PUBLIC LAW CENTER (7) - Laserfiche WebLink

Home Browse Search

w • ,,.---� RAKO Digital I ral .4CORO"N� �/YYYY)CERTIFI ATE F LIABILITY INSURA320`— 22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO A lV fl1 Yid . THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER V �RD jHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BET S ING , S11 AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - A N n AA I I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have AIP4IL INSUF ED If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polici s r qu' e n end this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER License # 0633339 CONTACT Lynn Slone NAME: Olson Duncan Insurance Service Inc. PHONE 25550 Hawthorne Blvd. Suite 203 (A/C, No, Ext): (310) 373-6441 Torrance, CA 90505 n" DRIES.,. LSlone@olsonduncan.com INSURED Public Law Center 601 Civic Center Dr. West Santa Ana, CA 92701 INSURER A:Emnlovers Comp Ins Co 111512 INSURER C : INSURER E : INSURER F: CAVFRAnFS CERTIFICATF NIIMRFR- RFVISI(]N NIIMRFR- 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDI POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO -JET LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EIG281337503 4/1/2022 411/2023 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, employees, agents, volunteers and representatives. *30 Notice of cancellation applies, except 10 days for non-payment of premium. *Policy terms apply. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Ceter Plaza Santa Ana, CA 92701-4058 AUTHORIZED REPRESENTATIVE Risk MailagernentDiviaian fir% �1 REVIEWED & APPROVED BY.- ACORD 25 (2016/03) © 1988-2015 ACORD, p The ACORD name and logo are registered marks of ACORD Itisk Management specialist