DAVID VOLZ DESIGN-2017 - Laserfiche WebLink

Home Browse Search

AC40R " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/12/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT Aimee Guesno NAME: Cornerstone Specialty Insurance Services, Inc. PgHCNNo Ext : (714) 731-7700 FAX, No): (714) 731-7750 14252 Culver Drive, A299 E-MAIL amee@cornerstonespecialty.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: RLI Insurance Company Irvine CA 92604 INSURED INSURER B : Liberty Insurance Underwriters DAVID VOLZ DESIGN LANDSCAPE ARCHITECTS, INC. INSURER C : 151 Kalmus Drive, Ste. M-8 INSURER D : INSURER E : Costa Mesa CA 92626 INSURER F : COVERAGES CERTIFICATE NUMBER: 18/19 COVERAUES 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 CONTRACTOR 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER PO YEFF__P_0LlCYEXP MM/DD/YYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 2,000,000 E PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 ADDTL INSURED / PRIMARY X BLANKET WVR OF SUBRO PERSONAL&ADV INJURY $ INCLUDED A Y PSB0001408 03/14/2018 03/14/2019 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑X PRO ❑ JECT LOC I GENERAL AGGREGATE $ 4,000,000 PRODUCTS $ 4,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS PSB0001408 03/14/2018 03/14/2019 BODILY INJURY (Per accident) $ X HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ AOFFICER/MEMBER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? ❑ (Mandatory in NH) NIA PSW0001346 03/14/2018 03/14l2019 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 PROFESSIONAL LIABILITY B CLAIMS MADE AEA100668-0004 03/14/2018 03/14/2019 EACH CLAIM $2,000,000 ANNUALAGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / 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, and representatives are named as Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. REVIEWED BY: LIlbi EUNICE HEREDIA (PG OF ) 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD