JOHN KALISKI ARCHITECTS - 2018 - Laserfiche WebLink

Home Browse Search

A�® CERTIFICATE OF LIABILITY INSURANCE DATE1/5/2018 �) 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(les) 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 Dealey, Renton & Associates 199 S Los Robles Ave Ste 540 CONTACT NAME: Marie Swaney PHONE , 626-844-3070 ac No EMAIL ADOREss: mswane deale renton.com Pasadena, CA 91101 Lic#0020739 INSURERS) AFFORDING COVERAGE NAIC# INSURERA: Travelers Property Casualty Co of Ameri 25674 INSURED JOHNEKAL11 John Kaliskl Archltects.dba JohrnlGaliski Arch. 3780 Wilshire Blvd., Suite 300 INSURER 8: Travelers Indemnity Co. of Connecticut 25682 INSURERc: Wesco Insurance Co. 25011 INSURER D: CLAIMS -MADE T OCCUR Los Angeles, CA 90010 213 383-7980 NSURER E: INSURER F: X Contractual Uab COVERAGES CERTIFICATE NUMBER: 671090051 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. /NSR TR OF INSURANCE ADDLSUSRTYPE INSD MD POLICYNUMBER MM%MDY EFF MMIDUY� LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6805H299911 12113/2017 12/13/2018 EACH OCCURRENCE $2,000,000 0 - E CLAIMS -MADE T OCCUR PREMISES Ea occurrence $2,000,000 X Contractual Uab MED EXP (Any one person) $10,000 X XCU Included PERSONAL &ADV INJURY $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $4,000,000 ® PES � POLICY LOC PRODUCTS-COMPIOPAGG $4,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BA670BL755 12/1312017 12/13/2018 COMBINED SINGLE LIMIT $1 Ea accident 000 000 BODILY INJURY (Per person) $ 1ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccideat X NoOwnetlAutos $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION Y U134004650 1/9/2018 ,12/13/2018 XE OTH- AND ANDEMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE. E.L. EACH ACCIDENT $1,000,0D0 OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability ARA125568502 12/11/2017 12/1312018 $1,000,000 Per Claim $2,000,000 Annl Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) This Cert supersedes and replaces all previously issued. Amendments were made to the PL and WC Policy terms above to align all policies to the same Expiration time. Insured owns no company vehicles; therefore, hired/non-owned auto is the maximum coverage that applies. Re: On-call services, 0210 141125 -- City of Santa Ana, its officers, employees, agents,volunteers and representatives are named as additional insured as respects general & auto liability for claims arising from the operations of the named insured as required per written contract or agreement. General Liability is Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached endorsement(s). I� CERTIFICATE HOLDER CANCELLATION 30 Day Notice ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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. Attn: Exec. Dir of PBA AUTHORIZED REPRESENTATIVE PO BOX 1988 Santa Ana CA 92702 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD