My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SEGERSTROM CENTER OF THE ARTS
Clerk
>
Contracts / Agreements
>
S
>
SEGERSTROM CENTER OF THE ARTS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/25/2020 12:14:46 PM
Creation date
5/31/2018 8:24:10 AM
Metadata
Fields
Template:
Contracts
Company Name
SEGERSTROM CENTER OF THE ARTS
Contract #
N-2018-090
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/9/2018
Insurance Exp Date
7/1/2018
Destruction Year
2023
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
A� hP CERTIFICATE OF LIABILITY INSURANCE <br />ATE MI <br />D0423/2018DnYYn <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Marsh Risk & Insurance Services <br />IAIC. No. PHONE Ex AIC No <br />17901 Von Karman Avenue, Suite 1100 <br />949) 399-5800; License #0437153 <br />EMAIL <br />ADDRESS: <br />Nine, CA 92614 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Vigilant Insurance Cc <br />20397 <br />J52700-STND-GAWU-17-18 <br />INSURED <br />Segerstrom Center for the Arts <br />INSURER B : Philadelphia Indemnity Insurance Company <br />18058 <br />INSURER C : NIA <br />N/A <br />Attn: Stacey Myers <br />600 Town Center Drive <br />INSURER 0 : Public Indemnity Cc <br />20346 <br />Costa Mesa, CA 92626 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: LOS-002386830-01 REVISION NUMBER: 2 <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSD <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />7995-89-56 <br />07/01/2017 <br />07/01/2018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE 71 OCCUR <br />EE <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 1,000,000 <br />MED EXP Any one person) <br />$ EXCLUDED <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L <br />X <br />POLICY ❑ PECT RO- ❑ <br />JLOC <br />PRODUCTS - COMPIOP AGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />PHFK1676013 <br />07/01/2017 <br />07/01/2018 <br />COMBINEDSINGLELIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Par person) <br />$ <br />ANY AUTO <br />X <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Peracciden0 <br />$ <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Per eccitlebt <br />$ <br />CON ICOLL DED. <br />$ 1,000 <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />O'co:MADE <br />DED RETENTION <br />$ <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANYPROPRIETORIPARTNERIEXECUTIVE YIN <br />OFFICE RIMEMBE R EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />7995-89-59 <br />7 l 7 <br />07/01/2018 <br />X PER GTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />EL DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />The Cllyof Santa and, Its off cars, employees, agents, and representatives are included as additional Insured (except workers' compensation) where required by written contract. <br />Rill ,"J"A Gabrtki UGMA <br />91-3 <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Attn: Tram Le <br />20 Civic Center Plaza (M-25) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />of Marsh Risk & Insurance Services <br />Beverly Diaz ®�}" <br />M <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.