Laserfiche WebLink
Al 6'� CERTIFICATE OF LIABILITY INSURANCE <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />Page 1 of 2 <br />11/17/20 5 <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(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 />Willis Insurance Services of Georgia, Inc. <br />c/o 26 Century Blvd. <br />P.O. Box 305191 <br />Nashville, TN 37230-5191 <br />PHONE 877-945-7378 F <br />AxNnj. 888-467-2378 <br />E-MAIL <br />certificatesQwillis.com <br />INSURER(S)AFFORDING COVERAGE NAIC # <br />INSURER& Hartford Fire Ins. Co. 19682-001 <br />11/15/2015 <br />INSURED Commonwealth Land Title Company <br />INSURERB:continental Casualty Company 20443-002 <br />INSURERC:Trumbull Insurance Company 27120-001 <br />Attn: Risk Mgmt Dept <br />601 Riverside Ave, Bldg 5 <br />Jacksonville, FL 32204 <br />INSURERD:Allianz Insurance Company 35300-001 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 23841307 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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPEOFINSURANCE <br />DDL <br />SUB <br />pOLICYNUMBER <br />POLICYEFF <br />POLICY EXPTP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />20CSEC90929 <br />11/15/2015 <br />11/15/201f <br />EACHOCCURRENCE $ 1100010 0 <br />PAMRFE�ORENTED <br />l aoccurence) $ 11000,000 <br />MED EXP (Anyone person) $ <br />X Host Liquor Liability <br />PERSONAL & ADV INJURY $ 11000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X POLICY PRO ❑LOC <br />JECT <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />20CSEC90930 <br />11/15/2015 <br />11/15/2016 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,000 <br />XANYAUTO <br />BODILY INJURY(Per person) $ <br />AU <br />AUTOS TOS AUTOS <br />BODILY INJURY(Per accident) $ <br />PSCHEDULED <br />HIRED AUTOS NON-OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Per accident) $ <br />X <br />Phy Dam Se <br />lf-Insured <br />$ <br />B <br />X <br />UMBRELLALIAB <br />X <br />OCCUR <br />L6011818715 <br />11/15/2015 <br />11/15/201 <br />EACHOCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE F—N] <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />AOS 20WNC90926 <br />11/15/201511/15/201 <br />X P R TH- <br />E.L. EACH ACCIDENT $ 11000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />(Mandatory inNH) <br />f yes, describe under <br />E.L. DISEASE -POLICY LIMIT $ 110001000 <br />DESCRIPTION OF OPERATIONS below <br />D <br />Bldgs/BPP/B.I. <br />CLP3016282 <br />11/15/2015 <br />11/15/201Loss <br />Limit: $200,000,000 <br />Special W/EQ/FL <br />Valuation Property Damage <br />Property Quota Share <br />Replacement Cost <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) <br />See attached for additional information: <br />F [:.ilidM:.WEC� t:r t: �DivII ' HEREDIA DIA 0" G / OF,. <br />CERTIFICATE HOLDER CANCELLATION <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 />AUTHORIZED REPRESENTATIVE <br />City of Santa Ana <br />20 Civic Center Drive <br />Santa Ana, CA 92701 <br />Coll:4805290 Tp1:2009169 Cert:2:3-8 507 @1-1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />