MDG ASSOCIATES, INC (4) - Laserfiche WebLink

Home Browse Search

MDGASSO-01 CFRANCIS ACORO CERTIFICATE OF LIABILITY INSURANCE FDAT 9/4/2025 9/4/2 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 endorsement(s). PRODUCER NAONTACT Chip Francis Kelley,Jiggins&Associates PHONE FAX o,EM:(626)396-1035 455 N. El Molino Ave. (A/C,N A/C,No):(626)396-1045 Pasadena,CA 91101 ApDRIE .chip@kjains.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:West American Insurance Company 44393 INSURED INSURER B:Ohio Security Insurance Company 24082 MDG Associates, Inc. INSURER C:American Fire 8r Casualty Co. 24066 10722 Arrow Route,Ste.822 INSURER D: Rancho Cucamonga,CA 91730 INSURER E INSURER 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 TYPE OF INSURANCE ADDL SUBINSD p POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE X OCCUR BKW57179298 7/1/2025 7/1/2026 DAMAGE TO RENTED 200,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY PR& LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)X ANY AUTO X X BAS57179298 7/1/2025 7/1/2026 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON- WNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLYPer accident $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE 4,000,000 X EXCESS LIAB CLAIMS-MADE ESA57179298 7/1/2025 7/1/2026 AGGREGATE $ 4,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holders are named as Additional Insured on General Liability per blanket form CG8810 0413 and on Auto Liability per form AC8543 0618. Complete Additional Insured: The City of Santa Ana,Its officers,employees,agents and volunteers,but only as respects the insured's operations as it relates to their signed contract in regards to the CDBG Administration Consulting Services per form CG8810 0413; Primary Insurance and Transfer of rights or recovery against others is included in the form. Tu Tran Digitally signed by Tu Tran Nguyen Nguyen 7D6:45 34-07'00'5 APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:44 pm,Sep 05,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Executive Director, Community Development Agency 20 Civic Center Plaza, M-25 AUTHORIZED REPRESENTATIVE Santa Ana,CA 92701 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD