certificate of liability insurance

DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
8/11/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
CONTACT
NAME:
PHONE
(A/C, No, Ext):
E-MAIL
ADDRESS:
PRODUCER
Prendiville Insurance Agency
24661 Del Prado, Suite 3
License #0740433
Dana Point CA 92629
FAX
(A/C, No): (949)
(949) 487-9696
INSURER(S) AFFORDING COVERAGE
NAIC #
Truck Insurance Exchange
(949) 581-4988
INSURER B : Mid-Century Insurance Company
21709
21687
INSURER A :
INSURED
Aldea Community Association
487-9626
INSURER C :
c/o Accell Property Management, Inc.
23046 Avenida De La Carlota, Suite 700
Laguna Hills CA 92653
INSURER D :
INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER: Cert ID 370
REVISION NUMBER:
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
A
TYPE OF INSURANCE
X
POLICY NUMBER
POLICY EFF
POLICY EXP
(MM/DD/YYYY) (MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE
X
X
ADDL SUBR
INSD WVD
X
OCCUR
Y
60468-95-64
11/11/2013 11/11/2014
D&O Liability
D&O: Claims-made
GEN'L AGGREGATE LIMIT APPLIES PER:
PROX POLICY
LOC
JECT
OTHER:
AUTOMOBILE LIABILITY
A
Y
ANY AUTO
ALL OWNED
AUTOS
X
HIRED AUTOS
X
UMBRELLA LIAB
X
60468-95-64
11/11/2013 11/11/2014
SCHEDULED
AUTOS
NON-OWNED
AUTOS
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$
2,000,000
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
D&O Liability
$
75,000
5,000
2,000,000
4,000,000
2,000,000
1,000,000
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
$
2,000,000
$
BODILY INJURY (Per accident) $
PROPERTY DAMAGE
(Per accident)
$
$
A
X
OCCUR
EXCESS LIAB
B
Y
60502-73-85
11/11/2013 11/11/2014 EACH OCCURRENCE
CLAIMS-MADE
X RETENTION $
10,000
DED
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
N N/A
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
A
Property (150% ERC)
A
Fidelity Bond
$
AGGREGATE
1,000,000
1,000,000
$
A0946-79-51
11/12/2013 11/12/2014 X
PER
STATUTE
OTHER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT
60468-95-64
Y
$
60468-95-64
11/11/2013 11/11/2014 Property Limits:
Ded: $1,000
11/11/2013 11/11/2014 Fidelity Bond:
Ded: $500
$
1,000,000
1,000,000
1,000,000
46,910,000
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Accell Property Management is Named as Additional Insured ATIMA as Respects: CGL, D&O,
Liability, Auto Liability, Umbrella, and Fidelity Bond.
Walls-In Coverage is Included. 150% Extended Replacement Cost. Units: 180 / Residential Buildings:
35 (Phases 1-18).
Building Ordninance: Coverage A=Included, B=$250,000, C=$250,000
D&O Liability Deductible: $1,000.
*CANCELLATION - 30 DAY NOTICE, EXCEPT 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM.
CERTIFICATE HOLDER
CANCELLATION
Accell Property Managment, Inc.
23046 Avenida De La Carlota
Suite 700
Laguna Hills CA 92653
ACORD 25 (2014/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORDs provided by Forms Boss. www.FormsBoss.com;
(c) Impressive Publishing 800-208-1977
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