Insurance - Lan Wan Enterprise Inc - 2016-04-04CERTIFICATE OF LIABILITY INSURANCE
DATE IMMMD"YYI
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 he 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
PRODUCER
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
NAME a,
TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
MASSA INSURANCE AGENCY INC
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WC -110.E (949)417 0205 _._ _ „uc,NP1
(949)751-0208
4482 Barranca Pkwy #234
___--
LIMITS
EMAIL
ADORESS
yassaagency@yahoo.com _
EACH OCCURRENCE S
Irvine, CA 92604
__. CLAIMSMADE X OCCUR
DAMAGE TO RENPED
PREMISES iEa ptal'ehoet S
INSURER(S) AFFORDING COVERAGE
NAILS
OB09314 _ _
10.000
INSURER
CNA Insurance Company
20478
INSURED
GENERAL AGGREGATE S
INSURER
Travelers Insurance Company _.
19046
Lan Wan Enterprise, Inc
OTHER.
INSURER c
The Hartford Insurance
22357
17500 Red Hili, Suite At 120
1,.000,000
INSURER D
CNA Insurance Company _..
20478
B ALL AUTOS AUTOS SCHEDULED B 4848Y1201 04101116 04/01,117
soDlLv IwURY iPao accirem7 s
INSURERS
CNA Insurance Company
20478.
Irvine CA 92614
HiREOAUTOS AUTOS
INSURER F.
COVFRAGFR CFRTIFICATF NIIMRFP-
RFVISION NIIMRFR.
EACHOCCURRENCE S
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.
IMSR- ---�-� ADGL SUSR POLICY EFF POLICY EXP--
R TYPE OF INSURANCE POLICY NUMBER N D M
___--
LIMITS
X COMMERCIAL GENERAL LIABILITY -
EACH OCCURRENCE S
1,000,000
__. CLAIMSMADE X OCCUR
DAMAGE TO RENPED
PREMISES iEa ptal'ehoet S
300,000 .
M�DEXP(A,-rune s
10.000
A A 82077089354 01121116 01/21/17
PERSONAL x ADV INJURY s
1,000,000
GEN L AGGREGATE LMT APPLIES PER
GENERAL AGGREGATE S
2,000,000
POLCY ,.. a_R� LOG
PRODUCTS OOMPOPAGG 52,000000
OTHER.
$
AUTOMOBILE LIABILITY
E.oda ISINGLELMIT S
1,.000,000
X ANY AUTO
EDGILY INJURY }Per paromU s
B ALL AUTOS AUTOS SCHEDULED B 4848Y1201 04101116 04/01,117
soDlLv IwURY iPao accirem7 s
X X NON -OWNED
PArYDA.MAGE -
HiREOAUTOS AUTOS
�Pgr ayt it"cCoti
S
X UMBRELLALIAB OCCUR
EACHOCCURRENCE S
1,000,000
D EXCESS LIAR O -NMS -MADE 84024745767 01/21116 01121/17
AGGREGATE s
2,000,000
DEC RETENTIONS
5
WORKERS COMPENSATION
:PER 07H.
AND EMPLOYERS' LIABILITY YIN
,,,,, STATUTE Eft
_
ANYPRGPR{ETOPPARTNER)EXECU'IbE , ""1
C OFRCMVEMBER EXCWDED' NtA 83 WEC 162988 06109115 06/09/16 '
FL EACH ACCIDEN' S
1,000,000
-""-'
(Mandatory In NH) —'
EL DISEASE EA EMPLOYEE S
1,000,000
if" . dasenFeunacr
0 SCRIPT=ON OF OPERATIONS CNcu
._ _-
EL DISE ASE POLICY LlM1ST S
.- ....
1000000
1,000,000
E YelviAc, C,s 82077089354 05115115 05/15116
DESCRIPTION OF OPERATIONS ±LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may the attached it mem seace Is repuiradl
Ccvis "dela Sanitary Disincl, their madded and appointed officials agents, ofilaers c U,E.Ss, and empinyees
listed as Af)diharai Insared.
Cei,cmalion Said oolic, sea[ not terminale, nor shell it de canceled nor Ne coverage EcLced.
i:nn ihN, 130) days after written notice is giver to the District
Costa Mesa Sanitary District /
628 W 19th Street
Costa Mesa, CA 92627 r
ACORD 25 (2014/01) The ACORD name and logo
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
r 4'0 1988-2014 ACI
registered marks of ACORD
reserved.
CNA Connect
Endorsement Declaration
POLICY NUMBER COVERAGE PROVIDED BY
B 2077089354 Nat'l Fire Ins Cc of Hartford
333 S. WABASH
CHICAGO, IL. 60604
INSURED NAME AND ADDRESS
LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
CNA
FROM - POLICY PERIOD - TO
01/21/2016 01/21/2017
REFER TO ADDITIONAL NAMED INSUREDS SCHEDULE
AGENCY NUMBER AGENCY NAME AND ADDRESS
041077 J.F. WELCH INSURANCE SERVICES, INC.
6560 VAN BUREN BLVD, SUITE B
RIVERSIDE, CA 92503
Phone Number: (800)400-3276
BRANCH NUMBER BRANCH NAME AND ADDRESS
240 LOS ANGELES
WEDBUSH CENTER
1000 WILSHIRE BLVD 18 FL #1800
LOS ANGELES, CA 90017
Phone Number: (877)400-0750
This policy becomes effective and expires at 12:01 A.M. standard time at your mailing
address on the dates shown above.
This endorsement changes your policy. Please read it carefully.
This Endorsement Results In No Change In Premium.
The Named Insured is a Corporation.
Audit Period is Not Auditable
INSURED Page 1 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
ADDITIONAL NAMED INSUREDS SCHEDULE
The following has been added to your policy effective 01/21/2016
COSTA MESA SANITARY DISTRICT, 628 W 19TH STREET COSTA MESA, CA
INSURED Page 2 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
FORMS AND
SCHEDULE
The following list shows the Forms, Schedules and Endorsements by Line of Business that are
a part of this policy.
COMMON
The following forms have been added to your policy, effective 04/01/2016
FORM NUMBER FORM TITLE
G56015B 11/1991 ENDORSEMENT EFFECTIVE 04/01/2016
Countersignature
V Secretary
Chairman of the Board
SB -146895-A (Ed. 01/06) INSURED Page 3 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
POLICY CHANGES
ENDORSEMENT EFFECTIVE 04/01/2016
This Change Endorsement changes the Policy. Please read it carefully.
This Change Endorsement is a part of your Policy and takes effect on the
effective date of your Policy, unless another effective date is shown.
Additional Named Insured is to read:
COSTA MESA SANITARY DISTRICT, 628 W 19TH STREET COSTA MESA, CA 92627
Chairman of the Board
G -56015-B (ED. 11/91)
(l secreta
END OF COPY
CNA Connect
Endorsement Declaration
POLICY NUMBER COVERAGE PROVIDED BY
B 2077089354 Nat'l Fire Ins Co of Hartford
333 S. WABASH
CHICAGO. IL. 60604
INSURED NAME AND ADDRESS
LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
CNA
FROM - POLICY PERIOD - TO
01/21/2016 01/21/2017
REFER TO ADDITIONAL NAMED INSUREDS SCHEDULE
AGENCY NUMBER AGENCY NAME AND ADDRESS
041077 J.F. WELCH INSURANCE SERVICES, INC.
6560 VAN BUREN BLVD, SUITE B
RIVERSIDE, CA 92503
Phone Number: (800)400-3276
BRANCH NUMBER BRANCH NAME AND ADDRESS
240 LOS ANGELES
WEDBUSH CENTER
1000 WILSHIRE BLVD 18 FL #1800
LOS ANGELES, CA 90017
Phone Number: (877)400-0750
This policy becomes effective and expires at 12:01 A.M. standard time at your mailing
address on the dates shown above.
This endorsement changes your policy. Please read it carefully.
This Endorsement Results In No Change In Premium.
The Named Insured is a Corporation.
Audit Period is Not Auditable
INSURED Page 1 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
ADDITIONAL NAMED INSUREDS SCHEDULE
The following has been added to your policy effective 01/21/2016
COSTA MESA SANITARY DISTRICT, 628 W 19TH STREET COSTA MESA, CA
INSURED Page 2 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
FORMS AND ENDORSEMENTS SCHEDULE
The following list shows the Forms, Schedules and Endorsements by Line of Business that are
a part of this policy.
COMMON
The following forms have been added to your policy, effective 04/01/2016
FORM NUMBER FORM TITLE
G56015B 11/1991 ENDORSEMENT EFFECTIVE 04/01/2016
Countersignature
V4'0'�'c V Secretary
Chairman of the Board
SB -146895-A (Ed. 01/06) INSURED Page 3 of 3
POLICY NUMBER INSURED NAME AND ADDRESS
B 2077089354 LAN WAN ENTERPRISE, INC.
