LEIBERT CASSIDY WHITMORE (2) - Laserfiche WebLink

Home Browse Search

i� OP ID: YC AFRO CERTIFICATE OF LIABILITY INSURANCE DAT2/1712 Y9 12/17/2019 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(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 INSURED Associates Ins Agcy x 1509 brief, CA 91778.1509 '.Y HAMPTON HOUSE 6033 W. Century Blvd. 5th Fir Los Angeles, CA 90045 June Samarin LIEBE-1 A JCIILIIICI IIIoUFc 4@ WILIelJYlly B Federal Insurance Company c Aspen Specialty Insurance _. COVERAGES CERTIFICATE NUMBER- RFVI.CInN tUIIMRFR- 010 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 REOUIREMENT, 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. WSR.Ifl TYPE OF INSURANCE POLICY NUMBER POLICY EF MSOINLCY EXP LIMITS GENERAL WIeILRY EACH OCCURRENCE b 2,000,00 A X COMMERCIAL GENERAL LIABILITY CLNMB-MAOE OCCUR X 72SBAAK0318 1211412019 12/1412020 PREMISESIEAcccurmnp s 1,000,00 NED EXPAny ono person) S 10,00 PERSONAL S ADV INJURY S 2,000,00 GENERAL AGGREGATE s 4,000,00 GENY AGGREGATE —XI LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 4.000.00 POLICYL PIpr.T El RO LOG b AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acdaenq b 2,000,00 ANY AUTO BODILY INJURY (Per person) $ ALLOWNEDAUTOS I BODILY INJURY (Par acadenO S A X SCHEDULED AUTOS HIRED AUTOS LI p2$BAAK0318 12114I2019 12/14I2020 PROPERTY DAMAGE (PER ACCIDENT' b A X NON owNED AUTOS I172SBAAK0318 1211412019 12f1412020 b S X UMBRELLA UAS X OCCUR EACH OCCURRENCE S 4,000,000 A EXCESS LMS CLAIMS -MADE, 2SBAAK0318 1211412019 12/1412020 AGGREGATE S 4,000,00 DEDUCTIBLE 5 X RETENTION S 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTNE YIN OFFICER/MEMBER EXCLUDED'' �NIA (MendalorylnNH) If as, descnbe snow DESCRIPTION OF OPERATIONS below 7175-05-95 04/01/2019 D410112020 X WCSTATU OTH- E.L.EACH ACCIDENT S 1,000,000 E.L. DISEASE-EAEMPLOYEE — S 11000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 C lProfessional Llab. I LRA9AF818 1211012019 12/10/2020 Per Claim 51000,00 DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES (AKacl, ACORD 101, Additional Remarks schedule, If mom space Is reRWnd) Certificate Holder is named as an Additional Insured in regards to attached General Liability Form SS 00 08, per written contract or agreement. City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 ACORD 25 (2009109) CITYSAA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE & APPROVED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN _ - - - ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEWATNE 252020 4, 01 IAMffl RT 01911-2111 ACORD C name an ogo are registered marks of ACORD All rights reserved.