LINEAR SYSTEMS (2) - Laserfiche WebLink

Home Browse Search

�1 LINESYS-01 CERTIFICATE OF LIABILITY INSURANCE EBETT DATazsn126/001ol9 ) s 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 License # 0757776 Riverside, CA - HUB International Insurance Services Inc. PO BOX 5345 Riverside, CA 92517 CONTACT Jennifer Housel PNONE FAX LAIC, No, Ext): (951) 779-8581 Alt, No): AEbmpAg'ELss.ionnifer.housel@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Citizens Insurance Company of America 31534 INSURED Linear Systems, Inc. 8403 Maple Place Rancho Cucamonga, CA 91730 INSURER B :Allmerica Financial Benefit Insurance Com an / 41840 INSURER c: Beazley Insurance Company 37540 INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER- REVICInM NIIMRPR. 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 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 TYPE OF INSURANCE ADDL INSD SUBR War) POLICY NUMBER POL01 pY EFF POLICY EXPJJJL LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FA] OCCUR X X OB39898815 412512019 4125/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE T ERENTEDPREMISES nCe $ MED EXP (My... arson $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER POLICY Lac GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOSILELIABILITY COMaBINIED SINGLE LIMIT es flEsiX $ 1,000,000 BODILY INJURY Per persond $ MY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AW3989880906 412512019 4125/2020 BODILY INJURY Per accident $ Parraccdenl AMAGE $ WW AUTOS ONLY AUrO50NLB UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION $ _4 B WORKERS EMPLCOMPENSATION YERS' LIAB IION ANY PROPRIETORIPARTNERJEXECUTIVE YIN pFFICERMIEMBER EXCLUDED? (Mandatory in NH) If yes, describe under D DESCRIPTION OF OPERATIONS below NIA W239871564 3/112019 3/1/2020 X PER ERH E. L. EACH ACCIDENT 11000,000 E.L. DISEASE- EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Professional Liab X V102F2191001 31112019 3/1 22020 Each Claim 2,000,000 C PROF DED: $10.000 V102F2191001 31112019 3/1/2020 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana it's officers, employees, agents, volunteers and representatives are Additional insured regarding general liability coverage when required by written contract per attached form 39110060816. Waiver of Subrogation and Primary and noncontributory wording apply when required by written contract per attached endorsement 39110030816. Additional insured status regarding E&O Coverage applies when required by written contract per attached Endorsement F00434092014 �Md-vvvc t"- z-req ,12-1t9 CERTIFICATE HOLDER CANCFI I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE F ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD