Laserfiche WebLink
TE <br />q� n CERTIFICATE OF PROPERTY INSURANCE ( DA7/6/20161 <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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />If this certificate is being prepared for a party who has an insurable Interest in the property, do not use this form. Use ACORD 27 or ACORD 28, <br />PRODUCER CONTACT Certificate Issuance Team <br />NAME: <br />Comprehensive Insurance Services -PHONE - FAx <br />26429 Rancho Parkway South _MnINo Bae),. 94 91 7 0 9-88 00 _ (AJC, NoI_I`�a9)vo4-x 66e <br />Suite 120 ADDRESS: info@thecomprehensivainsurance. com <br />Lake Forest CA 92630 CUSTOMER Io 00000848 <br />INSURER(S) AFFORDING COVERAGE NAG <br />INSURED INSURERA:NOrth American Elite Insurance 29700 <br />Delhi Center <br />INSURER B <br />505 E. Central Ave. <br />INSURERC: <br />Santa Ana CA 92707-- ` <br />INSUURERRER E <br />[KHT}R.7110;&�dp:i1l9[ilis>YY40PlIT, li3R•- e7A96Y[Y7Sfit] I c <br />LOCATION OF PREMISES I DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Loc# 00001 Bldg# 00001: 505 E. Central Ave. Santa Ana CA 92707 <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />TI -118 IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE <br />POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH PHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 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 />Santa Alla, CA 92702 <br />INSRPOUCYEFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYYYY) DATE (MMIDDIYYYY) COVERED PROPERTY <br />LIMITS <br />X PROPERTY X BUILDING <br />$ 5,175,OOC <br />CAUSES OF LOSS DEDUCTIBLES X PERSONAL PROPERTY <br />$ 280,00 <br />BASIC BUILDING BUSINESS INCOME <br />$ <br />2,500 � <br />BROAD CONit'NIS EXTRA EXPENSE <br />$ <br />A X SPECIAL 2,500 CWBOD11560-03-01376 11/1/2015 11/1/2016 RENTAL VALUE <br />$ <br />EARTHQUAKE BV,NKETMLLDING <br />$ <br />WHO BLANKET PERS PROP <br />$ <br />FLOOD BLANKET BLDG A PP <br />$ <br />$ <br />INLAND MARINE TYPE OF POLICY e <br />$ <br />CADRES OF LOSS :.wev�e� 'yam <br />NAMED PERILS POLICY NUMBER1, / ®� <br />$ <br />CRIME <br />TYPE OF POLICY x..aro®' s,`�',C�`^ �1\. (�`\,`� <br />Ni•'� 1`' <br />$ <br />�.�'.. <br />$ <br />BOILERS MACHINERY I 31i. <br />$ <br />EQUIPMENT BREAKDOWN <br />- - <br />$ <br />SPECIAL CONDITIONS I OTHER COVERAGES (Attach ACORD 101, Additional Remark, Schedule, if more space Is required) <br />30 day notice of cancellation with 10 day notice of cancellation for non-payment of premium per <br />policy provision. <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 24 (2009/09) 01995.2009 ACORD CORPORATION. All rights reserved. <br />INS024 tzooawe The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Alla, CA 92702 <br />Richard rynon/JEREMY <br />ACORD 24 (2009/09) 01995.2009 ACORD CORPORATION. All rights reserved. <br />INS024 tzooawe The ACORD name and logo are registered marks of ACORD <br />