17500 RED HILL AVE, SUITE 120
IRVINE, CA 92614
POLICY CHANGES
ENDORSEMENT EFFECTIVE 04/01/2016
This Change Endorsement changes the Policy. Please read it carefully.
This Change Endorsement is a part of your Policy and takes effect on the
effective date of your Policy, unless another effective date is shown.
Additional Named Insured is to read:
COSTA MESA SANITARY DISTRICT, 628 W 19TH STREET COSTA MESA, CA 92627
V seareia
Chairman of the Board
G -56015-B (ED. 11/91)
I =1 ilk I MoIxeOffaa
National Fire Insurance Company of Hartford - Company Profile - Best's Credit Rating C... Page 1 of 2
A.M. Best Rating Services 40
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National Fire Insurance Company of Hartford ( )
A.M. Best 0: 002129 NAIc p: 20478 FEIN M: 060464510
the corporate Structure. View a list of operating insurance, entities in this structure.
Domiciliary Address
333 South Wabash Avenue
Assigned to Rwww
Chicago, IL 60604
Insurance .aEST
United States
companies A at
Affiliation Code: g (Group)
that have,
Web::
in our opinion, an excellent ability
Phone: 372-822-5000
312-822-50
to meet their ongoing insurance
Fab 08, 2010
obligations.
Based on A.M. Best's analysis, 058705- CNA Financial Corporation is the AMB Ultimate Parent and identifies the topmost entity of
the corporate Structure. View a list of operating insurance, entities in this structure.
Best's Credit Ratings
Affirmed
_Financial Stnm h-ffa View Definition
_� Beet's Credit Rafrm Analyst
Rating: A (Excellent)
!Rating Issued by: A.M. Best Rating Services, Inc.
Affiliation Code: g (Group)
Sen for Financial Analyst: Michael W. Russo !
Financial Size Category: XV ($2 Billion or greater)
I !Assistant Vice President: Jennifer Marshall, CPCU, ARM ?
Outlook:
Stable
Action:
Affirmed
Effective Date:
February 23, 2016
Initial Rating Date:
December 31, 7907
Long -Term:
a
Outlook:
Stable
Action:
Affirmed
Effective Date:
February 23, 2016
Initial Rating Date:
June 21, 2005
I
m Information
Em
TYiew A.M. Best's Rating Disclosure Form
A.M. Best Affirms Ratings of CNA Financial Coroorat ornd Its Subsidiaries Assigns Rating to New Senior Notes
February 23, 2016
U Derails Under mia-9esrs Foern
Rating History
A.M. Best has provided ratings & analysis pn this company since 1907.
Financial Strength Lon -Term Issuer Credit
Effective Date Rating! IEffecgve Data Rating
12/23/2016
!12/1612014
11211812013
1/11/2013
A
A
A
A
12/23/2016
f .12116/2014
i X12/1812013
1 )1111/2013
a
a
a
a
4/5/2012
13/2/2011
A
A
! '4/5/2012
1 13/212011
a
a
AMB l?etlit Reports
r - AMB Credit Report - includes Best's Financial Strength Rating and rationale along with comprehensive analytical
Y S commentary, detailed business overview and key financial data.
'-- Report Revision Date: 311412016 (represents the latest significant change).
y -1` Historical Reports are available in AMB Credit Report Archive.
i
View additional news reports and products for this company.
Feb 23, 2016
A.M. BestAff Ratings fCNA Financial C Y and Its S b di ' 6ssiqns Rating ta New SMijar
Notes
Dec 16, 2014
A.M. Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries
Dec 18, 2013
A.M. Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries
Jan 11, 2013
A.M. Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries
Apr 05, 2012
A.M. Best Affirms Ratings of CNA Financial Corporation and Its Subsidiaries
Mar 02, 2011
A.M. Best Affirms Ratings of CNA Financial Corporation and Its Subsidianes
Fab 08, 2010
A.M. Best Revises Outlook to Stable From Neaative For Ratings of CNA Financial Coroorafon and Its
Subsidiaries
Feb 13, 2009
A.M. Best Revises Outlook to Neaative and Affirms Ratings of CNA Financial Corporafion and Its Subsolianes
Dec 16, 2008
A.M. Best Affirms Ratings of CNA Financial Corporation and its Subsidiaries
http://www3.ambest.comlratings/entitiesICompanyProfile. aspx?ambnum--2129&URatingI... 4/12/2016