My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Certificate of Liability Insurance
Clerk
>
Agenda Packets / Staff Reports
>
Countywide and City Public Financing Authority
>
Vol. 1- City of Santa Ana Financing Authority (Police Admin. and Holding Facility)
>
Certificate of Liability Insurance
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/12/2020 10:17:00 AM
Creation date
5/12/2020 10:16:50 AM
Metadata
Fields
Template:
General
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Client# : 32271 AIRLINK <br /> ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) <br /> 04/22/99 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Armstrong/Robitaille Ins Svcs ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 680 Langsdorf Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> PO Box 34009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Fullerton, CA 92834-9409 INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A:Reliance Insurance Co . <br /> D & B SUPPLY, INC. <br /> DBA: AIRLINK INTERNATIONAL INSURERS: <br /> 977 N. Enterprise St . INSURERD: <br /> Orange, CA 92867 INSURERD: <br /> INSURER E: <br /> • COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYLDATE(MD WWI LIMITS <br /> A GENERAL LIABILITY PB8572931 04/21/99 04/21/00 EACH OCCURRENCE $1, 000, 000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one f Ire) $ 50 , 000 <br /> CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5 , 000 <br /> PERSONAL&ADV INJURY $1, 000 , 000 <br /> GENERAL AGGREGATE $2, 000 , 000 <br /> GENL AGGREGATELLIRMITAPPLIES PER: PRODUCTS-COMP/OP AGO $2, 000, 000 <br /> JEC <br /> —1 POLICY 7 LOC <br /> A AUTOMOBILE LIABILITY PB8572931 04/21/99 04/21/00 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1, 000, 000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY <br /> SCHEDULED AUTOS - _ (Per person) $ <br /> X HIRED AUTOS - <br /> X NON-OWNED AUTOS (Per BODILY <br /> Itleni)RY - $ <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> _ AUTO ONLY: AGO $ <br /> A EXCESS LIABILITY QU8572931 04/21/99 04/21/00 EACH OCCURRENCE $5, 000 , 000 <br /> OCCUR CLAIMS MADE AGGREGATE $5 , 000, 000 <br /> DEDUCTIBLE '- - <br /> X RETENTION $10000 $ <br /> EACH <br /> ACCIDE <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS'LIABILITY <br /> E.L.E EACH A-- 4LTS N Ems____-",--_- <br /> DENT $ <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> E.L.DISEASE-POLICY L I MIT $ <br /> A OTHER PB8572931 04/21/99 04/21/00 $60, 000 limit, <br /> Leased/Rented $2 , 500 Ded. , Spcl Form <br /> Equipment 96100 Coin. <br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY EN DORSEMENT/SPECIAL PROVISIONS <br /> Cancellation clause is amended to include 10 day notice for non-payment . <br /> Project : Job #114 Santa Ana Police Administration & Holding Facility. <br /> Certificate Holder, Santa Ana Financing Authority, Their Officers, Agents <br /> and Employees are named as Additional Insured as their interest may <br /> appear. <br /> CERTIFICATE HOLDER ADDII1ONALINSURED;INSURER LETTER CANCELLATION <br /> SHOULD ANYOFTHE ABOVE DESORIBEDPOLICIES BE CANCELLED BEFORETHE EXPIRATION <br /> City of Santa Ana DATE THEREOF,THE ISSUING INSURER WILLENDEAVORTOMAIL3.0 DAYSWRITTEN <br /> 20 Civic Center Plaza - M28 NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT,BUTFAILURE TO DOSOSHALL <br /> Santa Ana, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br />• <br /> REPRESENTATIVES. <br /> AUTHOIIIZEDREPRESEN ATIVE <br /> ACORD 25-S(7/97)1 of 2 #M74954 CJL S ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.