My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CITY NET-2016
Clerk
>
Contracts / Agreements
>
C
>
CITY NET-2016
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/6/2017 8:34:30 AM
Creation date
9/14/2016 10:36:50 AM
Metadata
Fields
Template:
Contracts
Company Name
CITY NET
Contract #
A-2016-062
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
4/19/2016
Expiration Date
6/30/2017
Insurance Exp Date
1/11/2018
Destruction Year
2022
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
31
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CERTIFICATE OF LIABILITY INSURANCE <br />IDATE(MMIDIVY <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />7/11/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INPORMATION 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 />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollay(les) must be endorsed. It SUBROGATION 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 />certificate holder in lieu of such endorsements). <br />PRODUCERONTACTAve <br />Maris Fredendall <br />WBA Insurance <br />1)• (562)789-6704-! .662 789-6604 <br />,n,�NO`NE <br />E MARE <br />License #0079617 <br />13304 Philadelphia Street <br />Ste 200 <br />Whittier CA 90601 <br />N Nt AEEgS01 OV GE c a <br />Nsumig- Philadelphia Indemnity Ins Company <br />INSURED <br />INSung <br />Kingdom Causes 0% City Not <br />INSURER <br />PO Box 90243 <br />D. <br />Long Beach CA 90809 <br />INSURER E: <br />INSURER F: <br />lRY/aiL'In��tl4:11lnlH:V.7CPl@I:1q: Y53/1 C9riTlnll ,.c <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 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 />INSR <br />TYPE OF INSURANCE <br />AUDL <br />SUBR <br />POUCYNUMBER <br />P0410YEW <br />Vvl <br />POUCYEXP <br />tmwpotyyyy)LIMrrB <br />GENERAL LIABILITY <br />EACH OCCURRENCE 2,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />DAM. AWOE,TO RENTED 100000 <br />CLAIMS -MADE%❑ OCCUR <br />Y <br />PHPX1421100 <br />01/11/2016 <br />01/11/2017 <br />MED E P none eracn §6,000 <br />PERSONAL &ADV INJURY S20D0�000 <br />ENERAI.AGGREGATE $4000000 <br />GEN'L AGGREGATE <br />LIMIT APP LIES PE R: <br />PRODUCTS -COMPI PAGG 54,000000 <br />% I POLICY <br />f7PAO LOC <br />8 <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT 1,000,000 <br />A <br />ANY AUTO <br />SODILY INJURY (Per Perron) S <br />_ <br />AUTOS NED AUTOSULEO <br />Y <br />PHPK142110D <br />01/11/2016 <br />01/11/2017 <br />84DILY INJURY (Por acdtlen0 S <br />X <br />HIRED AUTOS X NONOWNED <br />AUTOS <br />PROPERTY DAMAGE <br />S <br />enU_ <br />5 <br />UMBRELLA LineOCCUA <br />EACH CCU HENCE <br />AGGREGATE S <br />EXCESS LIAR <br />CLAIM&MADE <br />DEG I I RET WION a <br />$ <br />WORKERS COMPENSATION <br />WC STATU OT& <br />PR <br />AND EMPLOYERS' LIABILITYMITA <br />E.L. EACHACCIDENT <br />ANY MOPRIETOFUPMTNEREXECUTIVVVV��INNN� <br />OFRCERWEMBER EXCLUDED? <br />N/A <br />E.L. DISEASE - EA EMPLOY S <br />(Mandatory In NH) <br />Il vas, desedbe under <br />E.L DISEASE - POLIOV LIMIT 5 <br />OE CRipTI F PER TI NSbol w <br />$1,000,000 Limit Each incident <br />A <br />Professional Liability <br />Y <br />PHSD1090683 <br />01/11/2016 <br />Oi/17/2017 <br />$2,000,000 Limit Aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Aaach ACOR0101, Additional Remarks ScheduN, if mom space Is mqulred) <br />The City of Santa Ana, Its officers, employees, agents, volunteers & representatives are named additional insured with respects to the <br />operations of the named insured par the attached CG20261165 endorsement SUch insurance is primaryand non-cONrlbutory. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUmORLZED REPRESENTATIVE <br />All <br />AGUHU za IZU1U/UO) Tne ACURD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.