DREAM SHAPERS - 2016 - Laserfiche WebLink

Home Browse Search

ItEoR�'® CERTIFICATE OF LIABILITY INSURANCE DATEIAIM1VOOYYYY) 5/12/2016 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(les) must be endorsed. If SUBROGATION 18 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 endorsement a . PRODUCER NOWOr DiAnna Martin All -Cal Insurance Agenoy NONE Fall, (916) 799^9070 a, (SIG)T84-016s 505 Varnon Street oa Has•disnnaBA11-_4alinaurancs,ccm _ INBURER131 AFFORDING COVERAGE Roseville - CA 95678 INSURER A INOn ro2ita' Irgsuranas ILlliang_s 02 IAC INSURED INSURSRef$tata Com2anzation Insurance Fund 35076 INSURER The Los Angeles Dream Shapars INS RE 0: P.O. BOX 3531 INSURHR H I INSURER FI Orange CA 92665 COVERAGES CERTIFICATE NUMSER:CL1651205392 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HATH RESPECT TO ANION THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED MERSIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE Dot SURR POII a LIMES A $ COMMERCIAL OaNERAI LIAN14T1' CLAIMBMADE ® OCCUR EACH OCCURRENCE S 1,000,000 e S 800,000 MEDW wi pwwl S 20,00a X LYDUOR LL4BILITY 71 2016-08609MPn 6/13/2016 6/13/2037 81,000,000! L 000,000 MRSONALaADVOCIVRY 1,000,000 GEML AGGREGATE LIMIT APPLIES PER' K POLICY ❑ j ❑ LOC GENERAL AGGREGATE 1 2,000,000 PRODUCTS.COMP,YIP AGO S 2,000,000 LkWURNMy s 1,000,000 S 1,000,000 BODILY BNURYIPwPamA) SALL AANY POMORILILIABUITY AUTO OWNED gqS�CHEDULED 48THO&EO HIRUOAUTOS NX AUTO$ 2016-08609UP0 6/13/2019 6/11/2011 BCOILYINJURY(PxauddnO SAUTOS B S UMBRELLA UAeODOUR PAC"OCCURHHNCE S AGOREOATE S EXCESS WAR CLAMS -MADE S S Is .LaWimp ANO EMPLOYERW LIABILITY ANY PROPRIETORMARTNEREMOL IVE Y� da�ld4W @MSEft EXCLUDED? OFyFqI4C, N10 NIA 90193ST-16 6!&/2016 6/dl201T T SL. EACH ACCIDENT S 11000,000 E1. PISIA.SE- BAWL OYE S 1 000 000 6E8CRIP OF OPERATIO S MOW E, DISEASE-POLICYURNT S 11000100 DHSCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (A00RD tet, A4 M041 Ranrrka W'dUAN My8! 4010401 IreaA RMO IS fMgU404 THE CITY OF SANTA ANA, ITS 05TICCRSr AGENTS, EMPLOYERS AND VOLUNTEERS ARC NINKED Ai1r�ET�9NaTS+INSURED UNDER THE TERMS 04' THEIR CONTRACT. INSURANCE Is PRIMARTY ACID HONCONTRIRUTRY. 709910 APPLIES 4,;�. CITY OF BANTA ANA ATTN: PURCHASING DEPARTMNT 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701 All ACORD 26 (2014101) The ACORD osms and logs are registered marks of ACORD INS025 (2m4o1)