Laserfiche WebLink
EMERAA OP ID: KC <br />;�® n CERTIFICATE OF LIABILITY INSURANCE DA09/02/2016Y) <br />a9foz/zo1 s <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 INSURERS), 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 endorsoment(s). <br />PRODUCER NAAMMEAC7 Craig W. Schell, Pres. <br />Scholl & Associates insurance ---_—" - -- - -- <br />Appency - License #OE75909 n"c°Ne .Exn.658.541.7177 _ _ FAX 85$-541.7821 _ <br />7801 Raytheon Road E-MAL crai schBllassociates.net <br />San Dieao. CA 92111 . ADDRESS: 9@ <br />W SURER A..�a <br />INSURED Emerald Isle Entertainment Inc INSURERS: <br />915S500E#110 <br />American Fork, UT 84003 Nsuasac_ - <br />IINSURER F: I <br />r nWIZOAnPC r=PTIPICATP MI IMRPR- RPVISIr)N NUMRER- <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 <br />DOCUMENT WITH RESPECT TO NMICH 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-- - _ - --- -- -AD UBR.----POLIOV EFF P LICY EXP <br />LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MMIDDII•YYY MMIDD/YYYY <br />--' -- — -- <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />—_. <br />_ <br />DA Ati"tAETURE, a <br />CLAIMS -MADE OCCUR <br />PREMISES {Ea oC::atatwe) S ,,, <br />MF,D EXP(Any one Earean) $ <br />PERSONAL&ADVINJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE S <br />POLICY PRO- <br />JECT LOG <br />PRODUCTS-COMPO AGG S <br />����-' <br />OTHER: <br />$ <br />' <br />M. AUTOMOBILE LIABILITY <br />'Qj <br />BINED SINGLE I.I MIT $ <br />TEa ampenq <br />ANY AUTO <br />- <br />UOGLY INJURY (Per person) S <br />_ <br />AOVdNED SCHEDULED �rL' <br />BODILY INJURY (Ps[alc:denU $ <br />VUTOS <br />TOS AUTOa r <br />_. AUTOS <br />V �`*• <br />PROPERTY AGE $ <br />_HIRED AUTOS AUrosNONJOJVRlEO <br />_..—AU'r05 � <br />(P <br />SPor acciden0_ <br />�d� <br />�V UMBRELLA LIAR 'OCCUR 4 <br />EACH OCCURRENCE $ <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE $ <br />OED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />PER TH- <br />J( STATUTE ER <br />AND EMPLOYERS' LIABILITY <br />A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 9006057-15 02/09/2015 02/09/2016 <br />,. <br />E,L. EACH ACCIDENT _ __$ 1_,0.00,0.00 <br />OFFICERIMEMBER EXCLUDED? V_I NIA <br />(Mandatory in NH) <br />EL. DISEASE -EA LMPLOYEE:S 1,000,000 <br />If yes, 'swipe under <br />DESCRIPTION OF OPERA7IONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,00 <br />DESCRIPTION OF OPERATIONS t LOCATIONS i VEHICLES (ACORD 101, AddlBartal Remarks S.heduie, may be attaclerd If mam space is required) <br />CITYSA4 <br />City of Santa Ana <br />PRCSA <br />20 Civic Center Plaza <br />PO Box 1988 M-16 <br />Santa Ana, CA 92702 <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 />n 949R-7n1d ARr1Rn CORPr)RATION_ All rights reserved <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />