Laserfiche WebLink
Al �'® CERTIFICATE OF LIABILITY INSURANCE <br />003/01/2017 ) <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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />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 <br />State Farm Insurance <br />835 E Mariposa St. <br />O Altadena, CA 91001 <br />5 <br />rRRAJACT MIRNA SERNA <br />PHONE .626-791-9915 nAic No; 626-791-9918 <br />EMAIL mirna@jdiehl.com <br />ADDRESS: GI <br />PRODUCER <br />MERID <br />INSURERS AFFORDING COVERAGE NAIL# <br />INSURED <br />NETFILE <br />I BOX 70 <br />AHWAHNEE CA 93601-0070 <br />INSURER A: State Farm General insurance Company 25151 <br />INSURER B; State Farm Fire and Casualty Company 25143 <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F; <br />COVERAGES CERTIFICATE NUMBER: 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDIYYYYI <br />POLICY EXP <br />IMMIDI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />92 -XV -7702-4 <br />03101/2017 <br />03/01/2018 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITYDAMAGE <br />CLAIMS -MADE OCCUR <br />TO RENTED <br />PREMISES Eaoccurrence <br />$ 300,000 <br />MEDEXP(Anyoneperson) <br />$ 5,000 <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGO <br />$ 2,000,000 <br />X POLICY PRO LOC <br />JECT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />❑ <br />❑ <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY(Par person) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(Par accident) <br />$ <br />NON -OWNED AUTOS <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />❑ <br />❑ <br />DEDUCTIBLE <br />$ <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION YIN <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER)EXECUTIVEE.L. <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />92 -EK -T958-3 <br />03/01/2017 <br />03/01/2018 <br />OR SLATU- )( ER <br />EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />�Mandatory In NH) <br />f yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />B <br />TECHNOOLGV ERRORS & OMISSIONS <br />342011 <br />02/11/2017 <br />02/11/2018 <br />$2,000,000 -EACH WRONGFUL ACT <br />$2,000,000 - TOTAL LIMIT OF LIABILITY <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />DATA AND INFORMATION STORAGE <br />CANCELLATION NOTICE: IF ANY POLICIES ARE CANCELED BEFORE THE EXPIRATION DAE, STATE FARM WILL TRY TO MA WRITT OTICE TO <br />THE CERTIFICATE HOLDER 30 DAYS BEFORE CANCELLATION. ' <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />20 Civic Center Plaza <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />Mime Serna <br />©1988- 2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 1001486 132849A 02-11-2010 <br />