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HomeMy WebLinkAboutCertificate of InsuranceACCORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10101/2012 PRODUCER Phone: (310)217.8880 Fax: (310)217-8882 B. R. & Y. INSURANCE AGENCY, INC. 970 W. 190TH STREET, SUITE 590 TORRANCE CA 90502 Agency Lic#:0675239 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED REIYUKAI AMERICA 20 N. RAYMOND AVE, SUITE 200 PASADENA CA 91103 INSURER A: Nipponkoa Ins. Ca. Ltd. 27073 INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR :TR ACM- INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMIADDIYY) POLICY EXPIRATION DATE (MMIODIYYI LIMITS A YES GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY JFMP421J9163 05/19/12 05/19/13 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea eecu:enceI $ 100,000 CLAIMS MADE[] OCCUR MED. EXP (Any ore person) S 5,Q00 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY n JE PRO- II LOC S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person] $ — BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY —I EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER [Mandatory in II yes, describe SPECIAL PRC'IS:'ONS COMPENSATION AND LIABILITY STATI- OThER TORY LIMITS E.L. EACH ACCIDENT $ EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ NH) under below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS City of National City is hereby named as additional insured. Re: Casa De Salud 1408 Harding Ave, National City, CA 91950-4429 CERTIFICATE HOLDER CANCELLATION City of National City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS Community Services Department WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 140 East 12th Street, Suite B DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S National City, CA 91950 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Attention: ""Tb+iM1la4Se �" -:` ertiticate # 679 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD