Laserfiche WebLink
ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDMW) <br />6/21/2016 <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 INSURSD, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER Garrett/Mosier/Griffith/Sistrunk <br />Risk Management & Insurance Services <br />12 Truman <br />Irvine, CA 92620 <br />CONTACT <br />_NAME: Jaslynn Rowe <br />PHONE FA% <br />1 yNc o Ext); _ 949-559-3377 — - _! IAIc Noc 949-559-6703 <br />EMAIL <br />ADDRESS laslynnr@gmgs.com <br />_ INSURER(S) AFFORDING COVERAGE NAIC4 <br />INSURER A: Mt Hawley Insurance Company 37974 <br />WWW.gmgS.com 0684519 <br />INSURED <br />Superior Property Services, Inc. <br />9129 Perkins St. <br />INSURER e,_.. American Fire and Casualty Company_. 24066 <br />--- <br />— <br />INSURER C, <br />INSURER D. Cypress Insurance Coag any_ 10855 <br />Pico Rivera CA 90660 <br />INSURE_RE: <br />_ <br />INSURER F; <br />COVERAGES CERTIFICATE NUMBER: 30495720 REVISION NUMBER: <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', - - ADDU SUER',.---T—'--T <br />LTR' TYPE OF INSURANCE p'. VD POLICY NUMBER MMIOICIYEYYV MMLOD VYXYY' LIMITS <br />A v COMMERCIAL GENERAL LIABILITY IMGLO185342 16/22/2016 !6/22/2017 EACH OCCURRENCE$ 1,000,000 <br />TOC R <br />CLAIMS -MADE ✓ OCCUR ! ! DAMAG EAITE� ______ <br />1 PREMISES Re occurrence) $ 50,00_0_ <br />MED EXP (Any one parson)_. $ 1,000 <br />PERSONAL&AOV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: I IGENERAL AGGREGATE 2,000,000 <br />POLICY PRO- <br />2,000,000J <br />PRODUCTS- COMP/OP AGO a <br />�'. OTHER' $ <br />6 AUTOMOBILE LIABILITY I'I ''..I BAA(17)56589876 116/22/2016 '16/22/2017 Ee eBccldeD SINGLE LIMIT i$ _ 1,000000 <br />ANYAUTO BODILY INJURY(Perperson) 5 <br />OWNED SCHEDULED � <br />AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ <br />_ _ HIRED NON -OWNED I PROPERTYDAMAGE <br />AUT ONLY ✓ ', Auros ONLY ✓ Auros �,, $500 Coll Ded '. '' (Per accident) '$ <br />I,. $500 Comp Ded $_— <br />UMSRELLAUAB OCCUR Ili EACH OCCURRENCE _$ <br />EXCESS LIAR CLAIMS,MADE ! AGGREGATE $ <br />DEO RETENTIONS $ _- <br />D WORKERS COMPENSATION ISUWC711872 6/22/2016 6/22/2017 PEROTTH- <br />AND EMPLOYERS' LIABILITY YIN ✓ STATUTEIDENT _ <br />ANYPROPR IETORIPARTNERIEXECUTIVE ' E.L. EACH ACC $ 1,000,000 <br />OFFICER/MEMBER EXCLUDED' �. NIA -- <br />(MandatoryinNH) E.L. DISEASE - EA EMPLOYEE,$ 1,000000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I$ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) i'µ1 <br />As respects General Liability coverage, City of Santa Ana, its officers, employees, agents, volunteers and representatives <br />are added as oalry <br />Insureds per G20330413 & CG20370413 attached, and this insurance is primary, per CG20010413 attached. <br />Clerk of the City Council <br />City of Santa Ana <br />20 Civic Center Plaza (M-30) <br />P.O. Box 1988 <br />Santa Ana CA 92701-1988 <br />ACORD 25 (2016/03) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Finn <br />@ 1988-2015 ACORD CORPORATION. <br />The ACORD name and logo are registered marks of ACORD <br />30495720 1 16-17 A-PH/G/w/U I Sa.9i nv eOwe 1 6/21/2016 11:06'.19 AM (PET) I Page 1 of 5 <br />