Laserfiche WebLink
CERTIFICATE OF LIABILITY INSURANCEDate (MM44 D/YY) <br />11/17/11 <br />PRODUCER <br />This certificate is issued as a matter of information only and <br />STATE FARM MUTUAL AUTOMOBILE INSURANCE <br />confers no rights upon the certificate holder. This certificate <br />COMPANY <br />does not amend, extend or alter the coverage afforded by the <br />1370 Brea Blvd_ Ste_ # 150 <br />policies below. <br />Fullerton, CA 92835 <br />714526-7001 <br />CODE: 1235 <br />INSURED <br />INSURERS AFFORDING COVERAGE <br />Insurer A: STATE FARM MUTUAL AUTOMOBILE <br />SERVICE FIRST CONTRACTOR'S NETWORK INC. <br />INSURANCE COMPANY <br />DBA: SERVICE FIRST <br />3505 CADILLAC AVENUE, BLDG F-9 <br />insurer B: <br />COSTA MESA, CA 92626 <br />Insurer C: <br />Insurer E: <br />COVERAGE <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE 3 TO THE INSURED NAMED ABOVE FOR THE POLICY PF-RIOD tNDICATED. <br />NOTWITHSTANDING ANY REQUBtEIAE]SrI. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Willi RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED FWREIN IS SUBJECT TO <br />ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREOATE LII-UTS SHOwN MAY HAVE BEEN REDUCED BY PAID <br />CLAIMS <br />cc <br />Type of insurance <br />Policy Number <br />Policy <br />Policy <br />Limits <br />Li R <br />ef%ctive <br />expiration <br />date <br />date <br />DN <br />MM/On(YY <br />General Liability <br />B -BUS PROP 5 <br />L-13USN ILIAD $ <br />_Commercial <br />general <br />GEN AGGREGT $ <br />liability <br />PCO AGGREGT S <br />_Claims made <br />M-MED/PERSN S <br />Occur <br />_—Owner & <br />DEDUCTIBLES S <br />Contractors <br />F-D"LOYERS NON <br />133-3423-FO9-75 <br />06/07/11 <br />06/09/12 <br />Combined single limit 51,000,000 <br />OWNERSHIP LIAR. <br />(_ –.6d—) <br />�[ <br />Bodily Injury <br />Automobile Liability <br />(1/Q I e —) <br />X Any auto <br />injury <br />_X Hired autos <br />tBodily <br />Property <br />X Non -owned <br />�Damage <br />autos <br />r <br />Garage Liability <br />.. <br />' ' <br />Auto Only -Ea. Accident S <br />Any auto <br />- <br />Other than Auto only: <br />Each accident S <br />Aggregate 5 <br />Excess Liability <br />- <br />Each Occurrence $ <br />Umbrella Form <br />- <br />Aggregate S <br />Other than umbrella' <br />` <br />Workers compensation <br />Statutory limits Other <br />and employers liability <br />Each Accident 5 <br />INC <br />Each Disease- Policy Limit S <br />X EXCL <br />EL Disease - Ea. Employee $ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/DCCLUSIONS ADDED I3Y ENDORSEMENT PROVISIONS: <br />MOTEL 6 OPERATING L.P. IS BNCI..UDED AS AN ADDITIONAL INSURED WITH RESPECT OL, AL AND EXCESS LIABILITY. WAIVER OF <br />SUBROGATION IN FAVOR OF MOTEL 6 OPERATING L.P. IS INCLODE00 WITH REPF.CT G WC AND EXCESS LIABILITY. <br />CERTIFICATE HOLDER AND/OR ADDITIONAL <br />CANCELLATION <br />INSURED <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE <br />CITY OF SANTA ANA, IT'S OFFICERS, AGENTS AND <br />CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br />EMPLOYEES <br />THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 29 <br />26 CIVIC CEN'T'ER PLAZA <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br />A ANA, CA 92701 <br />NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH <br />NOTICE SHALL IMPOSE NO OBLIGATION ON LIA1311-ITY <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR <br />REPRESENTATIVES. <br />uthoriud Representative <br />