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4286 Wiseplace, a Ca Corp Dba Wise Silver Certificate of Insurance
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<br />(page 1 of 1) 07/22/2014 04:30:08 1
<br />�ecc�rr�,r�� CERTIFICATE OF LIABILITY INSURANCE
<br />1.�.�'"'-
<br />OATE'MMIC01'4' "'
<br />7/2212014
<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(ies) 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
<br />CONTACT
<br />NAME:
<br />PHONE 866 - 500.6359 _ _ _ IAtc Nol: 8_55_ _8.04 -8449
<br />_ )
<br />Heffernan Insurance Brokers /Select5olutions Insurance Services
<br />1350 Carlback Avenue
<br />Walnut Creek, CA 94$96
<br />&MAIL
<br />E-MAIL
<br />ADDRESS:
<br />PROii`oOceR
<br />- IN5URER)SI AFFORDING COVERAGE '.. NAIC 11
<br />i GENERALAGGREGArF S 2000000
<br />r_ 1_
<br />INSURED
<br />INSURERA:_ New York Marine & General InsuranceNaN -
<br />Wiseplace, a Ca Corp Dba Wise Silver Center
<br />INSURER e: Philadelphia Ind emnity_Insurance Com18058
<br />1411 N, Broadway
<br />Santa Ana, CA 92706
<br />_
<br />INSURER C: _ .__-- ._____-- ._.._..— __- .__.___
<br />NSURER U
<br />INSURER E
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<br />INSURER F
<br />---. -- - - ..N, -. -. -_
<br />BODILY INJURY tP,, peres,I) 1 "a
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<br />ltl•D$a:�5[C14.�•ia a•I�LMS�•aefaJna�: :ItlTA L4 rail apnN,Itl
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISPED 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 />LTF TYPE OF INSURANCE AODL,SUaiti POLICY NUMBER I MMIDIOYYYV MOIODmW
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACI I OCCURRENCE 15 1,000,000
<br />—1 1
<br />✓f COMMERCIAL GENCRAL LIABILITY
<br />OAU \SET - OEO I^ - - --
<br />1 PREMIgE3 (a CC 100000
<br />..a ocaurrsP A7
<br />�_rt�CLAIMSMAOF ✓J OCCUR -
<br />_15
<br />MED EAR (Any one pelnmry„ a 5,000
<br />�pERSONALRAOV tNJURV .51,000,000
<br />B Ves PHPK71180V ilt /2014. 11112015
<br />i GENERALAGGREGArF S 2000000
<br />r_ 1_
<br />__ - --- - ___
<br />PRODUC S CCMP/OPArG 1 S 2.000,000
<br />3EN'L 4GOREGATL LIMIT APPUE9 PER
<br />✓ POLICV -- -, PRO - - -'. LOC
<br />" --_ --
<br />" - - - -- -:; S —
<br />AUTOMOBILELIABILITY :
<br />COMBINED SINGLE LIMIT $ 1.000,000
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<br />✓ '�.
<br />1 (Ea
<br />---. -- - - ..N, -. -. -_
<br />BODILY INJURY tP,, peres,I) 1 "a
<br />__
<br />ANY AUTO
<br />'------
<br />✓
<br />ALL OWNED AUTOS
<br />___ . . .. ..... ....__
<br />f 80DILY INJURY IPeraacldenn' 5
<br />_ Yes: PHPKIII8017 1/112014 ' 111/2015
<br />e SCHCOULED AUTD"
<br />I -PHOEB -- -t - - -- --- - - - - --
<br />IPRCIPEFIs DAMAGE
<br />-
<br />✓ :. HIREDAUtOS
<br />�e'n cl -ern
<br />✓ , NON-OWNED AU rOS -
<br />-
<br />v t UMBRELLA LIAR ✓ OCCUR
<br />1
<br />EACH OCCURRENCE l S 1,000,000
<br />_
<br />B :EXCESS LIAe CLAIMS-MADE '.,
<br />AGGREGATE S 1000000
<br />_ YeS
<br />+- '� PHUB445063 11112014 ' 11112015
<br />— - - - - - --
<br />-- DEDUCTIBLE 1.
<br />I✓ 1 RETENTION S 10,000
<br />I WORKERS COMPENSATION !
<br />AND EMPLOYERS' LIABILITY
<br />✓ PlC fATU 0TH
<br />YIN
<br />ANY PROPRIPrOPrPARTNER1aXB J)U'rIVG
<br />�L EACH ACCIDENT S 1000000
<br />—
<br />A OFFICER�MEMBER EXCLUDED' Y NIA, WC20130DO02353 0/1512013 :' B/151201M1
<br />E DISEASE EA_E_MPLOY_E_EI 3 1,000,000
<br />(Mandatory In NH) :
<br />9 InIIII
<br />0ESCRIPT IWI OF OPERATION' balm,
<br />EL. 01SEASE- POLICY Unf] i ^a 1,000,000
<br />B Professional Liability (Error. end Omiselons) PHPK1118017 1 111)2014 11112015
<br />Occurrenm JAggregate $1,000,0001$2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES'Aeech ACORD 101, Addalaaal Remarks Schedule, If more H,aA. Is req 00)
<br />Certificate holder Its officers, employees, agents, volunteers and representatives are named as additional insured with respect to General Liability arising from the
<br />operations and uses performed by or on behalf of the named insured. This insurance is primary and non - contributory to any other insurance provide S
<br />respects general liability coverage. Endorsement to follow from carrier.
<br />A,jypSOV,t D S�
<br />O 1988 -2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCSs sags. c s E CANCELLED BEFORE
<br />The City of Santa Ana
<br />THE EXPIRATION DATE THEREbk. NOTICE
<br />WILL BE DELIVERED IN
<br />20 Civic Center Plaza
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />O 1988 -2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
<br />
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