Laserfiche WebLink
ACC O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYVY) <br /> �� 8/1/2024 <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 CON I ACI <br /> NAME: Matthew Cowan <br /> Sandco Services Inc dba The Julian Summers Insurance Agency INC.NNo,Ext): (310)361-5630 FAX <br /> No): <br /> 2629 Manhattan Ave E-MAIL r r sax co-I com • <br /> ADORES.. })� ��by Angie NAIC# <br /> Suite#270 31 <br /> IIermosa Beach CA 90254 IN RER T -2 ►fh 0 OF CT 25682 <br /> INSURED •'CAS CO OF AMER 25674 <br /> MULTI W SYSTEMS Angie Aceve �S 1 36161 <br /> ���.I�c�1 � 1 1 .4�.�n <br /> 21) 5 STROZIER AVE INSW.ER : ' <br /> !NFJRER E: _07r001 <br /> EL MONTE CA 917332021 FluRER F: <br /> COVERAGES CERTIFICATE NUMBER: 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. 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 /> IN El-F POLICY EXP <br /> R TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDY <br /> LTR !YYYY) (MM DD/YYYY) LIMITS <br /> K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE OCCUR UAMAGt I RbNItU <br /> /� PREMISES(Ea occurrence) $ 100,000 <br /> MED EXP(Any one person) $ 5,000 <br /> A Y Y Y-630-7J22389A-TCT-24 08/01/2024 08/01/2025 PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> Px POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I <br /> (Ea accident) $ 1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED Y Y BA-3N112945-24-14-G 08/01/2024 08/01/2025 BODILY INJURY(Peraccent $ <br /> AUTOS ONLY AUTOOaccident)) <br /> -HIRED -NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY _AUTOS ONLY (Per accident) <br /> Comp/Collision Ded $ 1,000 <br /> K UMBRELLA LIAB K OCCUR EACH OCCURRENCE $ 1,000,000.00 <br /> C EXCESS LIAB CLAIMS-MADE Y Y CUP-7J229094-24-14 08/01/2024 08/01/2025 AGGREGATE $ 1,000,000 <br /> DED RETENTION$ EBLIA $ 1,000,000 <br /> WORKERS COMPENSATION - PER OI H- <br /> AND EMPLOYERS'LIABILITY Y!N /� STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> B OFFICERJMEMBER EXCLUDED? Y N/A Y UB-712 3 0 1 24-24-1 4-G 08/01/2024 08/01/2025 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:SUBMERSIBLE PUMP REPAIRS <br /> The City of Santa Ana,its officers,officials,employees,and volunteers are covered as additional insureds where required by written contract.30 day notice of cancellation <br /> applies,10 day notice for non-payment of premium.Waiver of subrogation applies. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> City of Santa Ana ACCORDANCE WITH THE POLICY PR(\ <br /> 92 Risk ManagrmalEDivisi m <br /> 20 Civic Center Plaza(M-30) AUTHORIZED REPRESENTATIVE . _ REVIEWED Et APPROVED 8Y: <br /> P.O.Box 1988ri <br /> o A41,z,Aewe e <br /> I <br /> Santa Ana,CA 92702 �� Risk Management Specialist <br /> ©1988-2015 ACOR/ <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />