MCCUNE & HARBER, LLP 2 -2014 - Laserfiche WebLink

Home Browse Search

ACC?Rb►'r CERTIFICATE OF LIABILITY INSURANCEP5/12/2017 ATE(MMfDD1YYYY) 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ANAME,IIIjT... Kelly Fonts & Associates Insurance Brokers CA Licenses #0614755 PHONE(800)576-8802 FAX AIr. No AIC No.: (818) 449-932.1 A� RIESS:akelly@pomsassec.com 5700 Canoga Ave. #400 INSURERS AFFORDING COVERAGE NAICft INSURE RAAmerican Auto Ins. Co./FF 21849 Woodland Hills CA 91567 INSURED INSURER B:Technology Insurance Co. Inc. 42376 INSURERC AS en S ocialty Insurance 10717 MCCUNE & HARBER, LLP. 515 S Figueroa St, Ste 1100 INSURER D: INSURER E Los Angeles CA 90071 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1751247466 RFVISIPIN KIllMRr-R- 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. INSR LTR TYPE OF INSURANCElui-wa ADDL SUER POLICY NUMBER. POLICY EFF MM DDIYYYY) POLICY EXP LIMITS A X COMMERCIAL. GENERAL LIABILITY CLAIMS -MAZE � OCCUR _fMMIDDNYYYI EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 100,000 PREM ISE E.. accerrence $ MEO EXP �(Any one person) $ 10,000 AZC80884450 1 4,/18/2017 4/113/2018 PERSONAL &ADV INJURY $ 2,000..,000 GEN L AGGREGATE LIMIT APPLIES PER: X.. POLICY ❑ PRO- JECT r LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGO $ 4,000,000 $ OTHER: AUTOMOBILE. LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY {Per parson) $ AIx ANY AUTO AUTOS SCHEDULEDAZCB0884450 AUTOS AUTOS. 4/18/2017 4/18/2016 BODILY INJURY Per accident) �NON-OWNED AUTOS X AUTOS PROPERTY DAMAGEHIRED Per accident $ UMBRELLA LIAB...OCCUR HCLAIMS-MADE EACH OCCURRENCE '$.. :.. AGGREGATE $ EXCESS LIAR DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRPETOR/PARTNERIEXECUTIVEE.L. G OFFCERIMEM6EREXCLUDED7 ❑ (Mandatary in NH) If yes, describe elide! N/A ` WC3626281.. 5/15/2017 5/15/2016 PER OTH- X. STATUTE...... ER.... EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below. C Professional Liability LR0061m17 6/4/2017 6/4/2018 Limit ofLiabiRy 1,000,000 Deductible 35,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence, of Insurance Only. 6"A011VSING XDa'l i g� jofuas, f� tlll�: ZY�4At(D C U 115 CATE HOLDER The City of Santa Ana City Attorney's Office 20 Civic Center plaza Mail Stop M-29 Santa Ana, CA 92701 ACORD 25 (2014101) IN 5025 owdnl t SHOULD ANY OF THE, ABOVE DESCRIBED POLICIES hE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f LUef/JLC7EF"�--- Ca71988-20,14 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD