PROFESSIONAL SPORTS FIELD MAINTENANCE - 2018

Home Browse Search

ACORO® CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MMID)IYYYY) 01/23/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT Kimberely Kelley NAME: Insurance Solutions License #0746539 PHONE (949)348-7400 FAX (949)348-2373 AIC No E#: (A/C, No: ADDRESS: KimK@ins-solutions.cem 33302 Valle Rd, Suite 200 INSURERIS) AFFORDING COVERAGE NAIC# San Juan Capistrano CA 92675 INSURERA: Ohio Security Ina. Co. 24082 INSURED �L INSURERS: American Fire and Casualty Company 24066 ,,-7n Professional Sports Field Maintenance, Inc �/�"� �� J p�� y��/ 29466 Ridge Rd /'T (X.tJ)_I� WO State Comp Ins Fund INSURER C: P 35076 INSURER D: r.—a-mr bt3 INSURER E: San Juan Capistrano CA 92675 INSURERF: COVERAGES CERTIFICATE NUMBER: 18/19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADUL IN D SUER WVD POLICY NUMBER POLICYEFF MMA)DIYYYY POUCYEXP MMIDD/Y`YN` LIMITS X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CWIMS-MADE OCCUR A PREMISES EdpttUrLaro $ 500,000 MED EXn[Any one panmr) $ 15,000 PERSONAL BADV INJURY $ 1,000,000 A BKS59328473 11/01/2018 11/01/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY ❑ JE6 LOG PRODUCTS-COMPIOPAGGs 2,000,000 Package Modification IS OTHER: AUTOMOBILELIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY I NJURY(Par person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY I NJURY(Per acdden) s HIRED NON OWNED PROPERTY DAMAGE Per.6dam $ AUTOS ONLY AUTOS ONLY X UM BRELLA UAB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B FxCUSUUAB CLAIMS -MADE USA59328473 11/01/2018 11/01/2019 DEC X RETENTION S 0 S WORKERS COMPENSATION PER OTH- X ANDEMPLOYERS'LRBILITY Y� STATUTE ER E.L. EACH ACCIDENT g 1,000.000 L. ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N/A 8242771-2018 10/30/2018 10/30/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, desodbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be altaoMd d mom space is "uimd) The City of Santa Ana, its officers, employees, agents, and representative are included as additional insured the per attached endorsem�ep1t,�.}n� C�rii 1 � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 n 19RR-2n15 ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD All rinhtc rpcpr od