FAAC, INC. -2015 - Laserfiche WebLink

Home Browse Search

CERTIFICATE OF LIABILITY INSURANCE DATE MMIOD 4/29/201M5 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(les) 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 Daly Merritt insurance 100 Maple Wyandotte MI 48192 CONTACT CathyStannis—REP NAME: PHONE (734)283-1400 FAX No: (734)283-1197 ADAIESS,Cathy. Stannis@dalymerritt. coal INSURERS AFFORDING COVERAGE NAIC k INSURER A:PhoeniX Insurance Company 25623 INSURED FARC Inc. 1229 Oak Valley Drive Ann Arbor MI 48108-9675 INSURER_B:Trayel_ers Property Casualty Cc 25674 INSURER C:Standard Fire Insurance Company 19070 INSURER D; INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:CL1542909167 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 LT TYPE OF INSURANCE ADD BR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDM'YY LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. GENERAL LIABILITY City of Santa Ana EACH OCCURRENCE $ 1,000,000 Police X COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE P.O. BOX 1981 DAVA-GETPREMISESEaoccm,.ace $ 1,000,000 A CLAIMS -MADE OCCUR 6307F27694A /1/2015 5/1/2016 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 PRO LOC X POLICY F IET El $ LIABILITY COMBINED SINGLE LIMIT KAUTOMOBILE Ea acci ent 1,000,000 BODILY INJ URY(Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOAUTOSS 7F27694A 5/1/2015 5/1/2016 BODILY INJURY(Peraccident) $ NON -OWNED HIRED AUTOS PROPERTY DAMAGE Per accident $ Pro ert dama a Bu back $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE If 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE DEO I X I RETENTION$ 10,OOC $ OUP7F27694A 5/1/2015 5/1/2016 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE� OFFICEWMEMBER EXCLUDED? (Mandatory In NH) N/A 3D69497 5/1/2015 5/1/2016 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $it E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The certificate holder is listed as additional insured with respects to the General Liability as required by written contract. ��J/ ��,-,�� //�/�{'lL-744 1 �':: CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) INS025 nm nnsl nt © 1988.2010 ACORD CORPORATION. All rights reserved. The Artr)Pn name and Innn arc renicfered merkc of arnpn psemelsberger@ santa-ana.Or SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: Police Dept AUTHORIZED REPRESENTATIVE P.O. BOX 1981 Santa Ana, CA 92701 Kyle O'Malley/STANNI ACORD 25 (2010/05) INS025 nm nnsl nt © 1988.2010 ACORD CORPORATION. All rights reserved. The Artr)Pn name and Innn arc renicfered merkc of arnpn