Laserfiche WebLink
ACC>R" CERTIFICATE OF LIABILITY INSURANCE <br />D04/20/20 5 I <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 pollcy(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 />KEN INOUYE INSURANCE AGCY INC <br />CONTACT <br />NAME• <br />STATE FARM LIC #1 OD12117 <br />At <br />105 Ho, E.q• 562- 665_�72b_ __x No)_6C_2,_AC�§31 <br />.A <br />nDDFLEaS DANIELLE K(oj ENINOUYF_COM _ <br />- — -- - --- <br />5fateti7ron 11010 ARTESIA BLVD <br />INSURERIS)APFORBINO COVERAGE <br />NAIC# _ <br />CERRITOS,CA90703 <br />_._ -- _ <br />MEOEXP(Any onepereon_ <br />INSURER A: State Farm FIT B and OaSU96V CpmpanY_ <br />25143 <br />_ <br />iNS6aeo IMPRENTA COMMUNICATIONS GROUP INC <br />INsURERa:Slate Farm Mutual Automobile lrreurancacgman <br />_-2-6 iL <br />300 S RAYMOND AVE STE 9 <br />PASADENA, CA 91105 <br />INSURER-0:____�`_�__ <br />GENERALA_GGREGATE <br />$ 2,000,0_00 <br />INSURER E: <br />INSURER F : <br />_ r0VFRAnPC CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS 15 TO CERTIFY THAI' 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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSN <br />LTR <br />A <br />_ —_� -7Y PE OFINSURANCE ----- ^Ij''p( <br />GENERAL LIABILITY IV <br />7X COMMERCIAL GENERAL LIABILITY <br />DD <br />NS <br />$T1SR <br />POLICY NUMBER <br />92.B4- I(gg6•$ <br />POLICY EFF <br />MIOOttYYY <br />02162/2615 <br />POLIC E P <br />M IDDIYYYY <br />0210212016 <br />LIMITS <br />EACH OCCURRENCE <br />5 1,000,000 <br />_ <br />PREMISE81Ea oNcu6nce <br />_ <br />_ .CLAIMS -MADE C1 OCCUR <br />MEOEXP(Any onepereon_ <br />$ _5_00_0 <br />PERSONAL &ADV INJURY_ <br />GENERALA_GGREGATE <br />$ 2,000,0_00 <br />PRODUCTS - COMPPOP AGO <br />$ __- 22,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY IRO Z LOC <br />$ <br />B <br />AUTOMOBILE LIABILITY <br />❑Y <br />471 5490-E20-76 <br />1112012014 <br />6512612615 <br />COMBINED SIN >LE LIMA' <br />,_ <br />_ <br />$ _ '.000,000 <br />X ANY AUTO <br />BOOILV INJURY (Per pe(unn) <br />BODILY INJURY <br />$ <br />X ALL <br />AUTO OUL <br />�— SRLO F <br />NON-OD <br />I1IRED AUTOS %` AUTOS <br />eODILYIN (Par accltlaet) <br />$ <br />POrbAaC) <br />-Per accL4en6__,_�.,__._ <br />$ <br />$ — <br />UMBRELLA LIAa <br />__ <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />_ <br />$ <br />EXCESS LIAD__ <br />CLAIMS MADE <br />p-p RETENTION <br />IS <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETGRIPARTNERIEXECUTIVE� <br />OFFIC6IMEMeea EXOLtlOEU1 <br />(Mandatnry In NHl <br />If yes, d4001I acdol <br />,pCACRIG+T ON OF nP>RAnntiS LIyYd <br />NIA <br />92•CG- K632.8 <br />pp` ^' <br />ppv1vV`1 <br />Rp <br />,1.t016 14 <br />U <br />10!2612015 <br />we STAl' X 0TH- <br />-- .- T9IlY_L1Cd _ SB <br />E.L_EACHACCIDENT <br />$ <br />_} _1_000,000 <br />E.L.DISEASE _kA EMPLOYE $ 1,000,000 <br />— — — . -- <br />E.L. DISEASE POLICY LIMIT 8 1,000,000 <br />DESCRIPnONOFOPERATIONS ILUCATIONSIVEtliCLea (Attach ACORD 101, AddItlPnal ROM $ST$gdMdVf arenulradl <br />LOCATIONS: 3008 RAYMOND AVE, STE 9 & 4, PASADENA, CA 91106 K 1U'LllorS OTTH1I'SST, STE 221 SACRAMENTO, CA 95814. <br />Certificate holder, its officers, agents, and employees are named as Additional Insured in regards to General Liability. <br />"10-days notice of cancellation for nonpayment. <br />Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will mail 30 -days written notice to the certificate <br />holder named below. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Y <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: PRCSA <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza - M - 23 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />In <br />©1988 -2010 ACORQ)CCIRPORAVON. All rights roserved. <br />ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01 -23 -2013 <br />