Laserfiche WebLink
DATE IMMIrDoryYYV) <br />AC"RIX CERTIFICATE OF LIABILITY INSURANCE <br />la,�° 5/4/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AF'FIRMATIVE'LY 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 PR'ODUC'ER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT; If the certificate holder is an ADDITIONAL INSURED„ the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s), <br />PRODUCER NAMP. <br />Warner Pacific insurance <br />32110 Agoura Rd <br />Westlake Village <br />_.. <br />CA 91.361 <br />INSUR €RA.E1p�C9�rFI£i Assuxance ��>mPan� � _._ <br />25402 <br />INSURED <br />LTR TYPE OF INSURANCE POLICY NUMBER iat.16M1DDffYYY MMfp Y <br />INSURER S <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br />PRASE 51 SYSTEMS INC, <br />DBA: PARS <br />INSURER cm_ <br />I 'MED EXI (Any one po scan) <br />4350 VON KAVYIAN AVE <br />PERSONAL & AOV INJURY <br />SDITE100 <br />GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE S <br />INSURER E.i___. ..._,.....,._�. — _�......... .._._._._.__� ._....._ ...................._ <br />,._,.... ., ..- ...,._.., <br />NEWPORT BEACH <br />CA. 92663 <br />1 INSURER F <br />C M I tNG F UUMII t S <br />a <br />r,=wrtcark A'rj= KH mxr�r_P- r,..T.1. F54 MS-56.5 b F1/IS.I()N N[IMIRFR! <br />THIS 15 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 REOLIMEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH 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 />3I7TJL POLICY OFF PpLIGY ZXP ° -.. . <br />LIMNS <br />LTR TYPE OF INSURANCE POLICY NUMBER iat.16M1DDffYYY MMfp Y <br />COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br />I <br />]CLAIMS-MADE OCCUR _PREMISES,[E� currenceZ S_ <br />I 'MED EXI (Any one po scan) <br />PERSONAL & AOV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE S <br />POLICY 1 J�CT � � LOC PROC1UC15 . CCiMpaFJF AGG $ <br />S <br />OTHEt <br />C M I tNG F UUMII t S <br />AUTOMOBILE LIABILITY <br />ANY AUTO EE BODILY INJURY (Per person) S <br />-__. .. .___ ._.__ .....,.,._ <br />.v <br />..._ ALL t)ANNEU SChIErYULEq i BODCLY INJURY (Per arc desni) S S <br />ALL OS �. AUTOS <br />NON -OWNED 7 I I PR(7PEI2iY DAItAGF ..�� <br />HIRED AUTOS AUTOS <br />$ <br />' <br />UMBRELLA LIAR OCCUR � � � p EACH OCCURRENCE <br />p <br />I EXCESS LIAR CLAIMS MADE'.. I � AGGREGATE... ....�.._._.._. _ <br />_ -E_ _......,_ <br />DED RETENTBON $ i S <br />WORKERS COMPENSATION .' o a PER t OTH <br />STATUTE FIR <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETC3RMARTNERIEXEGU7IVE I E !, I�ACI'I ACCIDENT S <br />OFFICERWEMBER EXCLUDED? �� NIA <br />A <br />inNH) SMC002110614 4/1/2016 4/1/2017 EL ®1SEASI EAFMPLOYE S 1,G3Bib CB(i <br />__..._ <br />�(Mandatory <br />If yes desctbeunder <br />DESCRIPTION OF OPERATIONS bedew L O.SEASE P(N ICY LIMIT $ 1 000 000 <br />I <br />1 <br />u <br />DESCRIPTION OF OPERATIONS I LOCATIONS. J VEHICLES (ACORD 101, Addifional Remarks Schedule, may be attached If more spacer Is required).... <br />TEN DAYS NOTICE FOR CANCELLATION OF NON - PANT. <br />M 71-79i�Eiw'1. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Executive Director of Personnel Se ACCORDANCE WITH THE POLICY PROVISIONS. <br />0 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE <br />I LA - - - _u <br />C 1988.2014 A DI'CORPORATION. All rights reserved. <br />ACORD 26 (2014101' The ACORD name and logo are registered marks of ACOR <br />INS025 I201401) <br />