Laserfiche WebLink
_ <br />02/1`/03 14:50 FAX-ilt-597 6769-- DRIVER ALLIANT INSURANCE fa]002 <br />ow 1�� 2 yp <br />{A� <br />"cER 415-371-5400 <br />DRIVER ALLIANT INSURANCE <br />500 WASHINGTON ST., STE. 300 <br />T�- <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />SAN FRANCISCO, CA 94111 <br />COMPANIES AFFORDING COVERAGE <br />Amy Holsonback <br />COMPANY <br />A Great Northern Insurance Co. <br />iY <br />ED <br />Pacific Symphony Orchestra <br />COMPANY <br />B Gull Insurance Co. <br />3631 South Harbor Blvd., Ste. 10 <br />Santa Ana CA 92704 <br />COMPANY <br />C F-Remans Fund insurance Co. <br />COMPANY <br />O <br />m <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LT <br />t TYPE OF INSURANCE <br />POLICY MNMER <br />o�Y EFFECTIVE 11 <br />DATE (WILUDAONYII <br />LIMITS <br />DeNeRAL <br />UAs4mr <br />35756196 <br />12/29102 <br />12129/03 <br />GENERAL AGGREGATE <br />t 2000000 <br />PRODUCTS - COMPIOP AEG <br />t <br />X <br />COMMEACLAL GENERAL LIABa1TY <br />cLUuS MADE I OCCUR <br />PERSONAL h ADV N.AMY <br />t 1 OOOOOO <br />EACH MCINWENU <br />1 1000000 <br />OWNER'S a COMMCr011'S PROT <br />FIRE DAMAGE (My ona IWI <br />t <br />MEO EXP (Any 0ns IwsON <br />1 <br />AVfOMOBILE <br />UAMLRY <br />ANY "TO <br />COMBINED SINGLE LIMIT <br />t <br />BODILY R.WRV <br />t <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />A.- x:U ili AS Z' <br />FORM <br />BODILY INJURY <br />lPa ettitlenU <br />t <br />HIRED AUTOS <br />NON.OWNEO AUTOS <br />PROPERTY DAMAGE <br />1 <br />L.,Htit $ll'rc•iy <br />GARAGE UANUTY <br />✓, PUty City Attorney <br />AUTO ONLY - EA ACCIDENT <br />1 ' <br />OTHER THAN AUTO ONLY: <br />ANY AUTO <br />EACH ACCIDENT <br />t <br />AGGREGATE <br />f <br />C "CEss uAalurY <br />XYZ00097036467 <br />12/29/02 <br />12129103 <br />EACH OCCURRENCE <br />t 5000000 <br />AGGREGATE <br />1 5000000 <br />UMBRELLA FORM <br />1 <br />OTHER THAN UNISADJA FORM <br />8 WOIU(ERS COMPENSATION AND <br />EMFLOYERS UABRRY <br />WC7787502 <br />10/01/02 <br />10101/03 <br />roav WITS ER1 <br />INS I imam <br />t 1000000 <br />EL EACH ACCIDENT <br />THE PROPRIETOR? NCL <br />PARTNERSIIXECMIVE <br />OFFICERS ARE: EXCL <br />EL DISEASE - POLICY LIMIT <br />t 1 OOOOOO <br />EL DISEASE - EA EMPLOYEE <br />t 1000000 <br />OTHER <br />10 DAYS NOTICE FOR NON -PAY• <br />SCRIPTION OF OPERATIONSAOGTONS/VENIttES/SPECIAL ITEMS <br />The City of Santa Ana, it's officers, agents, emptayees and volunteers <br />are named as Additional Insured as respects their interest in <br />connection with the Named Insured. <br />- .. T.. <br />pperE�. &. ...A.c: a'i•:.. _. <br />City of Santa Ana - CDBG M-25 <br />SHOULD ANY OF THE AaOVE DESCRIBED PODCIES BE CANCELLED WERE THE <br />EX%RATER' DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Community Development Agency <br />3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />P.O. Box 1988, M-25 <br />Santa Ana, CA 92702 <br />R <br />AUiHORDEO rENN�T�AItyE , <br />e�,l CPS"Bew If "ap <br />- <br />