Laserfiche WebLink
Commercial Certificate of Insurance <br />Agency GA13Lf3L A, DIAZ <br />Naune . 2706 HARBOR BLVD, STE <br />& - COSTA MESA, CA 92626 <br />Address - 7t4-4.34.7600 <br />St.--'97 _•_, Dist, __,__61 ,_,_Agent-_ 321vf <br />Insured <br />R.ELAIVIi A O'DEL cmn.o, fNC. <br />Name <br />DBA:BAILETFOLKLORIC0 <br />& <br />600 W. SANTA ANA BLVD <br />Address <br />SANTA ANA, CA 92704 <br />FARMERS'i <br />Issue Date (Tv M/DD/YY) 03/27/19 <br />This certificate is Issued as a matter of Information only and con6!rs nu rights <br />upon the rertlficnta holder. This certificate does not amend, extend or ahor the <br />coverage afforded by tha policies shown below. <br />Companies Providing Coverage: <br />C7ompany A Trek Insurance Lxchange <br />Lone. <br />Company B Farmers Insurance Exchange <br />Loner <br />company C )vlld-Century Insurance Company <br />Inner <br />Cnnrpany D <br />LetGr <br />Coverages <br />This Is to certify that the policies of Insurance listed below have been issued to the Insured named above tor the policy period Indicated. Notwlthstanding <br />any requirement, Latin or condition of ally contract or other document with NsImt to which this certificate may be Issued or may pertain, the Insurance <br />afforded by the policies described herein Is subject to all the terns, exclusions and conditlons of such polleles. Limits shown may have been reduced by <br />paid claims. <br />Co. Type of Insurance <br />{ Lu _ <br />X GenerallAbiiity <br />X Coumerdal General <br />Liability <br />B X- OmerienceVersion <br />Contractual - Incidental <br />Only <br />Owners & C:ontracLoi's Prot. <br />Automobile Liability <br />All Owned Cornmr-rrld <br />Autos <br />Scheduled Autos <br />Hired Autos <br />Neal Owned Autos <br />Garagn Liability <br />Umbrella Liability <br />Polio Number Policy Effective <br />Y Date (antenna <br />60433-45-09 03/07/19 <br />REVIEWED'&APPR( <br />By Risk M1N,AGEMFNr Ili <br />Workers' Compensation FRANCINE R. � <br />i anti <br />Employors' Lioblllty <br />Description of OperasIons/Vehicles/Restrictlons/Special Items: <br />Policy Limits <br />General Aggregate <br />S 4 OOU 000 <br />Products-Comp/OpS ' <br />A gegatc <br />S 2,000,000 <br />Personal K... <br />Advertisl tt In jury <br />S 2,0O0,000 <br />Each Occurrence <br />$2 OUO,p00 <br />Fire Dtuuago <br />(Any one fire) <br />S 100,000 <br />imy one person) 5,000 <br />Combined Single <br />Lfmlt $ <br />Bodily In,('u17 <br />(Per person) S <br />Bodily Injury S (Per accident) <br />Properly D;unage ! S <br />Garage rlggrepue I S <br />Limit S — <br />Statutory �� <br />Each Accident S <br />Disease - each IIraplayu S <br />Disease. -Policy Limit S <br />CERTIFICATE? HOLDER BELOW (ALSO LISTED AS ADDITIONAL INSURED ON POLICY) City of Santa Ann, ofticrn:s, agents, <br />employees, and vohmtoors arc named as additionally insured on this policy pursuant to written contract, agreement or mmnorandmm of <br />understanding. This insurance coverage shall be primary, and any insurnnce carried by the City shall be excess and noncontributory. <br />Certificate Floltler Cancellation <br />City of Santa Ana Should any of the above described policies be cancelled before tide cepiratiun date <br />dame Risk Ntanagemont Division thereof, the killing company will endeavor to mail 30 days written entice to the <br />& 20 Civic Center Plaza, 4dt Floor cerllnme holder maned to dre left, but failure to mna such notice shall Impose no <br />Address Santa Ana, CA 92702 obligation or lability of any kind upon the company, its ag-inis or representatives. <br />A. Diaz Agcnoyl 97-61-3' Nd <br />,a-a4n2 494 <br />root <br />