|
CO ff CERTIFICATE OF LIABILITY INSURANCE
<br />�.--'
<br />D JDDIYYYY)
<br />s/2/2/2/2o17
<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 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 PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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(a).
<br />PRODUCER
<br />LISSC Insurance Services
<br />DF1 3098
<br />1B20 E. First Street, Ste 500
<br />Santa Ana CA 92705
<br />CONTACT 7eanette Mueller
<br />NAME:
<br />PHONE (714) 569-2700 All No: (714)569 3099
<br />ADDRESS: a eanet:t:e . mueller@ hubinternational . com
<br />INSURERS AFFORDING COVERAGE
<br />NAIG0
<br />INSURERA:Sentinel Ins Co. Ltd
<br />11000
<br />INSURED
<br />Desmond, Marcello & Amster, LLC
<br />6060 Center Drive, Suite #825
<br />Los Angeles CA 90045
<br />INSURER B
<br />INSURERC.,
<br />INSURER D:
<br />INSURER E ;
<br />INSURERF:
<br />COVERAGES CERTIFICATE NUMBER:2017 GL-Au-limb REVISION NUMBER.
<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 Or 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 />INSR
<br />LTR
<br />I TYPE OF INSURANCE
<br />DO
<br />S BR
<br />POLICYNUMBER
<br />POLICYEPF
<br />MMIDDIYYYY
<br />POLICY EXP
<br />MIDD
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CIAIMS-MADE OCCUR
<br />X
<br />72SBANM9496SC
<br />8/15/2017
<br />8/15/2018
<br />DAMAGE TO RENTED
<br />PRE I ES Eaoccurrenoe
<br />$ 1,000,000
<br />MED EXP (Any one person)
<br />$ 10,000
<br />PERSONAL& ADV INJURY
<br />$ 1,000,000
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER;
<br />_x1
<br />PRODUCTS - COMPIOP AGG
<br />$ 2,000,000
<br />POLICY PRO- JEOT ID LOC
<br />$
<br />AUTOMOBILE
<br />LIABILITY
<br />Eaaccident IMIT
<br />1,000,000
<br />BODILY INJURY (Per person)
<br />$
<br />A
<br />ANY AUTO
<br />AALL UTOS OWNED SCHEDULED
<br />AUTOX HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />72SBR+NM9496SC
<br />B/15/2017
<br />B/15/2018
<br />BODILY INJURY (Per accident)
<br />$
<br />PROPERTY DAMAGE
<br />Per accidant
<br />X
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 1, 000, 000
<br />AGGREGATE
<br />$ 1,000,000
<br />A
<br />EXCESS L1AB
<br />FI
<br />CLAIMS -MADE
<br />DEO I X I RETENTI N$ 10,00
<br />$
<br />72SBANM9496SC
<br />8/15/2017
<br />8/15/2018
<br />WORKERS COMPENSATION
<br />WC STATU- I OTH-
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETORIPARTNERIEXECUTIVE F
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If es, decodbe under
<br />DESCRIPTION OF OPERATIONS below
<br />NIA
<br />TORY LIMITS
<br />H.L. EACH ACCIDENT
<br />$
<br />E.L. DISEASE • EA EMPLOYE
<br />—
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
<br />1RZ: Contract # A-2011-069, A-2015-157 and A-2015-160. City of Santa Ana, its officers, employees, agents,
<br />volunteers & representatives are additional insureds with respect to general liabilit per SS0008 O405,
<br />pg 17-20, includes primary/non-contributory.
<br />CREVIEWED BY: EUNICE HEREDIA (PG J OF5 )
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />M-36
<br />Santa Ana, CA 92701
<br />ACORD 25 (2010105)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />AUTHORIZED REPRESENTATIVE
<br />Monahan/i7TIBALn
<br />O
<br />TION. All riahts resnrured
<br />INS(12519n1nntilm1 Tha Af`(*tpn nnma anti Innn ara ranlafaratl mnrka of At'nP 1
<br />
|