccl ent) <br />$ <br />$ <br />$ <br />UMBRELLA LIAS <br />E %CE55 LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If Yes, describe under <br />SPECIAL PROVISIONS below <br />NIA <br />UB- 1136X539 -14 <br />01/0112014 <br />01/0112015 <br />X TORY LIMITS LTR <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000000 <br />E. L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AdJUoonel Reemarrkkil hentlule, if more space is required) - - <br />APPROVE, NNNry fLCl�1.O IT <br />CITY OF SANTA ANA Senior Assistant City AttO SHOULD ANY OF THEASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />20 CIVIC CENTER PLAZA EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />SANTA ANA, CA 92701 WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE ( ^ e <br />©1988.2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />