Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCE <br />D9�2oVDD 6n <br />20 <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If 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 endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Diane Law <br />PHONE . (916)488-4702 AC 1(916)488-2336 <br />McClatchy Insurance Agency <br />ADDRESS: diane@mcclatchyins. corn <br />License #0724020 <br />2410 Fair Oaks Blvd, Suite 140 <br />INSURERS AFFORDING COVERAGE NAIC If <br />INSURER A:NOR rofits Ins. Alliance of CA 011845 <br />Sacramento CA 95825 <br />INSURED <br />INSURER B: <br />Public Safety Training Institute <br />INSURER C: <br />INSURER D: <br />Attn: Lt. Mike Elerick <br />PO BOX 6134 <br />INSURER E: <br />INSURER F: <br />Auburn CA 95604 <br />COVERAGES CERTIFICATE NUMBER:CL161406522 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 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 />INSRLTR <br />TYPE OF INSURANCE <br />DDL <br />R <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDNYYV <br />POLICY EXP <br />MMIDD <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE X❑ OCCUR <br />DAMAGET RENTED <br />PREMISES RENT rtence $ 500, 000 <br />MED EXP (Any one person) $ 20,000 <br />X <br />2015-31882—NPO <br />12/15/2015 <br />12/15/2016 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY DPROJECT- ❑LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />Hired/bormwed & NOA $ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />A <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />2015-31882—NPO <br />12/15/2015 <br />12/15/2016 <br />BODILY INJURY(Per accident) $ <br />X <br />NON -OWNED <br />HIRED AUTOS X AUTOS <br />PROPERTY DAMAGE $ <br />Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEC) I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y, /N <br />ANY PROPMETOR/PARTNER/EXECUTIVE❑NIA <br />OFFICERIMEMBER EXCLUDED? <br />I PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE- EA EMPLOYE $ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />RE: Public Safety Training. Additional Insured with written contract or agreement. <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California, 92701; its officers, employees, <br />agents, and representatives are included as Additional Insured, with respects to General Liability, per <br />terms and conditions of policy. Additional Insured endorsement attached --CG 20 10 04 13. Insurance is <br />primary and non-contributory, per attached form--NIAC E61 12 15. <br />CERTIFICATE HOLDER CANCELLATION <br />,49JtY lb ©1988-2014ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01)�y The AC D na a are registered marks of ACORD <br />INS025(201401) C6 oze? p <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ATTN: Purchasing Department <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />ENTERE <br />�V <br />®® <br />d�f& <br />�+T� <br />Dick Lemon/REX <br />,49JtY lb ©1988-2014ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01)�y The AC D na a are registered marks of ACORD <br />INS025(201401) C6 oze? p <br />