LINARES, MIKE 1A -2009 - Laserfiche WebLink

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OP ID BPS R?® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/Y 08/03/10 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: I the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. SUBROGATION I 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 NAME: PHONE ISU - Robert Bell Brokers AIC, No Ext: (A/C, No): 5256 S. Mission Rd. Suite 1006 ADDRESS: Bonsall CA 92003 CPRODUCER USTOMERID#: LINAMII Phone:800-426-2634 Fax:760-631-5983 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: Continental Casualty 20443 MIKE LINARES P O B 3913 INSURER B: _ . . ox SAN CLEMENTE CA 92672 INSURERC: 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLIC (MM/DDIYYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 4017604266 07/15/10 07/15/11 PREMISES (Eaoccurrence) $ 1,000,000 CLAIMS-MADE 5 :1 OCCUR MED EXP (Any one person) $ 10,000 BUSINESSOWNERS X PERSONAL &ADV INJURY $1,000,000 LIABILITY GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY FX PRO- LOC JECT $ AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY A T (Ea accident) U O A I BODILY INJURY (Per person) $ LL OWNED AUTO SCHED LED A T S to yo BODILY INJURY (Per accident) $ U U OS HIRED AUTOS rt RSV I ,^ P (Per a cidPROPERTY )AMAGE $ NON OWNED T 06A - AU OS FtCK $ UMBRELLA LIAB OCCUR ?,?5 pttor EACH OCCURRENCE $ EXCESS LIAB tant CLAIMS-MADE ASS?g AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION W A U- - AND EMPLOYERS' LIABILITY TORY LIMITS ER YIN ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT $ (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 I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) *10 DAYS NOTICE OF CANCELLATION DUE TO NON-PAYMENT OF PREMIUM. THE CERTHOLDER IS ADDITIONAL INSURED PER THE ATTACHED ENDORSEMENT SB-146932-C. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE THE EXPIRAT ON DATE BTHEREOF, NOT?LL EL VERED N CANCELLED BEFORE ACCORDANCE WITH THE POLICY PROVISIONS. XXXXXXXXXXXX CITY OF SANTA ANA ATTN: FRANK HERNANDEZ 20 CIVIC CENTER PLAZA AUTHORIZED ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD