Laserfiche WebLink
Client#: 269335 LINESYST <br />ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYW) <br />5/09/201 1 <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 HE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS <br />REPRESENTATIVE TOR PRODUCER, ANDIFICATE OF N HE ERTCE DOESNO (jjpN t A GAN . 3T96ETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED. the polley(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain polleleI;"jifepuire an endorsemeng.A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />'lennif@r Housel <br />Hub International cHo a <br />A/C No EXt : 951 788-8500 W. No : 951 231-2572 <br />HUB Intl Insurance Serv. Inc. — AnDRess: ca001.processIng unit(ghubinternat)onal.co <br />4371 Latham St, Ste #101 CUSTOMER ID q - <br />Riverside, CA 92501 INSURERS APPORDING COVERAGE <br />Linear Systems NAIU V <br />INSURED INSURER A: Federal InSUranC@ Company 20281 <br />Chris Parsons dba• INsuRER B :Beazley Insurance Company, Inc. 37540 <br />8403 Maple Place INSURERc :General Insurance Company of Am 24732 <br />INSURER D - <br />Rancho Cucamonga, CA 91730 - <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 />IT.TYPE <br />OF INSURANCE <br />City of Santa Ana <br />POLICY NUMBER <br />PMM%OO/YYri <br />MM%DCD/YY''YEXP LIMITS <br />A <br />GENERAL LIABILITY <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />a5785104WUC <br />104/25/2011 <br />04/25/201 EACH OCCURRENCE $1.000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />L- <br />PREMISES Ee ocwrrence1 $1,000,000 <br />Anaft"Mt C 1ty A "Offu <br />CLAIMS -MAGE = OCCUR <br />MED EXP (Any one person) $10000 <br />6ADV INJURY $1,000 OOO <br />GGREGATE $2,000,000 <br />[�M <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />ODUCTS - COMP/OP AGG 1$1.000,000 <br />POLICY PRO LOC <br />! $ <br />C <br />AUTOMOBILE LIABILITY <br />24CC2790372 <br />4/25/2011 <br />04/25/201 COMBINED SINGLE LIMIT <br />(Ea accident) $1 000 OOO <br />ANY AUTO <br />. BODILY INJURY (Par pmsan) $ <br />! ALL OWNED AUTOS <br />BODILY INJURY (Per—(dent) $ <br />SCHEDULED AUTOS <br />PROPERTY <br />I X HIRED AUTOS <br />$ <br />(Peri accident)I. <br />NON -OWNED AUTOS <br />Is <br />I $ <br />LWB <br />OCCUR <br />''., <br />EACH OCCURRENCE $ <br />.UMBRELLA <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DEDUCIBLE <br />5 <br />RETENTION <br />$ <br />A <br />WORKERS COMPENSATION <br />1271735541 <br />3/01/2011 <br />03/01/2012 XWCSTATU- 'OTH-i <br />AND EMPLOYERS' LIABILITY YIN <br />— <br />ANY PRO PRIETOR/PARTNER/EXECUTIVE <br />E_L. EACH ACCIDENT $1,000,000 <br />OFFIOER/ME EXCLUDED? <br />OFF] <br />N/A' <br />NH) <br />tory to NH) <br />j <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />1/yes. tlesaibe under <br />DESCRIPTION OF OPERATIONS be— <br />E.L. DISEASE - POLICY LIMIT 10,000,000 <br />B <br />IProfesslonal <br />V102F2100201 <br />12/11/2010 <br />12/11/2011 $1,000,000 Each Claim <br />Liabilit <br />$1 000.00OA /$5,000Ded <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Atteeh ^CORD 101, Addltlonal Remarks Schedule, If mora apnea Is -Q.1 d) <br />Certificate holder is additional insured In regards to the general liability policy per the attached <br />endorsement form 80-02-2367 08/04. General liability policy is primary per the attached endorsement form <br />80-02-2653 04/01. <br />L,CI<IIrfVA I= t1U - <br />[.:ANG CLLR I IVN <br />A✓"RQ� A.S TO <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />20 Civic Center PIa2a <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 927 <br />AUTHORIZED REPRESENTATIVE <br />L- <br />Anaft"Mt C 1ty A "Offu <br />01988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#51169297/M 1169278 KM44 <br />