Laserfiche WebLink
.AC"RRL/le CERTIFICATE OF LIABILITY INSURANCE <br />111.103/04/2016 <br />DATE(MMIDDIYYYYI <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 INSURERjS), 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 HOU of such endorsement(s), <br />PRODUCER <br />CT <br />NAME: <br />HisaD%Inc. OCD/a! Hiscax Insurance Agency In CA. <br />PRONE (888)202-3007 --........_........ ..�al,.NeU_-_. <br />520 Madison Avenue <br />EHONE <br />A E s. contact hISCD%.Gam _'___...._....._................... _ <br />32nd Floor <br />INSURERS, AFFORDI COVERAGE NAICA <br />.._.._,........-..�.__.._._. ._.._._, <br />INSURER A: Hisox Insurance Company Inc 10200 <br />New York, NY 10022 <br />_ <br />INSURED <br />INSURER B: _---_--- ..4 <br />INSURER C <br />STRAIGHTLINE COMMUNICATIONS <br />INSURER D <br />14930 Greenleaf Street <br />INSURER E <br />INSURER F: <br />Sherman Oaks CA 91403 <br />COVERAGES CERTIFICATE NUMBER: REVISION'. NUMBER: <br />THIS B 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 />,NSR <br />LTR <br />TYPE OF <br />,APDL <br />9UBR <br />POUCYNUMaVR ,.,,...,,,, <br />IPOLICY iEYY <br />.L__L_.�_. <br />POLICY EXP <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />.. CI -NMI FI OCCUR <br />RENTED <br />PREM IS S�crurre,Oc 1_-,- <br />_3...100,000 <br />MEDEXP(.Anyona2man-)._....1-1000 <br />....... __- <br />PERSONAI.SADVINJURY <br />s 0 <br />A <br />Y <br />UDC -1531232 -CGL -16 <br />01/12/2016 <br />01/12/2017 <br />GEN'L AGGREOArE LIMIT AP@KEIS PER: <br />GENERALAGGREGATIC <br />s 2,000,000 <br />POLICY EI JECTPRO- I_.....�LOC <br />PRODUCT 'S-COMPIOP AGG_$ <br />_ <br />SIT GBn <br />G1 HER: <br />AUTOMOURELIABILITVPOMBINF.O.INa <br />FLINTY <br />Ea cltleal <br />S <br />BODILY INJURY (Pat parwn) <br />E <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY awitlenPl <br />._„ <br />5 <br />PROPERTYDAMAGE <br />NON -OWNED <br />HTEDAUI'OS AUTOS <br />b <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE ....._.,M <br />$ <br />4i <br />EXCESS LIAR <br />CLAIMS -MADE <br />DED RETENTIONS <br />"I g... <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ENH <br />E,L_EACH ACCIDENT <br />— <br />$ <br />ANYPROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBEREXCLUOED'V <br />D <br />NfA <br />- - <br />E.L. DISFAsE-EA EMPLOYEE <br />$ <br />(MandatoryinNH) <br />If yes, describe under <br />.__._...._..__._.....__......__._... <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE'- POLICY LIMIT <br />$ <br />i <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sohodale, maybe attached If more apace Is ,'aquina) <br />The City of Santa Ana andits officers, employees, agents, volunteers and representattves each while acting under the direction of The City of Santa Ana are <br />named as additional insureds. <br />The City of Santa Ana <br />20 CIVIC Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />3 <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />reserved. <br />