PSOMAS 6 - 2015 - Laserfiche WebLink

Home Browse Search

,Q►)RL> CERTIFICATE OF LIABILITY INSURANCE 4DATF( MIDDNYYY) 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 ONTACT Dealey, Renton & Associates License #0020739 P. 0. Box 10550 PHONE . 714-427-6810 FAX 714-427-6818 EMAIL rise@dealeyrenton.com Santa Ana CA 92711-0550 INSURERS AFFORDING COVERAGE NAIC # INSURERA:ACE American Insurance Company 22667 INSURED PSOMAS INSURER B : PSOMAS 555 South Flower Street, Suite 4300 Los Angeles CA 90071 INSURER C : INSURER D ; INSURER E : INSURER F : COVERAGES CERTIFICATF NUMRFR- 1718609535 RFVICIPIN NIHMIRFR, 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. ITT R TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY MID Y� POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY OCCUR EACH OCCURRENCE $ DAMACLAIMS-MADE PREM 0 NTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& AOV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: P 0 U c Y 7 PE Q LOG GENERAL AGGREGATE $ PRODUCTS - GOMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED IN T Ea accident $ BODILY INJURY (Per person) $ ANY AUTO gg ��{{ pp AUTOS NED AUTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS AUTOS NED AUTOS ; PROPERT DAMA Per accident $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DIED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH. SIMUTE E E,L, EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes describe under DEnRiPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability Claims Made G23638381008 10/15/2016 10/16/2017 Per Claim $1,000,000 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 30 Day Notice of Cancellation/10 Day notice for Non -Payment of Prem 2SAN051100, Agreement #A-2008-219 and #A-2015-167, City of Santa Ana On -Call Engineering Services 14-037, REVIEWED BY: ""EUNIGE HEREDIA (PG OF6 ) r..cnr 111r nrc"Wc. n %'AIVk'r_ .AfIUIV City of Santa Ana, PWA-Design Engineering Attn: Monica M. Suter, PE, TE, PTOE 20 Civic Center Plaza, M-36 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. AU HORIZED REPRESENTATIVE V 1UUIJ-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD