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STAGPLU•01 DOROTHYSERRYHILL
<br />DATE (MMmoIYYYY)
<br />- CERTIFICATE OF LIABILITY INSURANCE 8/2912017
<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 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. Astatement on
<br />PRODUCER gam"• _
<br />_Nf.ONE
<br />NFP Property &Casualty Services, Inc. Pnr"c°N•i Exn ,(714) FAX Ne) (714) 975 0966
<br />1551 North l stin Avenue 1 .
<br />Suite 500 e.MAL .._ ..... .... ..
<br />Santa Ana, CA 92705 AP.O.IIW55 - --
<br />.,,,,,.,, ,.,,,,I,N_,eURERj31 AFFORDING COV@RAGE NAIC_A
<br />INSURED INSURERS
<br />-
<br />Stage Plus, Inc. INSURER o_
<br />P.O. Box 11060 -.. INSURER D'.
<br />SantaAna, CA 92711 - ....__ .. ... ... ... ., .. ..... ..... ....... _............ ........................... .....
<br />rOVPRAr:PR r.PRTIFIrATP NI IMRERI RPVISiiON NIIMRPR•.
<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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
<br />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 />. .__._._. '...__-",.,_—__
<br />INSR -"AD, SUBft' POLICY EFF
<br />IIS TYPE OF INSURANCE SO WVD POLICY NUMBER M : I
<br />_ .
<br />POLICY E%P
<br />D LIMITS
<br />A X"COMM€RCIAL GENERAL LIABILITY
<br />1,000,000
<br />EACH OCCURRENCE I__5,,..
<br />............
<br />CLAIMS -MADE X OCCUR -:BKS 18 58241997 07/2912017..
<br />— .. X
<br />_
<br />07129/2018 DAMAOETO RENTED 500,000
<br />. PSEMLS.ES (Eaxccurtsncal 6 _
<br />,
<br />15,000
<br />____„ —_
<br />_MEDEXP(AnyonePersom �_
<br />1,000,000
<br />_...
<br />PERSONAL& ADV INJURY S
<br />- ._._ __.._ _.......11-1111
<br />GENL AGGREGATE LIMIT APPLIES PER
<br />GENERALAGGREGATE $ 2,000,000
<br />POLICY JE _I LOC
<br />YET
<br />2,000,000
<br />'. PRODUCTS _COMP/OP AGG_1.N.._
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />ANY AUTO
<br />BOOT LYINJURY.(Perpemarl
<br />OWNED SCHEDULED
<br />..___.._.._...___.
<br />AUTOS ONLY AUTOS
<br />._......
<br />pDp
<br />_MRSONLY AUTOSONILY
<br />pBpODILYRqITNTJUp�RAAY
<br />aocltlB0,JAMADE S —
<br />�`}i
<br />_(PR
<br />UMBRELL4 LIAR _ OCCUR �. Jik
<br />E%CESS LIAB CLAIMS -MADE `\7.,.}
<br />EACH OCCURRENCE b._
<br />.___ _......_... �{A.AGGREGATE
<br />0 E D RETENTIONS 'z \
<br />$
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />PER
<br />STATUTE . EER_H _
<br />YIN
<br />ANY PROPRIIETO�RRIPARTNEMEXECUTIV[ \� (q\J
<br />EL EACH ACCIDENT IIMandatory
<br />NH) EXCLUDED? NIA
<br />---
<br />��`•� �l'.�\-
<br />In ✓
<br />EL DISEASE EA EMPLOYEE$_
<br />Ifyes,d.sanb.under
<br />DESCRIPTION OF OPERATIONS below
<br />-: E.L. DISEASE. POLICY LI MIT S
<br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Hmore space Is regvi.m
<br />City of Santa Ana, Its officers, employees, agents and representatives are named as Additional Insured
<br />in regards to General Liability per attached CG8810
<br />0413, Includes primary and noncontributory wording...
<br />City of Santa Ana PRCSA
<br />20 Civic Center Plaza, M•23
<br />ArnRn 2R I2n1RIn3L
<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 />IS, IgRR.201A ACOR❑
<br />TION. All rinhN rwccrvaH.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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