GARY A. LINNEMANN, M.D., INC. 1-2015

Home Browse Search

AC40RL>® CERTIFICATE OF LIABILITY INSURANCE ATE D6/30/20) 15 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(les) 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 Sara Donohoe NAME: Insurance Solutions PHONE E IS (AJC. 348-7400 FAX No: (949)398-23]3 License N0746539 'MAIL SaraD@Ins-solutions.com ADDRESS: 33302 Valle Rd, Suite 200 INSURERS AFFORDING COVERAGE NAIC II INSURERAAmco Insurance Cc 19100 San Juan Capistrano CA 92675 INSURED INSURER B INSURER C: Gary A. Linnemann, M.D., Inc. INSURER D: 1534 E WARNER AVE STE A INSURER E: 6/6/2016 MED EXP (Any one person) $ 5,000 1 INSURER F: SANTA ANA CA 92705-5475 COVERAGES CERTIFICATE NUMBER:15-16 REVISION NUMBER: 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. NSR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER MMDDDrI MMIDD EXP LIMITS X COMMERCIAL GENERAL LIABILITY T Alessandra/PETERS 4., EACH OCCURRENCE $ 1,000,000 ACLAIMS-MADE ❑X OCCUR ERENTED 300,000 PREMISES PREMISESS(E. occurrence $ ACP7801875918 6/6/2015 6/6/2016 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICV❑ PRECT O' 11LOC PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER, $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS AC27801875918 6/6/2015 6/6/2016 BODILY INJURY (Per accident)$ X NON -OWNED X PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAI 'i AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOWPARTNEWEXECUTIVEE.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED] E-1 N/A (Mandatory in NH) E.L. DISEASE EA EMPLOYE $ If you, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Santa Ana, its officers, employees, agents and volunteers are named as additional ins r the attached endorsement. `U 1 CERTIFICATE HOLDER CANCELLATION k 1 V IA MKelley@santa-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE T Alessandra/PETERS 4., ACORD 25 (2014/01) INS0250(11401) ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD