FULL PACKET_2018-06-5 - Laserfiche WebLink

Home Browse Search

�1 CATHENT-01 .4Cof2v' CERTIFICATE OF LIABILITY INSURANCE PPISANO DATE (MMIDD YYYY) 04/24/2018 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 endorsements . PRODUCER CTK North American Insurance Services, LLC I INSURICA 1240 North Lakeview Avenue, #240 Anaheim, CA 92807 CONTACT (PAHOIN o, E,n : (714) 779-2000 ui. No :(714) 779-4129 E-MAI INSURER 5 AFFORDING COVERAGE NAIL p INSURER A: Zurich American Insurance Company 16535 INSURED CathyJon Enterprises, Inc. 2120 Main Street, Ste 250 Huntington Beach, CA 92648 INSURER B: American Guarantee and Liability Ins. Co. 26247 INSURER C: INSURER D: INSURER E INSURER F : COVERAGES CFRTIEICATF NI IMRFR- 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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. INSR 11R.A TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY UP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000,000 CLAIMS -MADE �X OCCUR X PRA590649205 0510112018 05/0112019 DAMAGE TO RENTED PREMISES (5, occurrence) 100,000 MED UP (Any oneperson) 10,000 PERSONAL B ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICYjECT LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 ABUSIVE ACTS 1,000,000 OTHER- A LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ ANY AUTO PRA590849205 05/0112018 0510112019 BODILY INJURY Peraccident $ POMOBILE OWNED SCHEDULED AUTOS ONLY AUTOSWNE PeOaoc tlent AMAGE $ AUTOS ONLY X 00 ONLY B X UMBRELLALIAB OCCUR EACH OCCURRENCE 11000,000 EXCESS LIAB CLAIMS -MADE UMB649949905 05101/2018 0510112019 X AGGREGATE 11000,000 DED X I RETENTION$ 0 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN AAWPROPRIET RJPREARTNER ECUTIVE ❑ (Mantlstory In NH) NIA PERISTATU OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT byes. descnbe under DESCRIPTION OF OPERATIONS below A Crime PPA590849205 05101/2018 05/0112019 $2,500 ded 50,000 A Professional Liab. PRA590849205 05/0112018 05101/2019 $1 MI$2M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, Its officers, employees, agents, and representatives are named as additional Insured as respects to general liabilty. The City of Santa Ana shall be goven 30 days written notice of cancellation. Insurance afforded is primary and non-contributory. Separation of Insured endorsement. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A U THOR IZED REPRESENTATIVE 1 ACORD 25 (2016103) ©1988-2015 ACORD CORPORA I IUN. All ngnts reserveD. The ACORD name and Ic psi rerVilyed marks of ACORD