CARDNO-2017 - Laserfiche WebLink

Home Browse Search

i 1 ® Alih. .� �' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/3012017 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 Aon Risk Services southwest, Inc. Houston TX office CONTACT NAME: PHONE 8662837122 FAX (800) 333-0105 (A/C. No. Ext): (AIC. NoJ: E-MAIL ADDRESS: 5555 San Felipe Suite 1500 Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 cardno, Inc. suite Park MeddOWS Drive suite 300 INSURERB: American Guarantee & Liability ins co 26247 INSURER Ironshore specialty Insurance company P Y P Y 25445 Lone Tree co 80124 USA INSURERD: Underwriters At Lloyds London 15792 INSURER E: Lloyd's Syndicate NO. 2232 AA1120112 INSURER F: COVERAGES CERTIFICATE NUMBER: b70U67437216 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER Y EFF FOLIC YYYY POLICY EXP MMIDD/ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR GLOO18396101 General Liability 09/30/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S $1,000,000 X MED EXP (Any one person) _ $ 5 , 000 Per Project Agg $2M PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10 , 000 , 000 X POLICY ❑ PRO- ❑ LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY BAP 018396201 Auto 09/30/2016 09/30/2017 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident B X UMBRELLALIAB EXCESS LIAB H OCCUR CLAIMS -MADE AUC018392701 Umbrella 09/30/2016 09/30/2017 EACH OCCURRENCE $10,0001000 AGGREGATE $10,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? FN (Mandatory in NH) N / A wc018396001 wC 09/30/2016 09/30 2017 X PER OTH- STATUTE ER 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 DESCRIPTION OF OPERATIONS I LOCATIONS / 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 included as Additional insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to Additional insured, but only in accordance with the policy's provisions. celled before the expira ion date thereof, the po is provisions will govern how notice of cancellation may be delivd to certificate older n a4q,,'dance with the policy should General Liability and Automobile Liability policies be LRE provisions of each policy. _ an VIEWEDBY: UNICE I°1EREDlA (Pc� OF CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Santa Ana AUTHORIZED REPRESENTATIVE 20 civic center Plaza Santa Ana CA 92701 USA r male y.11 Td Yz4moeJL ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD