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NATI'S HOUSE (DBA NEUTRAL GROUND) (3)
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NATI'S HOUSE (DBA NEUTRAL GROUND) (3)
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Last modified
6/22/2020 3:34:34 PM
Creation date
7/6/2018 10:23:56 AM
Metadata
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Template:
Contracts
Company Name
NATI'S HOUSE (DBA NEUTRAL GROUND)
Contract #
A-2018-135-21
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
5/15/2018
Expiration Date
6/30/2019
Insurance Exp Date
11/13/2018
Destruction Year
2024
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A� 'aP CERTIFICATE OF LIABILITY INSURANCE <br />oAT5/25/2018 ) <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(los) 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 Ileu of such endorsement(a). <br />PRODUCER <br />Lovitt & TouchA - Tempe <br />1050 W Washington Street, Suite 233 <br />Tempe AZ 85281 <br />MCAMNTPDT Tonla Selfridge <br />PHONE , 602.956-2250 n!c No): 602-956.2258 <br />,MAIL <br />aooaSEE tseifrid a lovitt-touche,com <br />INSURERB) AFFORDING COVERAGE NAICN <br />1/02818 <br />INSURER a: Philadelphia Indemnity Insurance Cc 18058 <br />EACH OCCURRENCE $1,000,000 <br />INSURED NATIHOU-01 <br />Nati's House <br />NSURERS; <br />INSURER C; <br />Neutral Ground <br />INSURER D <br />1733 Valencia St <br />Santa Ana CA 92708 <br />INSURERS: <br />NSURERP: <br />COVERAGES CERTIFICATE NUMBER: 1294472462 REVISION NUMBER: <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 />ADL <br />BR <br />POLICYNUMBER <br />PDUCY EFf <br />POLICY EXP <br />PdMIOe <br />LIMITS <br />A <br />X COMMERCIALGENERAL LIABILITY <br />CLAWS -MADE F OCCUR <br />PHPK1736184 <br />1/02818 <br />1/82018 <br />EACH OCCURRENCE $1,000,000 <br />PREMISES (Ea each ... roof $1,000,000 <br />MED EXP(An oneperson) $20000 <br />_ <br />PERSONAL &ADV INJURY $7,000,000 <br />GEN, AGGREGATE LIMIT APPLIES PER: <br />X POLICY ❑JECT Lee <br />GENERALAGGREOATE $2,000,000 <br />PRODUCTS-COMP/DPAGG $2,coo,DOD <br />$ <br />OTHER: <br />A <br />AUTOMOaILELIABILITY <br />PHPK173BJ84 <br />1/6/2078 <br />1/8/2019 <br />CEOM�BIIdED SING -LMIT $1, 000000 <br />ANYAUTO <br />BODILY INJURY (Per perecn) $ <br />OWNED 6CHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accldenQ § <br />( <br />X <br />HIREDX NON OWNED <br />AUTOS ONLY AUTOS ONLY <br />- <br />_ <br />PROPERTYDAMAGE <br />Per accident$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS UAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />_ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIASILITY YIN <br />ANYPROPRIETOR/PARTNEMEXECUTIVE <br />OFFICERIMEMBEREXCLUDED? <br />NIA <br />PER 0TH• <br />STATUTE ER <br />E.L EACH ACCIDENT $ <br />—. <br />E.L DISEASE - EA EMPLOYEE $ <br />(Mandatory In NH) <br />If yes, describe antler <br />E.L. DISEASE. POLICYLIMIT $ <br />DESCRIPTION OF OPERATIONS b.f. <br />A <br />Prvfasalonal Liability <br />$oxuxVPhyslcal Abuse <br />PHPK1730184 <br />1/82018 <br />1!8/2019 <br />Aggreggta 2,000,000 <br />A09regale 300,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) <br />Certificate holder is named Additional Insured to General Liability coverage If required by Written contract, subject to all policy terms, conditions, definitions and <br />exclusions, Prlmary/Nan-Contributory applies. <br />CERTIFICATE HOLDER CANCELLATION <br />aC 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Its officers, employees, agents and volunteers <br />AUTHORIZED REPRESENTATIVE <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />aC 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2018/03) The ACORD name and logo are registered marks of ACORD <br />
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