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CHATTA OP ID: W2
<br />'4� R"' CERTIFICATE OF LIABILITY INSURANCE
<br />D07(MM/2017 Y)
<br />07/27/2017
<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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Kaercher Campbell & Associates
<br />600 Corporate Pointe, Ste 1010
<br />Culver City, CA 90230
<br />Wendi Carpenter
<br />CONTACT
<br />E.
<br />PHONE pAx
<br />[wc. No, Ex*-_ [ UC, No
<br />E�aatL
<br />ADDRESS.,
<br />EACH OCCURRENCE $ 1,000,00
<br />INSURERS AFFORDING COVERAGE NAIC #
<br />INSURER A: Hartford Casualty Insurance Co 29424
<br />INSURED Chattel, Inc.
<br />13417 Ventura Blvd
<br />Sherman Oaks, CA 91423
<br />INSURER B: Continental Casualty Company
<br />INSURER C: Hartford Fire Insurance Co
<br />08/01/2018
<br />RENTEDDAMA TO PREMISES occurrence $ 300,00
<br />INSURER D:
<br />INSURER E:
<br />X Deductible $-0-
<br />INSURER F:
<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 SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR TYPE OF INSURANCE ADDL POLICY EFF POLICY EXP LIMITS
<br />LTR POLICY NUMBER MMIDD/YYYYI IMMlDDNYYY
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,00
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE 1XI OCCUR
<br />72SBAUVO259
<br />08/01/2017
<br />08/01/2018
<br />RENTEDDAMA TO PREMISES occurrence $ 300,00
<br />MED EXP (Any one person) $ 10,00
<br />PERSONAL & ADV INJURY $ 1,000,00
<br />X Deductible $-0-
<br />GENERAL AGGREGATE $ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 2,000,00
<br />POLICY 1 PRO -LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT 11000,000
<br />Ea amMenl
<br />BODILY INJURY (Per person) $
<br />A
<br />ANY AUTO
<br />72SBAUVO259
<br />08/01/2017
<br />08/01/2018
<br />ALL OWNEDSCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAIMAGE $
<br />PER ACCIDENT
<br />$
<br />X
<br />UMBRELLA LIAB X OCCUR
<br />EACH OCCURRENCE $ 1,000,00
<br />AGGREGATE $ 1,000,00
<br />A
<br />EXCESS LIAB I CLAIMS -MADE
<br />72SBAUVO259 08/01/2017
<br />08/01/2018
<br />$
<br />DED RETENTION $
<br />WORKERS COMPENSATION
<br />X WCSTATU- OTH-
<br />C
<br />AND EMPLOYERS' LIABILITY Y / N .Y
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />N / A
<br />72WECZ03095
<br />08/01/2017
<br />08/01/2018
<br />LIMITS
<br />E.L. EACH ACCIDENT $ 1,000,00
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,00
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E,L DISEASE -POLICY LIMIT $ 1,000,00
<br />B
<br />Professional
<br />EEH114048832 11/21/2016
<br />11/21/2017
<br />Aggregate 2,000,00
<br />Liability
<br />Per Claim 1,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />The City of Santa Ana, it's officers, employees, agents, and representative
<br />are named as additional insured as their interest may appear with respects
<br />to the operations of the named insured.
<br />l7K►l1t a L7-11 t ti PJ q■J yCo
<br />CITY OF SANTA ANA
<br />Finance & Management
<br />Services Agency
<br />20 Civic Center Plaza, M-16
<br />(Santa Ana, CA 92702
<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 />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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