SOLOMAN, STEPHEN H. (2) - Laserfiche WebLink

Home Browse Search

Francine R. Digitally signed by Francine S. Villareal Villareal ACORO® CERTIFICATE OF LIABILITY INSURANCE °ATE(MMIDDIYYYY) 21a12022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER NAMEACT COMPLETE EQUITY MARKETS INC PHONE 847 541-0900 PAX No: 847 541-0444 COMPLETE EQUITY MARKETS INC 1190 Flex Court E MDrsIEss: INSURERS AFFORDING COVERAGE NAIC If Lake Zurich, IL 60047 INSURERA: Underwriters at Lloyd's London In CA: dba Complete Equity Markets Insurance Agency, Inc. CA SL OD44o77 INSURED INSURER B INSURER C: Stephen H. Solomon INSURERD: 18861 Ridgewood Lane INSURER E: Villa Park, CA 92861 NSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 1NS�L SUER VIVO POLICY NUMBER POLICY SEE MMIDDIYYYY] POLICY EXP IMWDD[YYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �DAMAGE � CLAIMS -MADE �' OCCUR TO RENTED PREMISES Ea occunence $ 50,000 MED EXP (AM oneperson) $ $ 000 PERSONAL BADVINJURY $ EXCLUDED A X 1500343 2/5/2022 2/6/2023 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,001111 GEN'L X POLICY ❑ PRO- JECT LOC PRODUCTS - COMPIOP AGG $ 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlenl $ BODILY INJURY (Per person) S ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per eccaki $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ IM OFFICEREMBER EXCLUDED? NIA PER OTH- STATUTE ER E.L EACH ACCIDENT $ EL. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ Each Claim $1,000,000 A Professional Liability X 1801070 6/1/2021 6/112022 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Subject to all policy terms, conditions, exclusions and endorsements of each respective policy. The City of Santa Ana, it's officers, employees, agents and representatives is an additional insured on both policies but only per the terms S conditions of the endorsement generated for each respective policy and subject to all policy terms, conditions, exclusions and endorsements. Primary/Non-Contributory, Waiver of Subrogatlon and $0 Day Notice of Cancellation applies to the General Liability policy. SURPLUS LINES NOTICE TO POLICYHOLDER- PLEASE SEE ATTACHED The City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana Ca 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. OW�s►l ©1988-2015 ACORD ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD [REVIEWED & APPROVED BY. F44b,,� Z W&Wl4 Risk Management Analyst