Laserfiche WebLink
• <br /> • <br /> CC7Rre CERTIFICATE OF LIABILITY INSURANCE 24/20MIDDA Y) <br /> la DATEA <br /> �` 5124/2017 <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 pollcy(Iss)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 /> thls certificate does not confer rights to the certificate holder Intros of such 9n%Qrsenlent(s). <br /> PROMISE Mitt r <br /> Artex Risk Solutions,Inc.(CB) NAMN ,800-ien Brothers Services PAX <br /> 2860 Golf Road,5th Floor Natoll*--(19a�Fae,sal,800-807.0300 (Arc.Nm,630.378-2508 <br /> Rolling Meadows IL 60008.4060 � A be's, <br /> INSURERJSJ APEORDING COVERAOS NAIL k <br /> INSURER A;Pennsylvania Manufacturers Assoc In 12262 <br /> INBUREM CHRIBRO-14 INSURER a IOld Republic Insurance Company ,,24147 <br /> Brothers of the Christian Schools&Affiliates INSURER c: <br /> Loc#1134066 COUNCIL OF 00 SOCIETY SVDP INSURER a; <br /> 1206 Windham Parkway <br /> Rameovllle IL 60446.1679 INSURERS; <br /> INSURER P: _ <br /> COVERAGES CERTIFICATE NUMBER.978871424 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 OP 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 /> pP} EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> / Ily't'1(p, TYPE OP INSURANCE EN AINSOL MO POLICY NUMISR LIMITS <br /> V A X COMMERCIAL GENERAL LIABILITY Y 821709 0578617 6116/2017 0116/2019 EACH OCCURRENCE $2,000,000 <br /> CLAIM&dAAOE X OCCUR <br /> PREMISES(�Es�orcuresoel $IRaluded <br /> MED EXP(Any one person) $16,000 <br /> _ PERSONAL Si ADV INJURY $Included <br /> OEM AGGREGATE GATELIMIT APPLIES PER, GENERAL AGGREGATE $NIA _ <br /> Li <br /> X POLICY p�p7 C LOC PRODUCTS.COMP/CP AGO $Included <br /> OTI-ER: $ <br /> f D AUTOMU(fILE LIABILITY - Y MWTE 21543 6/15/2017 6/1512018 —r�a dnn0 INtfLELIMII' $1,000,000 <br /> X ANY AUTO BODILYINJURY(Per person) $ <br /> �1R11P D gUINIJJE.ppDWWUrLED <br /> FIDDLY INJURY(PerBcokiers) $ <br /> X Ata ONLY X AAU7000Y <br /> NO N D npRife TYDAMAGE <br /> (Paracclden0 $ _ <br /> $ <br /> UMGRELLA LIAR OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAR OLAIMS•MADE AGGREGATE $ <br /> DED RETENTION$ ,$ <br /> WORKERS COMPENSATIONPfR DTH• <br /> AND EMPLOYERS'LIABILITY Y/N S7ATU,jF, ER <br /> ANY PROPRIETOWPARTNEUXECUTIVE I P.A..EACH ACCIDENT .$ <br /> DPPICEWMEMBEREXOLUDEDP NIA <br /> (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE$ <br /> If yea,describe under <br /> DESCRIPTION OP OPERATIONS below E.L.DISEASE.POLICY LIMIT $ <br /> DESORPTION OP OPSRATIOND/LOCATIONS/VEHICLES (AC ORS ib1,Additional Remarks Schedule,maybe atteohed If mare space[enquired) <br /> Only the General Liability Coverage will apply on a Primary and Nan-Contributory basis(per attached endorsement)If required by fully <br /> executed written contract.Certificate Holder Is added as Additional Insured(per attached endorsement)for General Liability and Automobile <br /> coverages solely,strictly and specifically with regards to; <br /> Use of Parking Lot at 1020 W Civic Center Drive.City of Santa Ana,Its officers officials members employees agents <br /> volunteers and representatives are Included as additional insured. <br /> CERTIFICATE HOLDER CANCELLATION ' <br /> SHOULD ANYOP THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> SO Civic Center Plaza PD/M-193 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> USanta <br /> SA Ana CA92702 <br /> AUTHORIZED REPRESENTATIVE <br /> .i^T <br /> I <br /> .CtwCe b'eFOder 47_,... <br /> ,... <br /> 321988.2016 ACORD CORPORATION, All rights reserved. <br /> ACORD 25(2018/08) The ACORD name and logo are registered marks of ACORD <br /> Per <br />