Laserfiche WebLink
'Yyy <br />A ay®DATE (MMI 20016V) <br />VRL/ CERTIFICATE OF LIABILITY INSURANCE 3/30/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO 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 CONSATUITE. A •CONTRACT,..EETWEEN ;THE ISSUING:JNSURER(S); AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - - - - - - - <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, Jf SUBROGATIQN,IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the <br />PRODUCER <br />Appling Insurance Services <br />10845 BLOOMFIELD STREET <br />LOS ALAMITOS CA 90720 <br />INSURED <br />SANDEE GEE <br />DEA: FULL SPECTRUM EDUCATIONAL SERVICES <br />PO BOX 596 <br />6=-11__ — . <br />Shelli Appling <br />...._.. _. <br />FAX <br />PHONE(562) 594-6893 ) N, 01, �5fi2)431 3605 <br />)AIM ,N -o. .L _. <br />ADDRESS:Shelli@applinginsurance.net <br />INSURER(S) AFFORDING COVERAGE _ NAICA <br />INSURER A ACCEPTANCE .CASUALTY INSURANCE CO.. 10349 <br />INSURER B <br />NSURERC: <br />INSURER 0: <br />INSURER E: <br />Dana Point CA 92629 (INSURER F: <br />cnTtconr_cc CFRTIFICATF NUMIBFReCL1631100221 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />(NSR _ --- TDDL SUeA _._ _._ - - POLI4Y EFF - POLICY EXP <br />UMTS <br />LTRI TYPE OF INSURANCE POLICY NUMBER MMIDONYYY1 MIAMD"M <br />X COMMERCIAL GENERAL LIABILITY <br />L EACH OCCURRENCE 1 1,000,000 <br />A CLAIMS -MADE X � OCCUR <br />oRMAGETo REowm . 8 _,000 <br />PREMISES (Ee occmrencel100, <br />X CONTRACTUAL LIABILITY X CL00237402016 3/11/2017 <br />MED EXP(Anyone pe-sorn $ 1,000 <br />X _- <br />PRIMARY/NO <br />PERSONAL S ADV INJURY $ 1,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $, 2,000,000 <br />_. POLICY JEGOT ._ (LOC _i <br />( PRODUCTS-COMPIOPAGG S 2,000,000 <br />.... —. <br />OTHER. <br />$ <br />AUTOMOBILE LIA&CITY <br />COMBINE <br />E.. do [ Imo___ T $ <br />ANY AUTO <br />BODILY INJURY(Prrperson) $ <br />_ _ <br />- ALL OPMFO SCHEDULED <br />BODILY INJURY (Par accident) $ <br />AUTOS AUTOS <br />NON -OWNED <br />PROPERTYDAMAGE $ <br />HIRED AUTOS F-- AUTOS:$ <br />FN <br />UMBRELLA LIAR I OCCUR <br />1 pp <br />f c/ <br />EACH OCCURRENCE If <br />EXCESS_ CIAIMS-MAO_E _ <br />AGGREGATE S <br />- --_— <br />BETENT <br />-DED IONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' Yl NI <br />`� <br />OTH <br />_iMTUT <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />-NIA <br />L� <br />"A,�rC <br />ELEACHACOGENT <br />$ _ <br />--- --_ <br />(Mandatory nN )LIABILITY <br />OFFICERIMEMBER EXCLUDED? <br />S7 <br />�Y'y <br />EL OISEASEE EAEMPLOVE-___---- <br />$ _ <br />1 if yes describe untlar <br />DESCRIPTION OF OPERATIONS below <br />Ei. DISEASE -POLICY LIMIT <br />$ <br />DESCRIPTION GFOPERATIONS I LOCATIONS I VEHICLES (ACOR0101, Additional Remarks Schedula, maybe attached Hmore apace Is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS AND EMPLOYEES ARE NAMED AS ADDTIONAL INSURED FOR LIABILITY, <br />ENDORSEMENT ATTACHED <br />**SPECIALTY PRESENTATIONS <br />10 Day Notice of Cancellation for non-payment of premium <br />MROSALES@SANTA-ANA. ORG <br />CITY OF SANTA ANA PUBLIC LIBRARY <br />ATTIN. MONIQUE ROSALES <br />26 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />C ♦) ` <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS026(201401) <br />