ARCHILLA, ILLARY-2015 - Laserfiche WebLink

Home Browse Search

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY IN!SU'RANCE 0811012016 I PRODUCER THIS CERTIFICATION 15 ISSUED AS A MATTER OF INFORMATION Mao ' Agerry, III,, rPeul C a nec. el ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ii 2 7 1 Puerto Site 200 1 Mission Viejo, CA 92691 877A38 7459 HOLDER. THIS CERTIFICATE DOES NOT AIMMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED 111aly AICII I Do: �,J Frabuco Canyon, CA 92679 INSURER A: Philadelphia Indemnity Insurance Company 18058 . . .. ...... ....... INSURER B INSURER C: INSURER D: INSURER F: L COVERAGES 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 CERIFICATION 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR" ADD-L POLICYEFFECTIVE POLICY EXPIRATION . . ........ . LTR JNSRD TYPE OF INSURANCE POLICY NUMBER E ATE (MM/DD/YYYYI 11 DATE IM M/DD/YYYYJ LIMITS A X GENERAL LIABILITY PHPK1362709- 07/06/201c, u7/o6/2017 EACH OCCURENCE $2,000,000 -11AMAG9 r(�NT� COMMERCIAL GINFRALLIASILPREMISES 001 JITY 11 $100,000 ".I_, MADE F-1 OCCUR MED EXP (Any one person) $2,500 X LIABILITY PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GENT. A6GHE6AFE ]AMITAPPLIFS PFR: PRODUCTS-COMPJUPA6G 54,000,000 r7- POLICYPROJECT LOC AUTOMOBILE LIABILITY COMBINED 11ING11 LIMIT ANYAUTO (EA accident) .... .. . . ......... ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS �Pe, person) e ... rT BODILY INJURY HIRED AUTOS IAu ros (Per accident) PROPERTY DAMAGE as (Per accident) GARAGE LIABILITY AUl 0 oNlry -- EA ACCIDII r OTHER THAN LAACC ANYAUTO AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURENCE AGGREGATE OCCUR CLAIMS -ADE dw ............ DEDUCTIBLE - RETENTION Ode WORXERS COMPENSATION AND 'H EMPLOYERS' LIABILITY Y/N ANYPROPRIE] CRJP ARFN ER/E x"cu" F 70RYIIMITS ER OFFICER/MEMBER EXCLUDED. E.L. EACH ACCIDENT E.L. DISEASE - FAAMPLOYEE (Mandatory in NH) IUF, describeunder F.L. DISEASE- POLICY LIMIT SPECIAL PROVISIONS IONS b.1— OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS It is mI(Je,,ipod1 and agreed that the F.11—ing entity is added as an iidditi.—I m-o,d but only writh —ip-lh,) to the operations oY the named Insured except that liability res.ring from the additional insured's sole neglig—ce. This insurance is Primary, with any insurance or self-insurance Program maintained by the name of person or cnganizdtlort listed being, non-contribe ling excepting loss fesolmig from the sole negligence of the name of person or organization listed CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Th. City of Santa An. THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE 20 Civic CerAer Piz CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR Santa Ana, CA 92 , /01-4058 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 0 1988-2009 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD