Laserfiche WebLink
<br />Ejhjubmmz!tjhofe!cz! <br />Upsj! <br />Upsj!Qjfstpo! <br />Ebuf;!3133/19/27! <br />Qjfstpo <br />23;16;66!.18(11( <br />DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE <br />04/08/2022 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, 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 lieu of such endorsement(s). <br />CONTACT <br />PRODUCER <br />Rachelle Harman <br />NAME: <br />Wright, Finnegan & Carter Insurance Associates <br />FAX <br />PHONE <br />(714)283-1999(714)283-1997 <br />(A/C, No): <br />(A/C, No, Ext): <br />23001 La Palma Ave, Ste 100 <br />E-MAIL <br />certificates@wfcinsurance.com <br />ADDRESS: <br />Yorba Linda, CA 92887 <br />INSURER(S) AFFORDING COVERAGENAIC # <br />License #: 0k93616 <br />INSURER A : <br />Continental CasualtyContinental CasualtyContinental Casualty204942049420494 <br />INSURED <br />INSURER B : <br />Sierra Cybernetics Inc <br />INSURER C : <br />5140 E. La Palma Ave. <br />INSURER D : <br />Suite 201 <br />INSURER E : <br />Anaheim Hills, CA 92807-2069 <br />INSURER F : <br />COVERAGESCERTIFICATE NUMBER:00001561-786498REVISION NUMBER:26 <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 />ADDLSUBR <br />INSRPOLICY EFFPOLICY EXP <br />TYPE OF INSURANCELIMITS <br />POLICY NUMBER <br />(MM/DD/YYYY)(MM/DD/YYYY) <br />LTR <br />INSDWVD <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE$ <br />04/20/202204/20/2023 2,000,000 <br />AXY1034949260 <br />DAMAGE TO RENTED <br />CLAIMS-MADEOCCUR$ <br />1,000,000 <br />X <br />PREMISES (Ea occurrence) <br />MED EXP (Any one person)$ <br />10,000 <br />XBusiness Owners <br />PERSONAL & ADV INJURY$ <br />2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ <br />4,000,000 <br />PRO- <br />POLICYLOCPRODUCTS - COMP/OP AGG$ <br />4,000,000 <br />X <br />JECT <br />$ <br />OTHER: <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY$ <br />04/20/202204/20/2023 <br />A10349492601,000,000 <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person)$ <br />OWNEDSCHEDULED <br />BODILY INJURY (Per accident)$ <br />AUTOS ONLYAUTOS <br />NON-OWNED <br />HIREDPROPERTY DAMAGE <br />$ <br />XX <br />(Per accident) <br />AUTOS ONLYAUTOS ONLY <br />$ <br />UMBRELLA LIAB <br />EACH OCCURRENCE$ <br />OCCUR <br />EXCESS LIAB <br />CLAIMS-MADEAGGREGATE$ <br />$ <br />DEDRETENTION$ <br />PEROTH- <br />WORKERS COMPENSATION <br />STATUTEER <br />AND EMPLOYERS' LIABILITY <br />Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT$ <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE$ <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT$ <br />DESCRIPTION OF OPERATIONS below <br />Limit <br />04/20/202204/20/2023 <br />ABus Pers Prop10349492601,020 <br />Deductible <br />500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES ,AGENTS & REPRESENTATIVES ARE ADDITIONAL INSURED & <br />PRIMARY WORDING APPLIES PER THE BLANKET ADDITIONAL INSURED ENDORSEMENT ATTACHED TO THE POLICY - AS <br />REQUIRED BY WRITTEN <br />CONTRACT. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE PROVIDED TO THE CITY OF SANTA ANA, 20 CIVIC <br />CENTER PLAZA, SANTA ANA, CA 92701. 30 DAY WRITTEN NOTICE OF CANCELLATION WILL BE GIVEN TO THE <br />CERTIFICATE HOLDER IN <br />(continued on ACORD 101 Additional Remarks Schedule) <br />CERTIFICATE HOLDERCANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE CITY OF SANTA ANA <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />RISK MANAGEMENT DIVISION <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 CIVIC CENTER DRIVE <br />AUTHORIZED REPRESENTATIVE <br />4TH FLOOR <br />SANTA ANA, CA 92702 <br />(RMH) <br /> <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORDPrinted by RMH on 04/08/2022 at 09:02AM <br /> <br />