Laserfiche WebLink
A� CERTIFICATE OF LIABILITY INSURANCE <br />DAM <br />12/3/2019312019 <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(les) must be endorsed. if SUBROGATION IS WAIVED, subject,tO <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Agency Insurance Lea /Car enter/Kem s A <br />P P P 9 Y <br />3187 Collins Dr. <br />Merced CA 95348 <br />CONTACT <br />NAME: Chris Bdllen 2r <br />— 9 - �- <br />PHONE FAX <br />",EX0�209-386-5046 Lac nPL709-385-6117 <br />—' <br />EMAILP4PRESS_ sballenger@Ickinsurance.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC0 <br />INSURER A: Travelers Cas Ins CO Of Amer <br />INSURED STERL-2 <br />Sterling Health Services, Inc. <br />P.O. Box 71107 <br />INSURER B: AXIS Insurance Company <br />INSURER D: Oak River Insurance Co. 34630 <br />_ <br />INSURER D: <br />Oakland CA 94612-7207 <br />INSURER_E: <br />---—.. .-- INSURER F; <br />COVERAGES CERTIFICATE NUMBER' 7747n9363 plc flelnhl AN luccm. <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 />TR <br />TYPE OFINSURISNCE <br />AOOL <br />U R POLICY EFF P0LICYEXP <br />POLICY NUMBER WOOD"" A DDIYYYY <br />LIMITS <br />A X COMMERCIAL GENERAL LIABILITY UNCO03OW sl4y2019 ' 5I142O20 <br />LEACH OCCURRENCE lS2000000 <br />CLAIMS.MADE ; %� OCCUR <br />, Ox0haY6RENTE0 <br />PREMISES( Cdgarerlcel �SOW_000 ___ <br />MED EXP(Any we person) SS0ol <br />--_-----_-_._--_ <br />_ <br />PERSONAL& ADV INJURY S200000o <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />XPOLICY L— ECT � <br />Jn PRO- �.� LOC ' <br />54000000 <br />CT <br />PRODUS GENERALAGGCOMPOP AG� $4000000. <br />OTHER <br />i$ <br />A AUTOMOBILE UABNTY 88o9C8038% &14WI9 5114R020 <br />--�ANY SCHEDULED <br />ALL AUTO i <br />— AUTOS SCHEDULED <br />X IIIREDAUT05 X AUr05 - <br />AUTOS <br />1 COMBINED SINGLE LIMIT $ <br />LaacadanlL_ <br />BODILY INJURY (Per person <br />:BODILY INJURY (Per academy S <br />PROPERTY DaM CF <br />Le m.. <br />I <br />3 <br />UMBRELLA UAB OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />5 <br />IEXCESS LIAB CWM$-MADE; <br />❑ED RETENTIONS <br />C AND EMPLOYERS'UABILOITY YINI RTWO034098 <br />'A NY PROPRIETORIPARTNERIEXECUTIVE <br />A andaRry In N REXCLUDEDT ❑INIA <br />IN FICE ME SER <br />If yCS, call under <br />DESCRIPTION OF OPERATIONS below <br />51142019 5I14r1020 <br />I <br />I <br />X SiATIfTE IERH. <br />EL EACH ACCIDENT <br />51 CCXI' <br />EL. DISEASE -EA EMPLOYE4 <br />...__ <br />51,000000 <br />E.L. DISEASE -POLICY LIMIT <br />I 51.OfM1.000 <br />9 Pmleswonal LlabBty P00100012245401 <br />1 &142019 5!14=20 <br />S2,000DDO S25.00o Rat <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AndlUonal Remarks schedule, maybe attached If mom space Is required) <br />City of Santa Ana is named as additional insured per attached CGD105 0494 form by mitten contract, Primary & Non -Contributory wording included under the <br />policy endorsement CGT1OO 0219 attached <br />MIMI) & APPROVED <br />City of Santa Ana <br />Risk Management Div <br />20 Civic Center Plaza, <br />Santa Ana CA 92701 <br />AGUHU Z5 (24114I01) <br />20 SHOULD ANY OF EXPIRATIONHABOVE DESCRIBED POLICIES CA <br />NCELLED <br />BEFORE DELIIVERED <br />THEIN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />M. LAMBERT 1 AUTHORIZED REPRESENTATIVE <br />y7). <br />1988-2014 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />reserved. <br />