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GOLDSTONE K-9, LLC-2017
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GOLDSTONE K-9, LLC-2017
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Last modified
12/9/2019 1:12:00 PM
Creation date
11/13/2017 11:41:03 AM
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Contracts
Company Name
GOLDSTONE K-9, LLC
Contract #
N-2017-232
Agency
Police
Expiration Date
10/4/2020
Insurance Exp Date
9/1/2020
Destruction Year
2025
Notes
NO AUTO USED, SELF INSURED
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GOLDK-9-01 <br />DSTEELE <br />�►coizo CERTIFICATE OF LIABILITY INSURANCE <br />DATE 08/011201 YY) <br />08/01 /2018 <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 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 License # 0757776 <br />HUB International Insurance Services Inc. <br />PO Box 5345 <br />Riverside, CA 92517 <br />CONTACT Irene McCleary <br />PHONE FAX Ext): (951 779-8532 FAX <br />) (A/C, No): <br />E-MAIL SS: irene.mccleary@hubinternational.com <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Ohio Security Insurance Company <br />124082 <br />INSURED <br />INSURER B : <br />INSURER C : <br />Goldstone K-9 <br />INSURER D : <br />35080 Goldstone Street <br />Yucaipa, CA 92399 <br />INSURER E <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 />ILTR <br />TYPE OF INSURANCE <br />INSR N D <br />SW D <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X CLAIMS -MADE OCCUR <br />X <br />BKS56535215 <br />09/16/2018 <br />09/16/2019 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />500,000 <br />$ <br />MED EXP (Any one person <br />$ 15,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />X POLICY JECT LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />2,000,000 <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY Per person <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />1 $ <br />HCLAIMS <br />AGGREGATE <br />I $ <br />EXCESS LIAB <br />MADE <br />DED I I RETENTION $ <br />I $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />N / A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />I $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: K-9 Training for the Santa Ana Police Department <br />City of Santa Ana - Santa Ana Police Department are Additional Insured with regard to the General Liability policy when required by written contract, per the <br />attached endorsement form CG8810 04113. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana -Santa Ana Police Department <br />Y p <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />Cl <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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