SUTTER, KATHERINE (2) - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE P�0.,24..,2. (MYYYI 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. THISCERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZEtl 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 CONTACT Maguire insurance Agency.Inc.FVu1 NAME: 1 Bala PV Ste 1 OC PHONE FAX Pala Cynwyd_PA 19004-1401 (AIC,No,Ext): (AIC,No): 610 617.7900 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC i! _ INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED INSURER B: Katherina Sutter 43C7 Archway INSURER C: {wine,CA 92616.8829 INSURER D: 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 ADOL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE )NSD WVD POLICY NUMBER (MNDDfYYYY) (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X PHPK2304127-OD4 07)2112025 C712112026 EACH OCCURRENCE S1.000,000 CLAIMS-MADE11 OCCUR DAMAGE TO RENTED PREMISES{Ea occurrence) S100,000 X PROFESSIONAL LIAStLITY MED EXP(Any one person) 52500 PERSONAL$ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 53.000,000 PR OLICY ❑PROJECT ❑LOC PROCUCTS-COMPIOP AGO S3.000,C00 OTHER SAM AGGREGATE $300,000 SAMOCCURENCE $1W.U00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) S ANY AUTO BODILY INJURY(Per person) S OWNED AUT05 SCHEDULED AUTOS ONLY BODILY INJURY(Per acciden_) S HIRED AUTOS NON-DIMMED PROPERTY DAMAGE ONLY AUTOS ONLY (Per accident) $ 5 UMBRELLA LIAB OCCJR EACH OCCURRFNCE 5 EXCESS LIAR -H CLAIMS-MADE AGGREGATE S CED I I RETENTION S WORKERS COMPENSATION PER OTHER AND EMPLOYERS'LIABILITY YIN STATUTE At,IYPRCPRIETORIPARTNERiECECUTIVE NIA CFFICERIMEMBER EXCLUDEC7 E.L EACH ACCIC'N-r S (Mandatory in NH) If yes,describe under E.L.DISEASE•EA EMPLOYEE S DESCRIPTION OF CPERATION5 below EL DISEASE-POLICY LIMP S DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,m ay be attached it More space is required) It is understood and agreed that the Following entity is added as an additional insured but only with respect(5)to the operations of the narred insured except that lial»6ty resulting from the additional insured's sole negligence CERTIFICATE HOLDER CANCELLATION City of Santa Ana,its City Council,officers,officials,employees,agents and volunteers SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Parks,Recreation and Community Services Agency,20 Cv c Center r aza,FI SiDnta Ana,CA 92701 EXPIRATION DATE TH EREOF,NOTICE WILL BE DELIVERED 1N ACCORDANCE WITH San THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Tu Tran ". APPROVED By Tu Tran Nguyen at 11:09 am,Jul 25,2025 -- ----- ------- ii�)1988-2015 ACORD CORPORATION,All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD