Laserfiche WebLink
® CERTIFICATE OF LIABILITY INSURANCE_i�3MO'9zbi <br />THIS CERTIFICATE IH ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT; If the certificate holder Is an ADDIT RED, IONAL INSU the polfey(los) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the pollcy, contain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endarsemmtki <br />PRODUCER - N'G�' T(T—AZ <br />INSURANCE LAND INSURANCE SERVICES NAME KENNY CHO: PHONE 213 - -- <br />4032 WILSHIRE BLVD ME, 'En0' -- -- <br />STE 309 S_s_ INSURANf, <br />LOS ANGELES CA 90010 - "_ iNSUaey <br />INSURED — .__..— __..___.. ___— .— _._..__.._ INSURERA_COLONY. IN, <br />XANADU SERVICE SYSTEM, INC. INSURER e; EMPLOYERS <br />msur<eK o <br />BANTA FE SPRINGS ,INSURER e: <br />CA 90670 <br />COVERAGER r+coTlcinme.v ..,. INSURER -._- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS NAMED D ABOVE THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br />—_.. _..._ <br />SUBJECT TO ALL THE TERMS, <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSrI. _ fTOC SUSA. ....._ —_. _ .__._- <br />LTR TYPE CF INSURANCE T PCUCY EFT ' POLICY EISP I-- - POLICY NUMBER <br />GENERAL LIABILITY <br />MMIDON Y MMIDOIY'FYY' LIMIT$ <br />j" <br />Y COMMERCIAL GENERAL LIABILITY i <br />GL4171421 09/15/201509/15 /2016 EACHOCCURRENCF S 1,000,000 <br />PAM�CL- `TOTtEN7Rq "'" - -" -- <br />_ <br />CLAIMS MADE OCCUR <br />PReMta €ul[a 100,000 <br />aec {,nalrcaL. S <br />A <br />JMED EXP(AayonO Deraork) I$ _ 52000 <br />PERSONAL SAW INJURY oCH—)r 000 <br />1111, <br />GEN'L All LIMITAPPL IPER I <br />If GENERAL AGOREGP C s 2 0017,000 <br />' POLICY P90� <br />I •FFCDUCIS- COMPft7P AGO S D001000 <br />-- <br />L00 <br />AUTOMOBILE LIABILITY <br />- <br />5 <br />I 2003172588 06/04/2015106/04 /2016 OMBINED SINGLE LIMIT <br />ft nD y. n <br />ANY AUTO <br />C ALI O SCHEDULED <br />AUTOS <br />BOU . INJURY (Per pason) I <br />AUTOS <br />NON -OWNED <br />IIIRED AUTOS AUTOS <br />_S _ <br />PROPERTY bAMAG£ <br />I Per ccltl�y__ iS <br />( <br />UMH EL i.A LIAR gCCUR <br />eXCESS UAS <br />_._ _ CIAkd6A9ADE <br />I <br />I <br />[ &ACH OLCURRENC{ t <br />— <br />At G4EWTE <br />OED RcTENI'ICNS <br />_, <br />! <br />WORKERS COMPENSATION <br />0 <br />AND EMPLOYERS' LIABILITY <br />YIN, <br />EIG 1663447 0209/02/201509/02 /2016 �WCGTAEU- glHi <br />IQRYUMIS I— f. <br />ANY PROP RIETORIPARTNEME%ECUTIVE <br />H'OFFICERIMEMBER E %CLUOEOP — ; NIA, <br />—"_ _ —__. <br />.. <br />KL£ACH ACCIDEJ I 1; 1, �00, 000 <br />(Mandatory In NN) <br />i <br />IEyO §, deactlbo ugger <br />OP OPERATIONS berme <br />It- <br />EL DISHASE- EA EMPLOYCFE(I 1 000,o0 <br />'DESCRIPTION <br />i <br />�GI. DISEASE - POLICY LIMIT 9; 1,000 0 <br />DESCRIPTION <br />OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. AddltlunalRemadm Sahadulo, if mom Space is ragairetl) <br />� °Cs <br />CERTIFICATE HOLDER IS AS <br />AN ADDITIONAL INSURED. 5 <br />e �a <br />CERTIFICATE HOLDER <br />_...__..._._.. <br />CLERK OF THE COUNCIL <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M -30) <br />SANTA ANA <br />SHOULD ANY OF THIE ABOVE DESCRIBED POLICIES BE CA610ELLED BEFORE <br />THE EXPIRATION ATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE VV I HE POLICY PROVISIONS, <br />AUrnORIZED <br />CA 92701 I <br />JOO «LVIV Z <br />ACORD 25 (2010/05) The ACORD name and logo are registered rhs of ACORD <br />