Laserfiche WebLink
11040111111, <br />URSAFUT-01 AGREEN <br />0��DATE{MMfDDrMyi <br />�s'�iIFI�rA �} LIABILITYINSURANCE32/2912016 <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(Is$) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s), <br />PRODUCER <br />Brown & Brown of Now York Inc. <br />800 Westchester Avenue, N-31 i <br />Rye Brook, NY 10673 <br />NAMCONTACT <br />E: <br />PHONE <br />c a I: 914 337.1033 AC N: (914) 337 1996 <br />aoariess. certificates bbinsn r <br />INSURERIS) AFFORDING COVERAGE <br />NAIL# <br />INSURERA;Libe!t Surplus insurance Co <br />10726 <br />tNSURBD <br />14SURER 8 t <br />_ <br />INSURER C: <br />IT <br />66MDINED—$R"`+U 'S $ <br />Urban Futures, Inc. <br />. <br />INSURER o; <br />17821 E. 17th Street <br />,. <br />Tustin, CA %2780 <br />ANY AUTO <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 VNTH 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 />MERCtAL OP.NeRAL LIABILITY <br />CLAIMS -MADE 1:1 OCCUR <br />L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ j�. LOC <br />GENERAL AGGREGATE_ $ <br />PRODUCTSS-OOMPtOP AGG S <br />meRLE <br />5 <br />IT <br />66MDINED—$R"`+U 'S $ <br />)MOB)MOBILELIABILITY <br />Ee sem .._._,....... <br />ANY AUTO <br />BODILY INJURY (Per Prison) S <br />EOGI4Y INJURY (Peraxldent) <br />ALL OWNED AUTOS <br />N014 -OWNED <br />MA E $ <br />HIRED AUTOS AUTOS <br />Pereccident <br />UMBRELLA LIRE OCCWR <br />... <br />E%CESS LIAa CI aIMa.nannP <br />AGGREGATE S <br />Each <br />rogate <br />X ( IEOSNASET3N001 �1212312018�12t23d2017{Retention Each Claim <br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Addm00e1 Remarks SCIMMI10. maybe 111130110d Relate SPaao N MgUlMd) <br />City of Santa Ana Is listed as an Additional Insured under the Errors & Omissions Liability policy. Waiver of Subrogation Is Included. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONSCE WILL BE DELIVERED IN, <br />Attn: Teresa Ramirez <br />20 Civic Center Plaza --- -- — - <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE �u <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />17Ctrs C-�(10 J , fL,)Aft0 <br />