MARK THOMAS & COMPANY - 2015 - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)6/30/2016 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(ies) 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 endorsements . PRODUCER Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604-2675 CONTACT NAME: _Doris A. Chambers PHONE 510 465-3090 FAx (ALC.No Ext)_ E-MAIL dchambers deale renton.com _ADDRE$s� @ Y _._ INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:XL S eClalt Insurance Co. 37885 _ INSURED MARKTHOMA INSURER B : Mark Thomas & Company, Inc. 2290 N. First Street INSURERC: San Jose CA 95131 INsuRERD: — INSURER E : ---------------- - INSURER F : COVERAGES CERTIFICATE NUMBER: 2121987583 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 BY PAID CLAIMS. INSR LTR --------�ADDLgS TYPE OF INSURANCE SR-- POLICY NUMBER iREDUCED MM/DD/YEFF MM DD/YYYY -___.--LIMITS ----...... ----- COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL $ _ GEN'L AGGREGATE LIMIT APPLIES PER _&ADVINJURY GENERAL AGGREGATE _......... ...._. $ __ ',.. POLICY PRO- �._.-1 LOC JECT PRODUCTS -COMP/OP AGG ------- -- ----------- $ OTHER: i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT$ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED----- AUTOS AUTOS BODILY INJURY (Per accident) -------. ._.._— $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident) $--- $ UMBRELLA LAB OCCUR ( EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ - $ j WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- -..---. STATUTE ER---__ E.L. EACH ACCIDENT __ __ ___ $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE — $ (Mandatory in NH) If yes, describe under _.....-.- ............... DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability DPR9806472 7/1/2016 7/1/2017 $2,000,000 Per Claim $2,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) REF: MTC's Job #IR-15103 On -Call Engineering Services. Cancellation provisions are solely as shown on this certificate. Cancellation: 30 Day/10 Day for Non -Payment of Premium. ,Z,L LJIEVVED BY � L t INI6 E HE,R l )IA (PC, j! / )F ) %,r-m i Ir H..AIC nULIJC([ L.AVlt r-LLAIIUIN JU vaV I'A-A / IU UdY WI IVUIIr-dV UI rl Clll City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD