DAVID MORSE & ASSOCIATES (2)-2015

Home Browse Search

A.)- 41 1y AaC� D� CERTIFICATE QF LIABILITY INSURANCE °A 110/2°""""' 2!10!2017 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 have ADDITIONAL INSURED provisions or 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 endorsemen s . PRODUCER Commercial Lines - 213-253-5700 Wells Fargo Insurance Services, Inc. - CA L.Ic#: OD08408 333 S. Grand Los Angeles, CA 90071 aMs Jonathan Allen PRONE FAX 213-253-6717 No). 866-802-2516 E� ADDRESS: ionathen.n.allen@wellsfaW.com INSURER(S) AFFOR13INGCOVERAGE NA1CiA INSURERA. Federal Insurance Company 20281 INSURED DMA Claims, Inc. 330 North Brand Boulevard, Suite 230 INsuRER B: Chubb Indemnity Insurance Co. 12777 INSURER C : WSURERD: INSURER E : Glendale, CA 91203 INSURER F COVERAGES CERTIFICATE NUMBER: 11418373 REVISION N!IMRF12- Sas- hp!DW 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 SUEUECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR PCLICYNUMBER POLICY EFF 2212 POLICY ECP IA MD LIMIT$ A X COMMERCUILGENERALLIABILITY X 35809642 02!1012017 02110)2018 EACH OCCURRENCE S �.�•� PREMISES Eaaeamence S 1,000,000 CLAIMSfiAADE OCCUR X Ded: ISI MED EXP (Anyone person) S 1x,000 PERSONAL & ADV INJURY s 1,000ADD GEN'LAGGREGATELIMITAPPLIESPER X POLICY JELO F GENERALAGGREGATE S 2,00DADD lnrudedC S OTHER; AUTOMOBILELIABILITY CONtBINEDSINGLE IMI 5 a acaa ANY AUTO BODILY INJURY OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident S ) HIRED NON-OWNEDPROPERTY AUTOS ONLY AUTOSONLY DAMAGE $ acckfwd $ UN!$RELLALAB HOCCUR EACH OCCURRENCE S EXCESSLIAS CLAJMS-MA13E AGGREGATE $ 15£0 I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIAMLITx YIN OFFICEANYPRIME143 REXC UDED (ECUTIVE OFFlCER1MEMBERI7CCLUDEO? C MIA 71756501 7111201 fi 711!2017 x BAR ER E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE S (Mandatory in NH) H yyeess descrme under DESCRIPriON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A ErrorS 1£ Omissions Cyber Liab 82490972 82490972 0211012017 0211012017 02!1012018 02/1012018 R%000.0W. LWK Ded $1,000,000, S25K Ded $K000 Relen6on DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101. AddEnnal Remarks schedule. may be attached E more space is regahad) Certificate Holder is named as Additional Insured for General Liability only as respects operations of the Named Insured. Subject to policy terms, conditions, limitation and exclusions. City of Santa Ana 20 Civic City Plaza P.O. BOX 1988 Santa Ana, CA 92702-1988 ACORD 25 (2016103) 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 9?— I no A1-vmu name ana logo are registerea marrcs at ACURD 01933.2015 ACORD CORPORATION. All rights reserved.