SIERRA CYBERNETICS INC (3) - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM'YY) 0811412019 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 polley(les) must 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 endomement(s). PRODUCER CONTACT AME: AL KRUEGER AL KRUEGER P"c°°. N..Exnl 714-779-0560- -- - we Noa: 714-779-G704 4501 E. LA PALMA AVE., #120 oaaesa' alkneageragentQgmall.mm ANAHEIM, CA 92807 ...........1.1 ---- -T ...._. INSURED SIERRA CYBERNETICS INC., 5140 E. LA PALMA AVE., #201 ANAHEIM, CA 92807 INSURER A; State Compensation Insurance Fund of California INSURER B: Admiral Insurance Company COVFRAGFS CFRTIFICATF MIIMRFR. RclTtmnM Muutavo. 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 RESPECT TO 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. IrvSR _- ADO[jyUbN' POLICY EFF POLICY XP qp TYPE OF INSURANCE I ' POLICY NUMBER MMIIEA Yy MMR)OIYYY LIMITS CONMERc1AL GENERAL LIABILITY EACH OCCURRENCE $ CUIGS-MADE !OCCUR .. _ AIJMGEREaaai vrrmo-- 5 MED EXP(Any om P.rs.n) S _ PERSONAL a AOV INLRY S _ OENERALAOGREWE GGEEN'L AGGREGATE LMIT APPLIES PER: POLICY JECT _ LOU PRODUCTS - COMATHP AGE S OTHER: -s. AUTOMOBILE 1I� LIABILITY COMBINED IINGLE UMI E..cdd0 0 S S ZANY AUTO BODILY INJURY Spar p.rwnl ALL OWNED SCHEDULED AUTOS ;AUTOS I HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per eFmeM1 PROPERTY DAMAGE: __ S - - S UMBRELLA LMB (OCCUR EACH OCCURRENCE S AGGREGATE s EXCESS WC CLAIMS,XMI E S DE-0 RII ETENRONS WORKERS COMPENSATION OTH- L� A AND EMPLOYERS' LIABILITY YIN ANYMIOPRIETORPARINENEXCCUIVE ❑iN/A OFFICERIMEMBER EXCLWE07 A/ iD27670-19 0/13fIR019 Odl]OR020 E.L.EACH ACCIDENT S 1.000,000 - EL. EISEASE-EA ENUPLOYEE (MandNorylnNNl rye a.mro..M., DESCRIPTION OF OPERATIONS balmy J` It 1,000,000 EL.mSEASE-POLICYUMT S 1,000,000 g PROFESSIONAL LIABILITY X E0000046785-02 001144?020 i0WVU2021 Each Claim s 1,000.000 Aggregate S 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1ACORD 101, Atld1110nal Remarks SclmdUl., may be attached d more spate I. n REVIEWED &APPROVED By RISIC MANAGEMENT DIVISION Z 22 19 crT a.nnt.c��rpnvry � ---- �— City Of Santa Ana Risk Management Division 20 Civic Canter Plaza. 4th Door Santa Ana . CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIRTY Ise) DAY PRIOR WRITTEN NOTICE OF CANCELLATION AUTHORIZED REPRESENTATIVE �Ba V 1BHd-ZU14 ACUKU UUKPUKA] IUN. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD