CARDNO-2017 - Laserfiche WebLink

Home Browse Search

,4�R�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/10/2017 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: (A/CNNo. Ext): 8662837122 iac No (800) 363-0105 E-MAIL ADDRESS: 5555 San Felipe suite 1500 Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Underwriters At Lloyds London 15792 cardno, Inc. 10004 Park Meadows Drive suite 300 INSURERS: Lloyd's syndicate No. 2232 AA1120112 INSURER C: Zurich American ins Co 16535 Lone Tree co 80124 USA INSURERD: American Guarantee & Liability ins co 26247 INSURERE; ironshore Specialty Insurance Company 25445 INSURER F: GUVERAGES CERTIFICATE NUMBER: 5/UUt5y111b31 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HE 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 INSLTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (AMID YYYY ( MMIDD/Y. LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR El GLO General Liability EACH OCCURRENCE $1,000,000 DAMAGE TO KtN I tU PREMISES Ea occurrent $1,000,000 X MED EXP (Any one person) $ 5 , 000 Per Project Agg $2M PERSONALSADVINJURY $1,000,000 GEN'LAGGREGATELIMITAPPUES.PER: X POLICY [] PRO- [:] LOC �44JECT � GENERAL AGGREGATE $10,000,000 PRODUCTS - COMPIOP AGG 0,000,000 OTHER: C AUTOMOBILE LIABILITY BAP 0183962-02 Auto 09/30/2017 06/30/2018 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY ( Per person) X ANY AUTO X OWNED HSCHEDULED AUTOS ONLYAUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY(Per accident) - PROPERTY DAMAGE Per accident D X UMBRELLALIAB EXCESS LIAO X OCCUR CLAIMS -MADE AUC0183 2702 Umbrella 09/30/2017 06 30/2018 EACH OCCURRENCE $10,000,. 00 AGGREGATE $10,000,000 DED I 1RET5NTION C WORKERSCOMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR I PARTNER/EXECUTIVE ❑ OFFICEWMEMBER EXCLUDED? N (Mandatory InNH) NIA WC0183960 WC 09 30 2617 06 30 18 X I PER STATUTE DTH- E E.L. EACH ACCIDENT $1,000,000 E.L.OISEAS&EAEMPLOYEE $1,000,000 DEe under SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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 on1y in accordance with the policy's provisions. should General Liability and Automobile Liability policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holder n accordance with the policy provisions of each policy. REVIEWED BY: EUNICE HEREDIA (PG IOF } 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 20 civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD s A M