Laserfiche WebLink
ACO D DATE(MMIDDNYYY) <br />—IM CERTIFICATE OF LIABILITY INSURANCE 05101/2018 <br />PRODUCER Plrone: 7145317089 Fax: 714-533-8873 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />EG INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />616 S. EUCLID ST. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ANAHEIM CA 92802 ALTER THE COVFRAOF AFFnRnFn RY THP Pnl Icrcc RFI nw <br />INSURERS AFFORDING COVERAGE I NAIC It <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />Agency Lkk009093 <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />INSURED <br />NSS <br />LTR <br />INSURER A' <br />HOLISTIC YOGA & HEALTH LLC <br />POLICY NUMBER <br />INSURER B' <br />10015 GARDEN GROVE BLVD. <br />GARDEN GROVE CA 92844 <br />LIMITS <br />INSURER G <br />20 Civic Center Plaza <br />GENERAL LIABILITY <br />INSURER D' <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSS <br />LTR <br />ADD <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />PoucYEFFECTIVE <br />)ATE MM/nn <br />POLICY EXPIRATION <br />ppi MMIODIW <br />LIMITS <br />AUTHORIZED REPRESENTATIVE <br />_ <br />20 Civic Center Plaza <br />GENERAL LIABILITY <br />NN930980 <br />05/03118 <br />05103119 <br />EACH OCCURRENCE is 1,000,0 <br />X COMMERCIAL GENERAL LIABILITY <br />_ <br />DAMAGE TO RENTED $ 30,000 <br />PREMISES IE9 aY oeme <br />MED. EXP (Anyone person) $ 5,000 <br />CLAIMS MADE Q OCCUR <br />A <br />X Primary and Non ContobNory <br />PERSONAL S ADV INJURY S 1,000,000 <br />X Waiver or Subrogation <br />GENERAL AGGREGATE $ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />X POLICY PRO- 7 <br />LOC <br />PRODUCTS-COMP/OP AGG. S Included <br />S <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />ANYAUTO <br />(Ea accident) S <br />All OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per person) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE <br />iPer acedent) $ <br />GARAGE LIABILITY <br />�„ q <br />VA <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC S <br />ANY AUTO <br />/��j <br />AUTO ONLY. AGG $ <br />EXCESS/ UMBRELLA LIABILITY'`N. <br />OCCUR 1:1 CLAIMS MADE <br />4 <br />? <br />EACH OCCURRENCE S <br />AGGREGATE $ - <br />DEDUCTIBLE$ <br />I <br />,A( <br />RETENTION $ <br />Gash' <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />t` a� <br />V <br />�eGC <br />�` RS'L Mi 5 CTHER <br />E.L. EACH ACCIDENT S <br />aNYPEIRIMEM <br />EREX EXCLUDED? <br />PFFIOER/Mlb BU. E%CL))E)? <br />E. L. DISEASE -EA EMPLOYEE $ <br />tl yec, tlL under <br />E.L. DISEASE -POLICY LIMIT $ <br />SPECIAL PRovISI)Ns below <br />PROVISIONS <br />OTHER: <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDEDBY ENDORSEMENT/ SPECIAL PROVISIONS <br />Certificate holder, its officers, agents, and employees are named as Additional Insured in regards to General Liability per CG20261 All terms <br />and conditions are based upon the actual policy <br />......�.. .e iavv uv�l i.ol ullcmax IIao. 9 ACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT <br />PAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />City of Santa Ana <br />THE INSURER. IT'5 AGENTS OR REPRESENTATIVES. <br />Attn : PRCSA <br />AUTHORIZED REPRESENTATIVE <br />_ <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Attention: <br />Jay Lee <br />......�.. .e iavv uv�l i.ol ullcmax IIao. 9 ACORD CORPORATION 1988 <br />