|
<br />Da~.e, 1/2~/2004 Time, 9,02 AM To,
<br />
<br /> -.. 'U.Ma
<br />Ar{)Rn CERTIFICATE OF LIABILITY INSURANCE I DATE ¡MM/DD!YV¡
<br />01/21(04
<br />PRODUCeR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Dealey, Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />P. O. Box 10550 ALTER THE COVERAGE AH'ORDED BY THE POLICIES BELOW.
<br />Santa Ana, CA 92711-0550
<br />714427-6810 INSURERS AFFORDING COVERAGE
<br />IN"'RED ",,-.).003-13/P 1'>,JRaR A. United States Fidelity & Guaranty
<br /> Basilio Associates, Inc. ¡V-J..bO,J.-143 IN>URER B, SI. Paul Fire & Marine Ins. Co.
<br /> 71 Stoney Pointe INSURER 0, Security Ins. Co- of Hartford
<br /> Laguna Nlguel, CA 92677 N-dOQ/ -Ig,;... INSURBRD,
<br /> INSURBRB
<br />
<br />@ 17146475421
<br />
<br />1-510-4"-2193
<br />
<br />Paoe, 002-003
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURA.~ΠLISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THHOLICY PERIOD INDICATED NOlWITHSTANDIN
<br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACf OR OTHER DOCUMENT WITH RESPECf TO WHICH THIS ŒRTIFICATE MAY BE ISSUED a
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECf TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SU
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUŒD BY PAID CLAIMS
<br />
<br />&~ TYPE OF INS"RANC' POLICY NUMBER PO¡~CYEFPECTlVf POLICYEXPJ~T>ON
<br />
<br />A GENERAL UAmUTY
<br />
<br />BK01473871
<br />
<br />09/13/03
<br />
<br />09/13(04
<br />
<br />EACH (œ,-,RRBNCH
<br />
<br />
<br />PlRBDAMAGB':M,"",""
<br />MBO BXC (AI, ,,' "'"",)
<br />
<br />Ij 000000
<br />1300000
<br />110000
<br />11 000 000
<br />12000000
<br />12000000
<br />
<br />"RSONAL & ADV INJURY
<br />
<br />GENBRAL AGGRBGATB
<br />
<br />PRODUcrSCOMP¡C'P AOJ
<br />
<br />A Al~OMOBlLEUABIUTY
<br />
<br />BK01473871
<br />
<br />09/13/03
<br />
<br />09/13(04
<br />
<br />COMBINEDSlNGLHLlM"
<br />(Eo"""",
<br />
<br />'1,000,000
<br />
<br />'"V AUTO
<br />
<br />m OWNeD AUF,S
<br />
<br />"OILY INJURY
<br />~"F""")
<br />
<br />"HBDUlED A'IT':,S
<br />X HIPPO Am,-,s
<br />X N,"":,WNBOA<mÆ
<br />
<br />BODIIX INJURY
<br />~"."'""':
<br />
<br />FR)PBRTY DAMAGE
<br />""'"'~"','
<br />
<br />
<br />AUTOONLY-EAACCIDBNT ,
<br />
<br />,'THBRTHAN
<br />AUTODNLY,
<br />
<br />RA Ace 1
<br />
<br />AGG ,
<br />
<br />EA':H OOCURRBNDB
<br />
<br />AGGRBGA"
<br />
<br />B WORKE", COM'"""TlON AND
<br />B EMPLOYERS' UAmUTY
<br />
<br />WVA7734752
<br />
<br />11/13/03
<br />
<br />11/13/04
<br />
<br />
<br />C OTHER Professional
<br />iabillty
<br />
<br />SAE0232768
<br />
<br />09/13/03
<br />
<br />09/13(04
<br />
<br />BL.EAOHA:"'DBNT ,1000000
<br />B.L.DISEASilBABMPLOYEE ¡1 000000
<br />B.L,DISBASilPOLlITLIMII .1000000
<br />$1,000,000 por claim
<br />$1,000,000 ann I aggr.
<br />
<br />O""CRlmDN OF OPERAT>ON'ILOCATIDNS/VEHICLB'IEXcLUSIONS ADDED BY eNOO",EMENT/S,"CIAL PROVISIONS
<br />City of Santa Ana, Ms officers, agents, Yolunteers and representatives
<br />are named as an addMlonallnsured as respects general liability for claims ,-,~j, {o .J) b', .
<br />arising from the operations of the named Insured. ~~L~ : (
<br />
<br />¡1c9-
<br />
<br />CERTIFICATE HOLDER
<br />
<br />ADDITJONALINSURED-INSURERLETIERI
<br />
<br />CANCELLATION
<br />
<br />City of Santa Ana
<br />Marlo Ghlzzl;Bulkilng Maintenance Division
<br />20 Civic Center Plaza, M-11
<br />Santa Ana, CA 927P2
<br />
<br />SHOlILD ANYOFTHEABOVE DESCRIBED POUCŒS BE CANCELLED BEFC«ETHE EXPIRATION
<br />DATE THEREOF, THE ISSUING INSURER WILL"""""""'MAI>.'!O..-DAYS WRIITEN
<br />
<br />NOTICE TOTHE CERI1F1CATE HOLDeRNAMEOTOTHE LH"-. B
<br />
<br />ACORD 25,S (7/911 1
<br />
<br />of1
<br />
<br />HS98124¡M98123
<br />
<br />
<br />MAF
<br />
<br />@ ACORD CORPORATION 1988
<br />
|