Laserfiche WebLink
SHAKBYT•01 <br />A� CERTIFICATE OF LIABILITY INSURANCE DATE <br />A EDUADI1S <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 We certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WANED, 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 ondoreement s . <br />PRODUCER <br />112W. CT <br />No s»I; 310 37T-7172 ND 910 877-91N <br />Griswold & Griswold Insurance Agency, Inc. <br />2785 Pacific Coast Highway Ste 308 <br />Torrance, CA 90505 <br />.In(0 rlswoldineurance.com <br />INWRER(SI AFPORDINaCOVERAGE <br />Ix Ouldeone S c a Mut In Co <br />14659 <br />INSURED <br />iNsuntaft a i Guldeonce Mut Ins Co <br />15032 <br />I <br />Shakespeare By the Sea <br />INSUNRO <br />777 Centre Street <br />San Pedro, CA 90731 <br />maufleA.e <br />INSUPERF: <br />COVERAGES CERTIFICATE NUMBER* <br />KtVI751UN NUMULK; <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 REOUIRP-MENr, 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 CF SUCH POLICIES, LIMITS 814OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INeR <br />TYPEOFNSURANCE <br />A%1J%RJ <br />POLICY NUMBER <br />nswml <br />PO C A4 <br />Lots � <br />A <br />X <br />COMMERCIALOENPAALL BIUIY <br />CIAIMS.MADE QX OCCUR <br />X <br />1440142 <br />=019 <br />3=020 <br />H�A __"-TUffH <br />1,000,000 <br />�J QLRa. ImIJwJ <br />.pii2SP.lAny.VaP eFMVoi <br />1,000,000 <br />3.000 <br />FERSONAL & ADV (NJURY <br />1 1,000,000 <br />LA00 Lp1Mpr.r ApY PER <br />X POLICY JWT " LOC <br />A R <br />2,000,000 <br />PRODUOTS - COMP&P AGO <br />62,000.000 <br />B <br />AUTOMONLRUABILmy <br />X <br />ANY AUPO <br />MA�U�pTE0p90NLY AOOEOUIEO <br />ONLY AµµaJVONAB <br />1769387 <br />3Y.d2019 <br />312/2020 <br />COMOINEU 6MOLELIMIT <br />eDaden <br />, <br />B�OLY EIJURYga3f➢rR <br />BODILY UR <br />OPFR Y AMAOE <br />UMBRELLAUAB <br />MMEBB LIAR <br />HCCCLN <br />CLAIMB�MDE <br />UR <br />Can I I RETmitioN3 <br />19lA1107fam <br />.)ADDEEC11TNE lJl <br />,,,.. r TE <br />L <br />noN�OPP <br />en <br />II dnevlbe order <br />DEB IfNOFOPERATKJNa bdon <br />NIA <br />_ <br />E E <br />F.I. DISEASE -EA F. <br />ICY <br />A <br />A <br />Directors & 01100, <br />Directors & Of icers <br />1448142 <br />1448142 <br />312120t9 <br />312I2019 <br />312J2020 <br />31212020 <br />Each Claim Limit <br />Aggregate <br />1,000.000 <br />11000,000 <br />OeSCW PTNIN W OPBUTIONS I LOCATIONSI VEMCLEE (ACOae ICI AddMond Remarks Soh WUIe, may M attschad I(MON space to Mquirotl) <br />The City of Sonia Ana, 20 CIVIC Center Plaza, Santa Ana, EalHomle, 02701; Ito of loere, employees, agents and volunteers are reined as eddN\lwel Incurree a. <br />� �/ �ro <br />REVI WED BY <br />- -- - - ftOONU <br />E T HOLDERON <br />The Cityof Santa Ana Rlsk Management <br />9 <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />AUTHORIZED ROPRSSENTATIVE <br />ACORD 25 (2018l03) 01938-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />