Laserfiche WebLink
L ^y� ALAE DATCJMWDD)YWY) <br />CERTIFICATE OF LIABILITY INSURANCE Ro54 2/23/2015 <br />THIS CERTIFICATEIS ISSUED ASA 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(les) must be endorsed. If SUBROGATIONIS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on thin certificate does not confer rights to the <br />certificate holder in lieu of such andorsement(s). � <br />uc <br />BOWERMASTER & AS SC SNS AGENCY/PHS <br />181918 P: (866) 467-8730 F: (888) 443-6112 <br />PO 'BOX 33015 <br />SAN ANTONIO TX 78265 <br />— <br />RICHE wc.aw.cat (866) 467-8730 FAX (888) 443-6112 <br />nndiess: <br />NSVRERIS PPFDRDING COVEPAOE NAIce <br />WSURER A: sentinel Ins Cu LTD <br />11000 <br />INBUREd <br />SAM HOOPER & ASSOCIATES, INC <br />17316 EDWARDS RD STE B100 <br />CERRITOS CA 90703 <br />INSURERS: <br />COMMERCIAL GENERAL LIABILITY <br />INSURERC: <br />NSURERD: <br />NSURERE: <br />EA4H OCCURRENCE — <br />WAWmRF: <br />L#L4AJHA19c1U <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 OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE <br />TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSF-•�^�VPYPE <br />OF )NSNRrINCH�� <br />A/.DVCN <br />SUFF <br />POGCVN!IbIBFR <br />POLICYEFF <br />,IAUOU/Y)'Y <br />POLLCYE.i'P <br />LTbNTS <br />AUTHORIZED REPRESENTATIVE <br />COMMERCIAL GENERAL LIABILITY <br />SANTA ANA, CA 92701 <br />EA4H OCCURRENCE — <br />S2,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISESfEe oGCUttepee <br />10 0 <br />I_ D0 <br />X <br />MED EXP (AJry sea per5onl <br />__I_ <br />g10,^000 <br />A <br />X <br />General Liab <br />72 SBM AJ9140 <br />01/26/2015 <br />01/26/2016 <br />M <br />PEERSONAL& ADV INJURY <br />2, 000, 000 <br />GEN'L AGGRE TE LIMIT APPLIES PER: <br />POLICVIn �E�T rjl LOC <br />GCNERAL AGGREGATE <br />4, 000, 000 <br />PRODUCTS COMP/OPAGG <br />4,000,000 <br />DTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea aalden0 <br />2, 000 Q00 <br />BODILY INJURY Rarps"r <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72 SBM AJ9140 <br />01/26/2015 <br />01/26/2016 <br />X <br />BODILY INJURY(PBr.oCa.,d) <br />s <br />X <br />HIREDAUTOS X NUNOWNED <br />AUTOS <br />PROPER rY DAMAGE <br />tPnrecdtlanl) <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />11,000,000 <br />A <br />EXCEss LIAR <br />CLAIM^u•MADE <br />72 SBM AJ9140 <br />01/26/2015 <br />01 2016 <br />X <br />AGGREGATE <br />$1,000,000 <br />W <br />�r,r'a <br />&VV <br />y�(o1.YYAA <br />QRQ X—flaikNll0Na 10e 000 <br />11'ONkEFC i'ddIPEB&pIUN <br />AND EAIPIAPER.S'L/dBlL1TV <br />A ry <br />1'1� d� <br />PF.R OTM <br />R ER <br />E.L. EACH ACCIDENT <br />_— <br />a <br />ANYPROPRIETOMPARTNER/EXECUTIVE Y/H <br />OFPICBWM6MRBR EXCLUDED? <br />(MRntlernrY/n NN/ 1 I <br />WA <br />__ <br />C.L. 0IBEA9E. EA EMPLOYEE <br />If yea, describe Jade, <br />DESCRIPTION OF OPERATIONS balmy <br />JD <br />� �q�� <br />Tt1�J <br />GL. DISEASE -POLICY LOUT <br />♦♦ <br />deSL'RIFPlON OF OPERAnONSl LGCATIONS!VEHICLES (AGGRO 101, Addhional Romads SchodNlo, may be auardmd Ii more space is mqulrad) <br />Those usual to the Insured's Operations.City of Santa Ana, its officers, <br />employees, agents, volunteers & representatives are Additional Insured per the <br />Business Liability Coverage Form SS0008. Coverage is primary & <br />non-contributory per the Business Liability Coverage Form SS0008.Notice of <br />cancellation will be provided in accordance with Form SS1223 attached to this <br />CER TIFIQATE HOLDER CANCELLATION <br />ACORD 25 (2014101) <br />U 1988.2014 ACORD CORPORATION. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE <br />WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />City of Santa Ana <br />AUTHORIZED REPRESENTATIVE <br />20 CIVIC CENTER PLZ <br />SANTA ANA, CA 92701 <br />ACORD 25 (2014101) <br />U 1988.2014 ACORD CORPORATION. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />