PHIL MARTIN AND ASSOCIATES, INC - 2018

Home Browse Search

A� ®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 03/12/2018 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 A 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 endorsement(s). PRODUCER CONTACT Elizabeth Lee NAME: SelectSolutions Insurance Services Ni (866)500-6359 AC (925)951-0077 Est), No: 1350 Carlback Avenue E-MAIL elizabethl@ppibselect.com ADDRESS: Suite 100 INSURER(S) AFFORDING COVERAGE NAIC9 Walnut Creek CA 94596 INSURER A: The Hanover Insurance Company 22292 INSURED INSURER B : Travelers Casually and Surely Company of America 31194 PHIL MARTIN & ASSOCIATES INC INSURER C : 4860 IRVINE BOULEVARD, INSURER D : SUITE 203 INSURER E : IRVINE CA 92620 INSURER F: COVERAGES CERTIFICATE NUMBER: 17-18 GL 17-19 EO 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 ADULISJUK WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAM E REN PREMISES Ee occurrence $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY IS 1,000,000 A Y OH39105405 06/01/2017 06/01/2018 GEN'LAGGREGATE LIMITAPPLIES PER: X POLICY ❑ jECT El TOO GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY (COM BINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANVAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS OH39105405 06/01/2017 06/01/2018 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED V NON -OWNED AUTOS ONLY /� AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $ B Professional Liability 106787710 09/05/2017 09/05/2019 Per Claim Aggregate $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As per contract on file with Insured. City of Santa Ana is included as Additional Insured on General Liability policy per the attached endorsement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana Planning and Building Agency I M20 ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 %r ' @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD