Laserfiche WebLink
A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMI025 ) <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 CONTACT <br /> Certificate Team <br /> Inszone Insurance Services, LLC PHONE FAX <br /> 2721 Citrus Road, Suite A INC,No.Eat):877-308-9663 (A/c,No):916-400-2625 <br /> Rancho Cordova CA 95742 E-MAIL <br /> certs@inszoneins.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:0F82764 INSURER A:Hartford Underwriters Insurance Company 30104 <br /> INSURED ROCKLAU-01 INSURER B:Hiscox Insurance Company 10200 <br /> Rocket Science Media Group, Inc. <br /> 190 S. Glassell Street, Suite 201 INSURER C: <br /> Orange, CA 92866 INSURER D <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1904896587 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 /> INSR FOOL SUBR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER ,MMIDD/YYYY) )MM/DD/YYYY) <br /> LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY Y Y 72SBABH4RH0 1/20/2025 1/20/2026 EACH OCCURRENCE $2,000.000 <br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED <br /> PREMISES(Ea occurrence) $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY S 2,000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 <br /> PRO- LOC PRODUCTS-COMP/OP AGG $4.000,000 <br /> X POLICY JECT <br /> OTHER: <br /> A AUTOMOBILE LIABILITY Y Y 72SBABH4RH0 1/20/2025 1/20/2026 COMBINED SINGLE LIMIT S 2,000,000 <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) s <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE S <br /> DED RETENTIONS $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below — E.L.DISEASE-POLICY LIMIT S <br /> B Professional Liability P100.858.894.4 1/20/2025 1/20/2026 Aggregate/Each Claim $1.000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES )ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> City of Santa Ana,officers,agents,employees,and volunteers are named as additional insured on this policy pursuant to written contract,agreement,or <br /> memorandum of understanding.Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and <br /> noncontributory. <br /> Digitally signed <br /> Tu Tran by Tu Tran <br /> Nguyen <br /> Nguyen°620SS-0700° APPROVED <br /> CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:20 pm,Sep 10,2025 <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 PROVISIONS. <br /> Attention: Corilyn Lantz <br /> 20 Civic Center Plaza. M-23 AUTHORIZED REPRESENTATIVE <br /> Santa Ana CA 92702 <br /> 01988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />