Laserfiche WebLink
o,amihagomeyn:rcina <br />Francine R. Villareal e'. <br />SECUR-3 De°""°"°'cif%"-flS4°14v <br />A�oR� CERTIFICATE OF LIABILITY INSURANCE <br />DA11/13/2020TE Y) <br />11/13/2020 <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 />PRODUCER 305-477-0444 <br />Combined Underwriters of Miami <br />8240 N.W. 52 Tarr, Suite 408 <br />CONTACT SUSAN SANCHEZ-ARMENGOL <br />PHONE 305-477-0444 FAX 305-599-2343 <br />A/C, No, Ext : AIC, No): <br />Miami, FL 33166 <br />NIA YASHER <br />E-MAIL susan@—co—mbinedmiami.com <br />INSURER(SI AFFORDING COVERAGE <br />NAIC M <br />INSURER A:PENN-AMERICA INS. CO. <br />INSURED SECURITY SOLUTIONS <br />INTERNATIONAL INC. <br />INSURER B: <br />13155 SW 134th ST, Ste 103 <br />INSURER C: <br />INSURER D: <br />MIAMI, FL 33186 <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: RFVISION NIIMRFR- <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 />TYPE OF INSURANCE <br />DDL <br />UBR <br />POLICYNUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />Y <br />PAV0201745 <br />06/11/2020 <br />06/111202,ENTED <br />$ 1,000,000 <br />100,00Primary/Non <br />one arson <br />5,00Contributory <br />MOCCURRENCERENCE <br />OV INJURYGEN'LAGGREGATE <br />1,000,000 <br />LIMIT APPLIES PER <br />POLICY PEPT LOC <br />OTHER: <br />REGATE <br />21000,000 <br />OMPIOP AGG <br />Ii EXCL <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />W p <br />AUTO6ONLY AIOJIN"OS ONLY <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />$ <br />BODILY INJURY Per Person <br />BODILY INJURY Per accident) <br />ROPERTYDAMAGE <br />Peraccitlent <br />UMBRELLA LIAR <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />AGGREGATE <br />DIED RETENTION$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ❑ <br />pFFICERIMEMBER EXCLUDED? <br />(Mandatory In Ni <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />PER OTH- <br />ISTATU <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYE <br />E.L. DISEASE -POLICY LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate Holder is Additional Insured <br />City of Santa Ana, officers, agents, employees, and volunteers are named as additional insured on this policy <br />pursuant to the written contract, agreement, or memorandum of understanding. Such insurance as is afforded <br />by this policy shall be primaryry and any insurance carried by City shall be excess and noncontributory. <br />Insurer shall provide thirty (30) day prior written notice of cancellation <br />CIT-702 <br />CITY OF SANTA ANA <br />Risk Management Division <br />20 Civic Center Plaza 4th Floo <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />—�4 t <br />ACORD 25 (2016/03) ©1988-2015 ACORD CI <br />The ACORD name and logo are registered marks of ACORD <br />s.,� ItWeMArugmladDMafmi <br />` a-I'1i5 Ec REviEw&APPRovEo BY: <br />Risk Management Analyst <br />