Laserfiche WebLink
AC RO V CERTIFICATE OF <br />LIABILITY INSURANCE DAT7/01/2D/YYYY) <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />07/0112017 <br />PRODUCER <br />TYPE OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MEMBRILA INSURANCE SERVICES INC. <br />IICC EEb�yy pp�� <br />PSATEYMMIbD/YYN <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />23072 LAKE CENTER DRIVE SURE 250 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />LAKE FOREST, CA.92630 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />OFFICE: 949 660-7781 <br />LICENSE: 0052369 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />ALL STAR EVENT RENTALS INC <br />3 AVON CT <br />ALISO VIEJO, CA 92656 <br />COVERAGES <br />CALIFORNIA AUTOMOBILE INSURANCE COMPANY <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR NSR <br />ADDLI <br />INSRD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />C EE <br />POATEYMWFFDEj IE <br />IICC EEb�yy pp�� <br />PSATEYMMIbD/YYN <br />LIMITS <br />GENERALLIABILRY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />❑ CLAIMS MADE ❑ OCCUR <br />DAMAGE TO RENTED $ <br />no <br />MED EXP (Any oneperson) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO $ <br />POLICY PROJECT LOC <br />A <br />AUTOMOBILE LIABILITY <br />./ ANY AUTO <br />BA040000034241 <br />6/5/2017 <br />6/5/2018 <br />COMBINED SINGLE LIMIT $ 35,000 <br />(Ea accident) <br />711 ALL OWNED AUTOS <br />717SCHEDULED AUTOS <br />BODILYon) $ <br />(Per person) <br />BODILY INJURY <br />(Per accident) $ <br />NIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />17 <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHERTHAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: qGG $ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />\, <br />i <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />$ <br />DEDUCTIBLE <br />a <br />�`:e A <br />$ <br />RETENTION $ <br />"AN <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />Q1� <br />' <br />,�, <br />\ <br />WC STAT OTH- <br />TORY LIMITS ER <br />ANY PROPRIETOR/PARTNERJEXECUTIVE <br />G` <br />E.L. EACH ACCIDENT $ <br />OFFICERYMEMBER EXCLUDED? <br />Iiges, describe under <br />SPECIAL PROVISIONS below <br />qq <br />,\,w <br />ELDISEASE-EAEMPLOY(M $ <br />EL. DISEASE - POLICY LIMI $ <br />OTHER <br />4000, <br />DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />CITY OF SANTA ANA SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />PARKS, RECREATION AND COMMUNITY SERVICES AGENCY DAT_THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />20 CIVIC CENTER PLAZA NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />ERIC MEMBRILA <br />ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 <br />