COMMUNITY ENGAGEMENT-2017 - Laserfiche WebLink

Home Browse Search

AFFORDABLE TORR CERTIFICATE OF LIABILITY INSURANCE DAT31812 DlYYYY) 31812017 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(ies) 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 (949) 221-1788 D.L.D. Insurance Brokers, Inc. 17712 Mitchell North Irvine, CA 92614 NAMEACT Valentin Torres PHoNo -53-5663 No; 949- -1797Lic#OD25325 acEtI: 221 EMAIL ADDRESS: vtorros@dldlns.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Philadelphia Indemnity Insurance Co. 18058 INSURED Community Engagement, Inc. 3920 Birch Street, Suite 103 Newport Beach, CA 92660 INSURERB: INSURERC: 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY , LIMITS GENERAL LIABILITY EACH OCCURRENCE $ $2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X PHPK1518983 613012016 613012017 PREMISES Ea occurrence Is $1,000,000 MED EXP (Any one person) I $ $20,000 PERSONAL & ADV INJURY $ $2,000,000 GENERAL AGGREGATE $ $4,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: XPOLICY71 PRO-1-1 LOD PRODUCTS - COMP/OP AGG $ $4,000,000 I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)_. $ 1,000,000 BODILYINJURY(Perperson} $ A ANY AUTO PHPKIS18983 6130/2016 6130/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X H]REDAUTOS X NON -OWNED AUTOS I PROPERTYDAMAGF PER ACCi DENT $ $ i X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ $8,000,000 AGGREGATE $ $8,000,000 A EXCESS LIAR CLAIMS -MADE PHUBS47660 6/3012016 6/3012017 DED TX7RETENTION $ $1 O 000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICFRIMEMBER EXCLUDED? (Mandatory in NH) Res describe under D£S�RIPTION OF OPERATIONS below NIA �(�J ' ,s,> 6� n tr✓ `�; ! I TWO STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT F.L. DISEASE- EA EMPLOYE .--_, $ DISEASE -POLICY LIMITOV $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Re c edule, If more space is required) 30 Day Notice of Cancellation except 10 Day Notice for Non -Payment of Premium The City of Santa Ana, its officers, employees, agents and volunteers are named as additional insured. The General Liability Policy is Primary and Non -Contributory per attached endorsement. �L:n i irn,n 1 c rn"I,NG r% L ANt,=LLA I IUIV The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD