Laserfiche WebLink
ACCORa CERTIFICATE OF LIABILITY INSURANCE <br />16r,,,...-"- Asda: 1171322 <br />F DATE(MMIDDIYYYY) <br />1 10/01/2017 <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 policy(les) 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 />Loekton Companies, LLC <br />5847 San Felipe, Suite 320 <br />Houston, TX 77057 <br />NAME, CONTACT 888^828-8365 <br />PHONE FAX <br />In. N. Ext)' <br />nn S,S:....-....-.__ <br />.......... ..-_........-.... <br />INSURERS AFFORDING COVERAGE NAIC a <br />INSURER A: Ace American Insurance Co. 22667 <br />INSURED <br />Insperity, Inc. L/CIF <br />INSURERS <br />INSURER C _ .................................___ <br />KOSMONT & ASSOCIATES,. INC. <br />10001 Crescent Springs Drive <br />Kingwood, TX 77339 <br />_ <br />INSURER D: <br />INSURER E! <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: RFVIRIr1M NtIMRFR• <br />..........___..- <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 />(LTR NSR <br />I TYPE OF INSURANCE <br />ADOL <br />1= <br />POLICY NUMBER <br />POLICY <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />Aft <br />CLAIMS -MADE OCCUR <br />p M S ccurzence $ <br />MED EXP (Any one arson $ <br />PERSONAL& ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ jEO ❑ LOC <br />GENERAL AGGREGATE $ <br />PRODUCTS -COMPIOP AGG $ <br />OTHER:$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />E accid r <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per eccitleni) $ <br />HIRED AUTOS NON OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />.Pero cident $ <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB.. <br />CLAIMS -MADE <br />... <br />DED RETENTION <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />X PER OT - <br />S A ER <br />E.L. EACI(ACCIDENT $ 1,000,000 <br />A <br />ANY PROPRIErOP/PARTNEWEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />064742280 <br />1010112017 <br />70/01/2018 <br />------- <br />EL. DISEASE, EA EMPLOYE $ 1,00,000 <br />(MandatorylnNH) <br />IF yea, describe under <br />E.L. DISEASE- POLICY LIMIT $ 1.000,000 <br />DESCRIPTION Of OPERATIONS helow <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) <br />CITY OF SANTA ANA <br />ATTN: MARC MORLEY <br />20 CIVIC CENTER PLAZA (M-25) <br />SANTA ANA, CA 92702 <br />ACORD 25 (2014/01) The ACORD name and logo are registered <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />