Laserfiche WebLink
ACO® CERTIFICATE OF PROPERTY INSURANCE DarE(MM�DarvvYl <br /> ll%� 0 1/2712 0 2 5 <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 /> PRODUCER CONTACT <br /> Hiscox Inc.dlbla/Hiscox Insurance Agency In CA PHONE Fax <br /> 5 Concourse Parkway A c e 844-357-0403 arc No): <br /> Suite 2150 ADDRE <br /> SS: contact hiscox.com <br /> Atlanta GA,30328 PRODUCER <br /> INSURERS AFFORDING COVERAGE NAIC d <br /> INSURED INSURERA: HISCOx Insurance Company Inc. 10200 <br /> FIOr Ciarrpos INSURER B: <br /> 256 s flower st <br /> Santa Ana,CA 92703 INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> LOCATION OF PREMISES;DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,If more space is required) <br /> 256 s flower st,Santa Ana,CA 92703 <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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS <br /> LTR DATE(MMfDD1YYYY) DATE(MMIDDNYYY) <br /> X PROPERTY BUILDING $ <br /> CAUSES OF LOSS DEDUCTIBLES X PERSONAL PROPERTY $ $25,000 <br /> BASIC HUILDING X BUSINESS INCOME <br /> P102.789.617.2 01/02/2025 01/02/2026 $ <br /> BROAD CONTENTS X EXTRA EXPENSE $ <br /> A X SPECIAL $1,000 RENTALVALUE $ <br /> EARTHQUAKE BLANKETBUILOING $ <br /> WIND BLANKET PERS PROP $ <br /> FLOOD BLANKET BLDG&PP $ <br /> $ <br /> $ <br /> INLAND MARINE TYPE OF POLICY $ <br /> CAUSES of LOSS $ <br /> NAMED PERILS POLICY NUM13HR $ <br /> H $ <br /> CRIME <br /> TYPE OF POLICY $ <br /> BOILER&MACHINERY; $ <br /> EQUIPMENT BREAKDOWN <br /> SPECIAL CONDITIONS I OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana Attention Parks,Recreation,Community Services Agency <br /> 20 Civic Center Plaza M-23 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Santa Ana,CA 92702 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1995-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD <br />