Laserfiche WebLink
°, o)'I������. Ire" <br />(MMfDD <br />"�` lYYYY} <br />..�►c"R CERTIFICATE OF LIABILITY INSURANCE ATE <br />1114 r AT 0310412016 <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(s). <br />PRODUCER CONTACT <br />NAME: <br />l'il:5aax, Inc. dlbda! hliscoX Insurance Agency in CA PHaNNE E,a,..,, (888) 202-3007__"_, .,..m,.... No.; <br />520 Madison Avenue AaDDRIESS: contact @hiscox.com <br />32nd Floor INSURER(S) AFFORDING COVERAGE_ mm ... .. __.... NAM # <br />...._.._ <br />New York, NY 10022 INSURERA Hlscox Insurance Company Inc 10200 <br />........... . . ....... <br />INSURED INSURER. B <br />STRAIGHTLINE COMMUNICATIONS INSURER C: <br />14930 Greenleaf Street I INSURER D: <br />Sherman Oaks CA 91403 <br />COVERAGES CERTIFICATE NIUIM12FR: <br />q.1 W 9T$T2 IFRr11 =1401 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT„ TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ......... ........... '.ADDL SUBR ........ - -._ POLICY NUMBER...... ._,m ...4dMO7t�DA'YYYI' MM dYVY LIMITS <br />LTR <br />COMMERaIAL. GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />..�.. <br />r�' <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO RENTED <br />PREMISES tEa occurrence <br />MED EXP (Any one person) <br />! S <br />PERSONAL 8 ADV INJURY <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY PRO- <br />_._..._; L__.__� JECT LOa <br />PRODUOTS- aOMPfOPAGG <br />$ <br />OTHER' <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Perac6dent) <br />$ <br />PROPERTYDAMAGE <br />Per acc denl <br />$ <br />NON- OWNE',D <br />HIRED AUTOS AUTOS <br />-.. <br />UMBRELLA LIAB OCCUR.... <br />HCLAIMS-MADE <br />EAOHOCCURRENCE <br />S <br />AGGREGATE <br />S <br />EXCESS LIAB <br />DIED RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIET ORlPARTNERfE.XECUTIVE <br />PER OTH- <br />STATUTE 1 'ER <br />E.L. EACH ACCIDENT <br />_ ............. <br />$ <br />OFFICE WMEM...BER EXCLUDED? [7 <br />N/A <br />(Mandatory in NH) <br />E.L. DISEASE. - EA EMPLOYEE: <br />S I, <br />If yes describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1 $ <br />Professional Liability <br />Each (Claim: $ 1,000,000 <br />A <br />Y <br />UDC- 1531232- EC7 -16 <br />01/1212016 <br />01d1212017 <br />Aggregate; $ 1,000,000 <br />DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, . may be attached if more space is required) <br />The City of Santa Ana and its officers, employees, agents, volunteers and representatives each while acting under the direction of The City of Santa Ana are <br />named as additional insureds. <br />CERTIFICATE HOLDER CANCELLATION "L 61` <br />The City of Santa Ana <br />20 CIVIC Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana, CA 92701 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY' PROVISIONS. <br />AUTHORI7.ED REPRESENTATIVE <br />01988 -20114 ACORD CORPORATION. All riglhts reserved. <br />ACORD 2.5 (2014101) The ACORD name, and logo are registered marks of ACORD <br />111 <br />