CHAMBERS GROUP, INC. 2B - Laserfiche WebLink

Home Browse Search

CHAMB-4 OP ID: W2 14 �4C,"i R'C!' CERTIFICATE OF LIABILITY INSURANCE D 05/27/ 05/27/2200YYYY) 15 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE 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). PRODUCER Kaercher Campbell & Associates 1800 Century Park East #400 Los Angeles, CA 90067 Wendi Carpenter CONTACT PHONE FAX A/c No Ext): A/C No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # GENERAL LIABILITY INSURER A: Liberty Mutual Insurance INSURED Chambers Group Inc. ID 725102 INSURER B: INSURER C 5 Hutton Centre Drive, Ste 750 INSURER D : Santa Ana, CA 92707 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO 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 TYPE OF INSURANCE ADDL SUBR D POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS 20 Civic Plaza GENERAL LIABILITY r/ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: _ PRODUCTS - COMP/OP AGO $ I R POLICY7X,'P_ O- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO H ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident $ ( ) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE PER ACCIDENT $ $ — 1 BRELLA LIAB OCCUR EACH OCCURRENCE $ *DED CESS LIARHCLAIMS-MADEAGGREGATE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F---1N/A TORY LIMITS ER _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under I E . DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Error 104595115 i 06/01/2015 06/01/2016 Per Claim 2,000,000 & Omissions RETRO DATE - 1/1/1978 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CHAMFERS GROUP A-2013-007-02 REVIEWED BY: �i � EUNICE HEREDIA (PG 2 OF 5) CERTIFICATE HOLDER CANCFI I ATInN © 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Agency M36 AUTHORIZED REPRESENTATIVE 20 Civic Plaza Santa Ana, CA 92702 r/ © 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD