|
}►��R CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MMIDD/YYYY)
<br />06/27/2019
<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(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Stacey Campbell
<br />NAME:
<br />KIA Insurance Associates, Inc.
<br />PHONE (661)835-4542 FAX (661)835-4500
<br />o Exl : AfC, NO)!
<br />A/C No,
<br />ADDRESS: scampbell@kernins.com
<br />License # 0415101E-MAIL
<br />INSURERS AFFORDING COVERAGE
<br />NAIL 0
<br />P.O. Box 11390
<br />INSURER A: Travelers Casualty Insurance Cc of America
<br />19046
<br />Bakersfield CA 93389-1390
<br />INSURED
<br />INSURER B : Travelers P & C Cc America
<br />25674
<br />INSURER C : National Fire Insurance of Hartford
<br />20478
<br />Infinity Communications & Consulting, Inc.
<br />INSURERD: Certain Underwriter at Lloyds
<br />P.O. Box 999
<br />INSURER E :
<br />INSURER F:
<br />Bakersfield CA 93302
<br />COVERAGES CERTIFICATE NUMBER: 19-20 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 />ILTR
<br />TYPE OF INSURANCE
<br />AVUL
<br />SD
<br />D
<br />POLICY NUMBER
<br />MM DDYIYYYY)
<br />(MMIDDNYYYI
<br />LIMITS
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />CLAIMS -MADE X OCCUR
<br />°
<br />S Ea occurrence
<br />$ 300,000
<br />MED EXP (Any oneperson)
<br />$ 5,000
<br />A
<br />680001J742131
<br />02/17/2019
<br />02/17/2020
<br />PERSONAL&ADV INJURY
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 4,000.000
<br />JECT POLICY ❑ PRO- LAC
<br />PRODUCTS - COMPIOP AGG
<br />$ 4,000,000
<br />$
<br />OTHER!
<br />AUTOMOBILE LIABILITY
<br />GRMRINED SINGLE LIMIT
<br />a accldent
<br />$ 1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />X ANY AUTO
<br />A
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />HIRED NON -OWNED
<br />AUTOS ONLY AUTOS ONLY
<br />BA8109M96A
<br />10/24/2018
<br />10/24/2019
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Par accidenil
<br />$
<br />Uninsured motorist
<br />$ 1,000,000
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />��,,,�,,,�� -,, E'N" � "�
<br />EACH OCCURRENCE
<br />2,000.000
<br />$
<br />B
<br />X
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />CUP002J348555
<br />02/17/2019
<br />02/17/2020
<br />AGGREGATE
<br />$ 2,000,000
<br />DED RETENTION $
<br />$
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />In N ) EXCLUDED?
<br />(Mandatory In NH) El
<br />(Mandatory
<br />NIA
<br />4018266026
<br />07/01/2019
<br />07/01/2020
<br />%� STA UTE OTH-
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Professional Liability
<br />Claims Made
<br />CR163369
<br />08/19/2018
<br />08/19/2019
<br />per claim
<br />aggregate
<br />$2,000,000
<br />$2,000,000
<br />DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
<br />RE: Santa Ana Public Library. The City of Santa Ana, Risk Management 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents
<br />and representative are named as additional insureds and cover gq iin[,y,rir7d-Ipp-contributory for General Liability per written contract and attached
<br />endorsements i]l A `jY LV
<br />REVIEWEp
<br />By RISk MANACIEMENT DINNON
<br />19 2019
<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 Risk Management ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza M-23
<br />AUTHORIZED REPRESENTATIVE
<br />Santa Ana CA 92702
<br />@ 1988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|