Laserfiche WebLink
a Ro® CERTIFICATE QF LIABILITY INSURANCE <br />°o5is�rz "Do <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(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this cortificato does not center rights to the <br />certificate holder In lieu of such ondorsement(s). <br />PRODUCER Agency <br />Eddie Quillares Jr. State Farm A enc <br />415 N. Broadway <br />Santa Ana, CA 92701 <br />G NTA T <br />NAME: Eddie Quitlaie_ J—r.--------� <br />P"ONr+ Ear 714.617,7150, ANm: 71a 6177159 <br />E-MAIL <br />AOORESS eddia(Moddieuinsurance com <br />INSURERS AFFORDING COVERAGE NAICC <br />INSURERA:State Fane Fre and Casualt Co�ompa_ny-__ 25143 <br />❑ <br />INSURED Santa Ana Chamber of Commerce <br />INsuaeR a: State Fane General Insures n25151 <br />INeURERC: <br />1831 W. Sunflower Ave STE C35 <br />INSURERD: <br />Santa Ana, CA 92704 <br />%( COMMERCIAL GENERAL LIABILITY <br />j CLAIMS -MADE ❑ OCCUR <br />ATTN: Marty Perterson <br />NEURERE: <br />INsuRER F: <br />COVFRAQFS CERTIFICATE NUMBER: 75-0450 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN.SER <br />TYPEOE INSURANCE <br />A <br />POLICY NUMBER <br />PO ICY EFF <br />DDNYYY <br />P L XP <br />fWIYYVY <br />LIMITS <br />A <br />0 NERALUAaIUTYy <br />❑ <br />92 -CM -E499 -2G <br />03/0112018 <br />07101/2017 <br />EACHOCCURRENCE S 3,000,000 <br />PREMISES o Umowmo 300,000 <br />%( COMMERCIAL GENERAL LIABILITY <br />j CLAIMS -MADE ❑ OCCUR <br />MED EXP (Any one Pe..i S 10,000 <br />PERSONAL&ACV INJURY S 31000,000 <br />GENERAL AGGREGATE & 0,000,000 <br />GEN'L AGGREGATE LIMIT APP�LIE}S PER <br />_ <br />PRODUCTS -COMPIOP AGG S 8,000,000 <br />$ <br />POLICY [-12,0-, I LOU <br />g�LJ_i <br />AUTOMOBILELTFfli <br />UABILBY <br />�j�� <br />431 6546-C01-75 <br />031e112010 <br />109/0112016 <br />COMBINEDSINGLE— <br />Ea acol ant % <br />ANYAUTO <br />SOO1YINJURY(Perper..n) 1,000 <br />BODILYINVRY(Peraccidegl)J 1,000 <br />S <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON-ONMEO <br />HIRED AUTOS x gUTOS <br />PROPERTY 0 M E S 7,000 <br />Par accident <br />S <br />UMBRELLA LIAR <br />H <br />OCCUR <br />❑ <br />O <br />EACH OCCURRENCE S <br />AGGREGATE S <br />EXCESSUAS <br />CWMa-MADE <br />DED I <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERTUABIUTY Y/N <br />ANY PROPRIETOWPARTNERIEXECUTIVE/-'-'^� <br />OFFICFMEMBER EXCLUDED? O <br />(Mandatory;. UK) <br />NIA <br />Y I <br />LJ <br />92 -ES -E908.0 <br />102/0112016 <br />02/01/2017 <br />x WC STATU- TH- <br />LIMIT R <br />EL. EACH ACCIDENT S 1,000.000 <br />EL. DISEASE - EA EMPLOYE $ 1,000,000 <br />E.L DISEASE - POLICY LIM17 % 1,000,000 <br />b yes. desaruevntler <br />I� <br />OESCRIPTIONOFOPERATIDNSILDCATIONSIVEHIdLES (ANach ACORO 101, AddMonal Remarks SChedula, it room space Is required) <br />Ci Of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />•Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />ABT10 9ENTA <br />LG71988.2010 #09110 CORPORATION. All rights reserved. <br />A CORD 25 (2010105} The ACORD name and logo are registered marks of AC06 1001486 172849.7 03 -DI -2012 <br />