IBI GROUP 6 - 2012 - Laserfiche WebLink

Home Browse Search

r ; t '2 l 4 Ak%e CERTIFICATE OF LIABILITY INSURANCE DA08/09/201 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. 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 ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICAT4 OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS 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). Pro-Form Sinclair Professional 15 Allstate Parkway, Suite 310 NAME T Dafna Warshager PHONE 905 -305 -1054 uC No) .905-305-1093 EMAIL ADDRESS: dafna .warshagerQhubintarnatlonal.com Markham, ON L3R 5B4 INSURERS AFFORDING COVERAGE NAIC # 04/30/2013 INSURER A :XL Insurance America, Inc. 24554 INSURED _ IBI Group INSURER B :XL Specialty Insurance Company 37885 INSURER C: 18401 Von Kerman Avenue, Suite 110 Irvine, CA 92612 PREMISES Ea oawrtence i...._ ! 3 100,000 INSURER D: j INSURER E: INSURER F: _ CLAIMS -MADE a OCCUR COVERAGES CERTIFICATE NUMBER:96MQ3HSZ REVISION NUMBER: THIS ISTO 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 I TYPE OF INSURANCE DLSUBR POLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMIDD LIMITS 9-1 GENERAL LIABILITY US000085371_112A 0413012012 04/30/2013 EACH OCCURRENCE �i 5 1,000,000 PREMISES Ea oawrtence i...._ ! 3 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR MED_EXP (Any one person) -- T j 5 .5,000 PERSONAL& ADV INJURY �$ _ —..... 1,000,000 GENERAL AGGREGATE s 11000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG S 1,000,000 Non•owned Automobile S 1,000,000 X POLICY PRO LOC (}1 t AUTOMOBILE LIABILITY O a8 0 IN LIMI BODILY INJURY (Per person) $ ANY AUT I!V– ALL AUTO NED AUTHODULED ,_,,.,_. _ _ BODILY INJURY (Per accident) S MIRED AUTOS NONOWNED AUTOS PROPERTY DAMAGE accident ) S Assistail l a UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE Is EXCESS UAB CLAIMS -MADE I DED I I RETENTIONS Is WORKERS COMPENSATION WC STATU- OTH• AND EMPLOYERS' LIABILITY YIN Luvirr E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERtEXECUTIVE OFFICERIMEMBER EXCLUDED? Q NIA E.L. DISEASE - EA EMPLOYEE _ $ (Myyaaenssdatory in NH) er E.L. DISEASE - POI ICY "MIT It DESPTTIION OF CRIP OPERATIONS below B Professional Liability Insurance DPR 9699233 04/30/2012 04/30/2013 Each Claim 1,0 ,000 Annual Aggregate is 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space to required) SARTC Parking Plan 'City of Santa Ana, it officers, employees, agents, volunteers and representatives' are added as additional insured to Commercial General Liability and/or Umbrella Liability only, but only with respect to liability arising out of the operations of the named insured. With respect to Commercial General Liability/ Non -Owned Auto, the policy described above shall apply as primary for the operations of the Named Insured on behalf of the City of Santa Ana. The Insurer will provide the Certificate Holder with thirty (30) days written notice of cancellation of the policy. Limits shown are in US Dollars. r�C�TICII�AT1! �A e��s� City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92702 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �s Page 1 of 1 0 1988 -2010 ACORD CORPORATION_ All rinhtc rear. i AGLJKLJ 25 12010105) The ACORD name and logo are registered marks of ACORD