Laserfiche WebLink
WITTENT-01 <br />VFIGUERS <br />. ka O CERTIFICATE OF LIABILITY INSURANCE <br />�� <br />DATE 06/28/2018 l <br />0612812018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Western Elite Insurance Solutions <br />140 Diamond Creek Place <br />Roseville, CA 95747 <br />CONTA <br />E:CT <br />PHONE FAX <br />ANC,, Est): (916) 259-6900 ANc, H.,.(866) 206-8646 <br />�No, <br />ADDRE S S : <br />INSURERS AFFORDING COVERAGE NAIC N <br />INSURER A: National Fire Insurance Company of Hartford <br />B6020067350 <br />INSURED <br />INSURERS: Continental Insurance Company <br />INSURER C: Continental Casualty Company <br />Wittman Enterprises LLC <br />INSURER D:State Compensation Insurance Fund <br />11093 Sun Center Drive <br />Rancho Cordova, CA 95670 <br />INSURER E:AXIS Surplus Insurance Company <br />INSURER F: Federal Insurance Company <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF <br />ADOLSUBR <br />INSD <br />MID <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD/YYYY <br />POLICYEXP <br />MM/DD <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE FX OCCUR <br />B6020067350 <br />0710112018 <br />07/01/2019 <br />EACH OCCURRENCE $ 2,000,000 <br />DAMAGE TO RENTED 300,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any oneperson) $ 10,000 <br />PERSONAL &ADV INJURY $ 2,000,000 <br />GEN -L AGGREGATE LIMIT APPLIES PER: <br />X POLICY [::] jE& [:] LOC <br />GENERAL AGGREGATE $ 4,000,000 <br />PRODUCTS - COMP/OP AGG $ 4,000,000 <br />EPLI FIDUCIARY $ 10,000 <br />OTHER. <br />B <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />fEa see dent)X <br />BODILY INJURY Per erson $ <br />ANY AUTO <br />86020067395 <br />07101/2018 <br />07101/2019 <br />BODILY INJURY Per accident) $ <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOESSUL <br />PPQOa�. eyI AMADE $ <br />AUTOS ONLY AUOTOS ONLY <br />S <br />C <br />X <br />UMBRELLA LIARX <br />OCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />AGGREGATE $ 2,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />B6020067431 <br />07/01/2018 <br />0710112019 <br />DED X I RETENTION$ 10,000 <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABIUTY YIN <br />OFFICERIM�MB�R EXCLUDED? ECUTIVE ❑ <br />(Mantlatory in NH) <br />NIA <br />9161868-2017 <br />07/0112018 <br />07101/2019 <br />STATUTE ERH <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E. L. DISEASE EA EMPLOYE S 1,000,000 <br />If yes, descdbe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />E <br />Cyber Liability <br />EKN798168012017 <br />1110712017 <br />11107/2018 <br />Aggregate/Limit 1,000,000 <br />F <br />E&O/Crime/Fiduciary <br />8247-8286 <br />07/01/2018 <br />07101/2019 <br />Each Claim/Agg1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORO 101, Adtlitlanal Remarks Schedule, may be attached if more space is required) 7 —e!9,4—Z-01Z 70/Z <br />®OVED <br />The City of Santa Ana <br />1439 S. Broadway <br />Santa Ana, CA 92707 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />