Laserfiche WebLink
A E'° CERTIFICATE OF LIABILITY INSURANCE DATE 01/27/22015 015 Y) <br />(MM <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(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 />PRODUCER Phone: 626 1 Fax: (626) 655 -0979 CONTACT Emery-Le-e— <br />KCAL INSURANCE AGENCY _- -- - - - -- <br />ac�N E �L626.855 8288 _ -- .- .,.. -_ FAX rye).. (626) 855.0979 <br />2048 S. HACIENDA BLVD. E -MAIL - -- -- -- <br />HACIENDA HEIGHTS, CA 91745 ADDRESS _ _ _ ... <br />MSURER(S) AFFORDING COVERAGE NAICIN <br />Agency UOIn OB07015 INSURER A: HARTFORD <br />GEOSPATIAL TECHNOLOGIES, INC. INSURER <br />10055 SLATER AVE., STE4214 INSURER <br />FOUNTAIN VALLEY CA 92708 INSURER D: <br />NSUPER E <br />INSURERF -. <br />COVERAGES CERTIFICATE NUMBER: 23529 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEOVE 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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />HAD gppL sUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />LTR TYPE OF INSURANCE INS, WVp _ - - __. LMMIDDIYVyyt (MMioomvvL <br />GENERAL LIABILITY EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED------ <br />PREMISES (Tao ) -- $ <br />�CLAIMS-MADE I .]OCCUR I, MED. ENT (Any one pereoR) IS <br />II <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE IS <br />GEN..S...- ...... --------- _ ..... . ..... .... <br />'L AGGREGATE LIMIT APPLIES PER: PRODUCTS --- - COMPIOPAGG $ <br />POLICY . 1 JECT - LOC _ ........ ......... $ -. <br />- _- -. <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />E tl tl <br />ANY AUTO BODILY INJURY (Per person) S <br />SCHEDULED . .... ... . ..... — -- - <br />ALL OWNED Ir /AUTOS /III BODILY INJURY(Perecadent) 5 <br />_ -AUTOS <br />HIRED AUTOS I NON -OWNED <br />PROPeniv oANIFlGE _ S -- <br />AUTOS Ip a np _ <br />I $ <br />_- . - <br />UMBRELLA LIAR I OCCUR I EACH OCCURRENCE $ <br />EXCESS LIAB { CLAIMS MADE AGGREGATE $ <br />_- - _- _' .__. --- ._ - <br />DED� /RETENTION $ $ <br />A - - -- TTO YLIMIT r OTH <br />WORKERS COMPENSATION 72WECEV71$6 01/22/15 01122/16 `TORY S <br />ANO EMPLOYERS' LIABILITY _ <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN, 1 E.L. EACH ACCIDENT $ 1,000 QQQ <br />DFFICERIMEMBER EXCLUDED? <br />NIA EL DISEASEEA EMPLOYEE $ 1,000,000 <br />Uyes (Mendarmy In NH) <br />DESCRIPTONantler SE I " - -, 00 <br />pEecRIPTONOF OPERATIONS nalow I E.L. DISEASE-POLICY LIMIT ;$ 1,000,QQQ <br />l <br />___..... - - - _- — - _ ..... .. - - ._. --- - ____.____ - _- - ........ _........ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACERB 101, Additional Remarks sched Nle, if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Attention: <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 />REPRESENTATIVE <br />I ne AUUHU name ana logo are registerea marhS of AUUHU <br />