Laserfiche WebLink
N CERTIFICATE OF LIABILITY INSURANCE A'," ` ""°' <br />THIS CERTIFICATE 15 ISSUED AS A MATTER 01- 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(Sl, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificale holders an ADDITIONAL INSURED, the policy(icsl must have ADDITIONAL INSURED provisions or be eadorsod. ll <br />SUBROGATION IS WAIVED, subject t0 the terms and conditions of the policy, certain policies may require An endorsement. A statement on this <br />certificate does not confer rights to the certificate, holder in lieu of such endorsamenhal. <br />PRODUCER <br />ADD Rix+ SnOffirfa SErV1Ce5 41e51, Tff. <br />chowix A] Off1 rC <br />i <br />co"TAcr <br />NwaE. <br />PRONE RI'.f>1 2fli Y:LL I PAN (ACII <br />IAQ IIn. Evlj: t JAC..* 1 141 V19i <br />ApONF.C3: <br />Phoenhoen ixx A AZ 8501G USA <br />INRIIREm(SI AFFORDING COVERAGE <br />NAICp <br />INSURED <br />A%On f4. flirty.• lnl. <br />iCf)rl N. scree: <br />INBUNEH A- Hm'LfV'd fire insurance. r0. <br />19fi82 <br />29q)q <br />iN tlREp e: Hat tFord cas'Jally Hisw-an Le CU <br />_ <br />t AL <br />srn lT sdalr A2 9s255 USA <br />INSURER c: -- <br />IxTUnEPD, .. <br />INSURERE: <br />_ <br />INSHRENT: <br />THIS IS TOCFR'fUC l°Y TrU% III PCIES CF INS JRANCE LISTED 11e1aiW IIAV'E SEEN ISSUED TO TH@ INSURED NArdE5'4807 FOR tlii. PULCY PER:00 <br />INDICATED N6TOVITHS7010INC; ANY REOUIRENENT. TERRA CR CONDITION Cc ANY CON-;ACTOH 01I II:I1 DOCUMENT WrH RESPECT 'TU WHICH lICH THIS <br />CEETIRCATE MAY SE ISSUED CR MAY PEH7101, THE INSURANCE AFFORDED NY 111E POUC!ES DESCRIBED HEREN rS SUOJECT TO ALL THE TERMS, <br />fk(A.L;$IUN9 ANDtR7AIDITIOilE CP SUCF MLICIES.LMISSliOWNNI4YHAVESEENnLs'UCED11YPAIDCLAIHS. Limfts shown ere AS requested <br />LIH <br />I YeLov,usuHANCE <br />Iflull <br />YryU <br />VUL%:Y NNN&ER <br />NNDn•YYVY` <br />A9WONyYY, <br />MIS+!'G::IINP.FN.^.F <br />CDNnEPC1AL GENErtr,N—. LIABILITY <br />CLdN1s1AADL U.:CLM <br />L.N] <br />. •a: u J <br />VH.R1JSFP F.,11, 1,.Y <br />I� <br />Me E.YP IAry nex P•Nbx,i; <br />PFnSnhaL s ACV IM1JuHy <br />"MThVnRP:NTF.N'TAIMLc$PCn <br />PR' <br />�PC^LR•Y ❑JECI ❑lOC <br />GFNFnAI AocnCCArL <br />PPUPLLTS. C3:P opex <br />or -ER <br />A <br />AUTOXIM IE LUELLRY <br />S9 LJ, FNhllMl <br />UgilQi 2C'2D <br />72J1eJ4D21 <br />LUVtiIVEp 91461 F I He <br />- <br />k A•r(AUT3 <br />8✓'IIy INJURv I Per Pamnn <br />A.IT:'61CHIY ILU <br />A`T,-'H Doa$ <br />IaF_.11 lTG3 NLTJ La•1{E1, <br />Oa_v Am'ollp <br />I <br />E::nnvlNJum tpn. x:Yir•rn <br />, <br />Pnoei:vY aa14VJL <br />'Pm A9.Hnnr <br />_ <br />LWaNLLLALMa <br />CCGUrI <br />L.I::101:0.1nNFNCF <br />E%CER9 Wa <br />GL4AtF.tWpF <br />:iIiHFGM1IF <br />=¢u <br />ncrcvnoN <br />U <br />WONaERS COAIPEANAT'ON AND <br />MNFarRSI.n LLAlV <br />AfIY FRI:?R=ifn: %'Alllnl-I I'L•'V! VL <br />E%:llllp'll'+ <br />twu.dalury n NH; <br />nnvrr <br />H:M1 <br />59,tCAC0srD <br />7722 i2U2!: <br />t14',!ii Lf 02i <br />PeH ti-ATII (5{H <br />LL. EM1::H.I'T:FN :T <br />$1.dtiD,N{111 <br />Sl'000,nn11 <br />C_. WuLA'iE EM1 ELPI IY F <br />='_pISFAP.F-PJ. kTYLP:IT <br />j $L.ddll,llell <br />U-V Sctl[._Lm <br />U:NIP{In`i nF nPFnR{Ir,Ihs LYI,:v <br />I <br />OEBCPIPTONOr OPERATIOrIW LOOFIIONS' YEHCLES (A.080101, A,kliNonN Remmka sencnl.ro, mxy na x1lxUmd d more apace m rtgN�ed; <br />-!-a city of Sari Ana, its a!rlcc•s• e-plo'/'ees• agents, VOluntee^S and represertarive5 arc •rcluded as AddiTineai lryprpd in <br />.wcordanfe ni'h the pUl i[Y PrOVl'10r5 oh the Aumnrrlli?C LIalt lity policy. Auto^<daile Liability policy eviderLed herein is <br />rr i nary' Ar'A nwrcon Lri butory to Other insura')Ce avdllable to an edditioral Insured, bat only in accerdarfe NILn the policy's <br />movislons. A Wa-ver of Su➢rniia-ier, is jr-anted in tavw' of ce"ONCdle Holder in accordance •sith the <br />policy provisines of ll+m <br />%tolnoSi1a Liability and Workers' compensation pn`.i Ci Ps. <br />CERTIFICATE HOLDER CANCELLATION _ <br />The Ciry of Santa All <br />11i5k NanallBilent Divisipn <br />20 Civic Center Plaza, ath Floor <br />Salts Ana CA. 92201 USA <br />SHCULD ANY CF THE AROVE OUSCHNLU VOUCIES BE CANCELLED DEFONC THE <br />LMHATION DATE 1F'c9FOF WJTICC W'IL aE UELIVEREC tN AC"RDANCC WNII NIE <br />POLICY PNOVIEIn1+3. <br />REPREcrurMIVF <br />JrYan k'LJvAksfaPAps ylll`.ire 1jnN'. Jsv, <br />tg1988.2015 ACORD CORP( <br />ACORD 25 (2011H03) The ACORD name and logo are registered marks of ACORD <br />u <br />ays==.,�, RiekManagallnitDfYlebn <br />0 <br />2 REVIEV/EO is APPROV®BY: <br />®' Rekhlanagement Malyst <br />