MACIAS GINI & O'CONNELL, LLP -2016

Home Browse Search

MACIGIN-02 CHANSEN CERTIFICATE OF LIABILITY INSURANCE DATE IMM DDYYTY) 10/25/2016 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 IS 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(s). PRODUCER Alliant Insurance Servlces, Inc. 2355 Gold Meadow Way Ste 250 Gold River, CA 95670 IOITNAMEACT Tracy Dolan PHONE FAX Eat:(916) 210-0317 Alc No: (916) 210.0343 iR:=1an@kaIIIant.com nooRl : tracy.dolan alllant.com INSURERS) AFFORDING COVERAGE NAIC k INSURER A: Fireman's Fund Insurance Company 21873 INSURED Macias Gln! & O'Connell LLP 3000 S Street, Suite 300 Sacramento, CA 95816 INSURER B: Berkshire Hathaway Homestate Companies 20044 INSURER C: INSURER D : INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AD IN U WV POLICY NUMBER POLICY EFF MMIDDIYYYY POLICYEXP MMID YYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR X A 81 AZC 80910377 04/30/2016 04/30/2017 EACH OCCURRENCE $ 2,000,000 PREMISES Ea occvrcence $ 100,000 MED EXP (Any one person) $ 1 D,000 PERSONAL &ADV INJURY $ Included GEN -1- AGGREGATE LIMIT APPLIES PERI X POLICY [7 PELT E LOC OTHER'. GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMPIOPAGG $ Included $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS A S1 AZC 80910377 04/30/2016 04/30/2017 COMBINED SINGLE LIMIT $ 2,DDO,ODD Ea eccitlent BODILY INJURY (Per person) $ BODILY NJURY(Peraccldenl) $ PROPERTY DAMAGE Per ac.dZnt $ UMBRELLA LIAR EXCESS LIAa OCCUR CLAIMS -MADE EACH OCCURRENCE § AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOMPARTNERIEXECUTIVE YIN OFFICERIMEMDER EXCLUDED? (Mandatory, In NH) If Yes, describe under DESCRIPTION OF OPERATIONS below MAWC707975 04/30/2016 04/30/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E. L. DI SEASE-EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insured with respect to General Li latity as their interest may appear per the attached form. Coverage is primary and non-contributory. Thirty days notice of cancellation applies. 0 *Insured does not own any vehicles so only non -owned and hired coverage would apply. A PROVED Ae GAa elf PCS h C. CERTIFICATE HOLDER CANCELLATION P ci " ACORD 26 (2014/01) ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana 20 CIVIC Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Y-rlpl ACORD 26 (2014/01) ©1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD