Laserfiche WebLink
.•--'^"'�} STAGPLU-01 DOROTHYSERRYHI <br />AC t�Ta`L7 �oa 8 29/2017 <br />CERTIFICATE OF LIABILITY INSURANCE � Bnsfzolr <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. A statoment on <br />PRODUCER N.xtOE� <br />NFP Properyy & Casualty Services, Inc. PHONE e e.p. {T1d) 565=5550 FAC,Net:(79d} 97S-B966 <br />1551 North TUStIn AYanue E CAN .... _ _. . .. _. <br />Suite 500 E-MALL s <br />Santa Ana, CA 92705 _. _ _... <br />INSURERS) AFFORDINGCOVERAGE MIND <br />_.. _.. _.. _ INSURERa Ohio Security Insurance Co _ 24082, <br />INSURED INSURER 8 <br />Stage Plus, Inc. +. INSURER C: <br />P.O. Box HOED INSURER D : <br />Santa Ana, CA 92711 -- <br />INSURER E: <br />INSURER F <br />COVE RAGE$_,,, CERTIFICATE NUMBER: <br />REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INOICA7EC. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />_ <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />1NBR- AODI SUER <br />L R _TYPE ON INSURANCE INSp <br />POLICY EPP POLICY EXP <br />POLICY NUMBER NowbroyYyy„sr(,1.OprfYYY1 <br />- - - - <br />LIh1nS <br />A X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S 1,000'660 <br />CLAIMS,MADE X OCCUR X <br />BKS 1858241997 D7t29t2017 07129/2018 <br />oAMAGETCRENTED 600,000 <br />PREMISES {Ea viceVrrenea) $ <br />15,000 <br />_ <br />MEDEXP{anyone Aersant S <br />1,000,1)00 <br />PERSONAL$ ADV INJURY E <br />CEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE 5 2,000,006 <br />POLICY JECOT LOC <br />PRODUCTS COMPIOPAGG S 2rDO4,D0O <br />OTHER R.: <br />_.......... <br />S <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />_[Ed Roodenp _... S_. ... _.. <br />ANY AUTO _ - <br />BODILY INJURY (Par person) $ <br />OWNED SCHEDULED <br />_. AUTOS ONLY _ AUTOS <br />BODILY <br />BODILY INJURY (Per accident). S_ <br />NUTU3 ONLY __A�TNOS OPEY <br />��a <br />PROPERTY DAMAGE <br />jeer accident) S <br />UMBRELLA LIAR OCCUR <br />�' <br />EACH OCCURRENCE S <br />EXCESS LIAe _ CLAIMSMADE <br />AGGREGATE $ <br />-DEC RETENTIONS <br />tQ1 <br />9 <br />KERS <br />STATUTE ER" <br />AND EMPLOYEAT LIILCOMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETpO[RIPARTNERIEXECUTIVE YIN <br />�� ii <br />EL EACH ACCIDENT S <br />OMantlfnMin NlR EXCLUDED? NIA <br />.�� !1 <br />Forms rY <br />G <br />E L DISEASE EA EMPLOYEE S <br />DESCRIPTION OFOPERATIONS below <br />..__.. <br />EL DISEASE -POLICY LIMIT $ <br />DESCRIPTION ON OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />City of Santa Ana, Its officers, employees, agents and representatives are named as Additional Insured in regards to General Liability per attached CG8810 <br />0413, Includes primary and non-contributory wording.., <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 />City of Santa Ana PRCSA M- <br />20 Civic Center Plaza, M•23 � AGORD 25 (20%09} ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />