Laserfiche WebLink
rl <br />COO" CERTIFICATE OF LIABILITY INSURANCE <br />DATRINM DD YYYYI <br />0130/2020 <br />THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />09RTIRCATE 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 poi cy(les) most have ADDTIONAL INSURED ArVlsiOnspOr he endorsed. <br />If SUBROGATION IS WAIVED, subteat tb the terms and conditions of the policy, Certain policies may require an endorsement. A statement on <br />thin certificate dam not confer rights to the Certificate holder In lieu of auCA ondomement(s). <br />PRODUCER <br />CO <br />G1?A Solutions, Inc. <br />P" ,,. a6a•sBt Da07 <br />10 Plaza Real South <br />:_ceAs�gjgasnNeR.corn _-------.....__._— . <br />$to 201 <br />Soon Piston FL33432 <br />INSURSR(S)AFFORDINOCOVERAOR <br />INIUMERA, STATE NATL INS CO INC <br />— 12831 <br />INe ry <br />SarviclDe First <br />M&WIRRaY <br />2510 North Grand Ave <br />Santa Ana CA92705_-- <br />COVERAGES CERTIFICATE NUMBER: 360056837 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTIMYHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE APFORDEO BY THE POLICIES CESCRISED HEREIN 18 SUBJECT TO ALL THE TERMS, <br />EXC_LVSIONSAND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE REENREDUCFDBYPAIO CLAIMS.__-_ <br />TYPO OFINSURANOR ICY U O 0 Icm"'"' -- <br />OOMMERiNALODNERALLIADIUTY <br />EACHOCCURRENCE <br />S <br />CLAIMS MADE L]OCCUR <br />PREMISESISES iC INT50 my <br />_ <br />b <br />5__-- <br />PERSONALARW INJURY <br />--___� <br />OENLAQeRE <br />TGP(LAIR�MOpI.TAP''P'L'I-EOPER:� <br />OENEAAL AO,QRECMTE <br />S _ <br />POLN:Y JECT L__.f LOO <br />PRODUCTS-CDMEIPA00_ <br />OTHER:— <br />S <br />AUTOMOBII. <br />MAUILI1Y <br />ANYAUrO <br />RWILV INJURY S+afpeMOn) <br />d <br />DANEtl� SCHEDULED <br />AUTOSONLY AUTOS <br />'�"� <br />6001LY INJURY (PeraeeMe00 <br />$ --- ----- <br />HIRED OWOMEO <br />P M <br />,_.. <br />AUTOS ONLY _. AUTOBbNLY <br />aracN, ql— <br />S <br />UmM9UAUAe <br />OCCUR <br />—eT <br />EAOIOCOU NGE <br />EKOESSUAB <br />OLNM&MADE <br />AOORSWIR <br />S <br />1-yea I I SUCH <br />A <br />WORKERS COMPENSATION <br />AN17(.W2-ODG7.00M1 <br />10/irdU2o <br />SM1r2021 <br />X <br />ANORMPLOVERS'LIAWMY ViN <br />—_ <br />ANYPROPRIE'n YARTNERIEAECUTNF. <br />MIA <br />aL. RACH ACCIOEM <br />8,,,QW r100 <br />OFPICEPoMEMBP.n E%OLUDEtl1 ❑ <br />INendaterYD1NIO <br />_ — <br />R.L,mBEAea-OA EMPLOYER <br />^- <br />i2Ig0i000—___ <br />III FIPaI'IONOFOPE�ATIONS <br />R.L. DIG-POLIOYUMIT <br />St000000 <br />066091PTION OF OPERATIONS ILOCATIONS IVEHIOLES IACORD101.AddiftalRemarks 00odeie, MyOnafthed RMON ymae bmgMMdi <br />City of Santa Ana <br />Rlsk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />T'HE EXPIRATION DATE THEREOF, NOTICE WILL BB DELPIERED IN <br />ACCORDANCE MTN THE POLICY PROVISIONS, <br />ACORD 25 (20116103) Thu ACORD name and logo are registered marks of ACORD <br />NlekMmrgYnxntDNlelon <br />REVIEWED &APPRovQI aw. <br />Rkk Managemftl Analyst <br />