211 ORANGE COUNTY ( PEOPLE FOR IRVINE COMMUNITY HEALTH) -2015

Home Browse Search

CERTIFICATE LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THtB CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THEPOt.ICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER: IIVIPUKIANI: It the cer scare nower is an AUDI I IUNAL INSURtU, the pollcy(leS) mUSt OO anClOrsed. It SUURUUAI ION I$ WAIVED, BUbloct 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 endorsemends). PRODUCER License # 0564249 Heffernan Insurance Brokers 6 Hutton Contra Drive, Suite 500 Santa Ana, CA 92707 INSURED 2.1.1 Orange County 1506 E. 17th Street Suite 106 Santa Ana, CA 92705 F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 361 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. IN$R -- ._.......... .�,._...... LTR TYPEOFINSURANCE SD ❑ FOLICYNUMBER MM /De MMIADtYI'Y LIMITS A X COMMERCIAL GENERALLIABtLiTY EACH OCCURRENCE $ 1r000r00 CLAIMS.MAOE [n OCCUR (X 201503104NPO 0210112015 0210112016 MiSES(Eaoceurieeca} $ 500,00 RED EXP (Any one perscn} $ 20,00 _ PERSONAL 6 ADV INJURY $� 1,600,00 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ mm 2,000,00 3 POLICY �� jF °r LOC _ PRODUCTS- COMP /OP AGG $w 2r000,00 $ ' OTHER( AUTOMOBILE LIABILITY OMBIN -D SINGLE LIMIT g m _1,000,00 A ANYAUTO X 201503104NPO 02/01/2015 02101/2016 BODILY INJURY (Per person) II ALL OWNED SCHEDULED .BODILY INJURY (Per accident) - -v--^ $ AUTOS AUTOS HIREDAUTOS X NON OWNED ffOirERiYDA AFfAG $ AUTOS Peraaidtlnt X UMaRELLALiAD x OCCUR EACH OCCURRENCE $ 2,000,Oa A EXCESS UAB CLAIMS-MADE 261503104UMBNPO 02(0112015 0210112016 AGGREGATE $M 2,000,00 rv_��.�..• DEC I RETENTIONS $ - pWNO�RKKgEEMRS((,,pCOgMPENSAAAaaTION ANYPROPRREYRPNiTNEECUTiVE Y!N STATUTE ER _. _.......� OFFICE IMEMSER EXCLUDED? NIA E. L. EACH ACCIDENT $ (Mandatory In NH) E.L. ISEASE � EA EMPLOYEE S it yyas, descdhe under DESDRIPTION of OPERATIONS below E.L. DISEASE• POLICY LIMIT 1 —'-" $ • Directoft& Officer ?OISD3104DO 02101/2016 02/01/2016 1,000,000 • General Liability �01603104NP0 02/01/2015 02101/2016 Ea.Occurance 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if mare space Is required) Re: As Per Contract or Agreement on File with Insured. The City of Garden Grove, Its officers, offlolals, agents, employees and volunteers are named as additional Insured on General Liability and Automobile Liability policies If required by written contract per the attached endorsements. \J rJ \� J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Gordon Grove y ACCORDANCE WITH THE POLICY PROVISIONS. 11222 Acacia Parkway PO Box $070 AUTHORIZED REPRESENTATIVE Gordon Grove, CA 92642