Laserfiche WebLink
Sep 23 04 10:43a Houston&HarrisPCS 9094220841 p.2 <br />ACP CERTIFICATES Fax:909-006-0053 Seo 22 2004 15-11 P 117 <br />C <br />D_ CERTIFICATE OF LIABILITY INSURANCE <br />PAYS imwa"TTw) <br />NOUST <br />2- 09/21 04- <br />PRobucER <br />Austi <br />Ins <br />P O <br />sang M <br />- <br />Cooper 6 Price <br />cy Ina (Lic-0546677) <br />'3,280 <br />maLrd'no CA 9.,2413. 3280 <br />THIS CERTIFICATE R ISSUED AS A <br />ONLY AND CONFERS NORIGHTS <br />HOLDER. THIS CERTFICATE DOES <br />ALTER THE COVERAGE AFFORD <br />MATTER <br />PONTH <br />NOT' <br />STTHE <br />INFORNSlT10N - <br />CERTIFICATE <br />D, E:17E61D OR. <br />LICIESBELOW <br />Phone <br />909-986-9861 r":909'-886-2013 <br />INSURERS AFFDRDINGCOVERAGE ,. <br />NAICt <br />...: <br />. <br />waMER B; FiremanIe Fund. <br />ns •CEO:.... <br />wBORERC <br />a <br />., _ <br />Ror.e on 6 Barris PQS Inc <br />: 21'83ytERirton Read".' .' '`. <br />'Grand Terraee CA ,92313.' <br />'.. - <br />wRo- <br />:., <br />... <br />.. <br />.. ,. <br />INSURER El. ,.., .... ... <br />,..�. <br />.. <br />;.. .- <br />COVERA <br />$ <br />TNE.POU <br />ANT REO <br />M4TPER <br />POLICE <br />N;S OF, <br />F INSURANCE LMMO BELOW HAKEREEN ag"Ismm THE N¢URm NaN6DAYOW FORTNE POLICY PERIOD INDICATED. <br />IREYEM. TERM OR CONDITION OF ANY CONRtACT OR OTNERDOCWENT WITH RESPECT.7O MICH THIS CERTIFICATENUIY MISS <br />AM, THE WSURANCEAFFORDEO BY THE PWCJ64 OESCRIBm HEREIN IS SUB.IECTTO ALL 7NE TFJtMB, E'xGA18NNIBAHD.CONO <br />ACCREGITELART63NOWNIMYIMVEBEEN REDUCED BY PMDCUWB .. <br />fM 7zog <br />Um OR <br />6OF 9UC <br />.. <br />0' <br />LTR <br />ME OP NIA E <br />mO Y NMBEfl <br />TE YNID <br />DATE CAPIM <br />- <br />LIID7i <br />IL <br />X I <br />NFAAL LIABILITY <br />CoMeREACWL GENERAL LIABILITY <br />CIAwn NADE Oaartm <br />.. _ <br />MZXB0829622 <br />- <br />06/24/04 <br />' 06/2,7 <br />'. <br />EAm <br />c CISIREN <br />S1,000,000 <br />P <br />s(ER <br />a <br />s 100 000 <br />WED <br />WyPti <br />LPN.:' <br />:15,000 <br />PERSONAL <br />A ADWII <br />ANY31,000.000 <br />GEN <br />TE <br />IS 2,000 000� <br />NLAOCNEWTe CYpT APPLIES PEIC <br />PRO <br />S-C6LAP <br />'P AGO <br />'12 600,000'' <br />- <br />POLICY F7 JET LOC <br />MOMLELWmnY <br />. <br />A <br />ANY AUTO <br />MZX80829622 <br />06/24/04 <br />06/24/05 <br />' Mal <br />6WDLE <br />aRT <br />$1,000,000 <br />ALL OWNED Auras <br />UL <br />SCHEDED NITOs" <br />.. .. <br />- <br />(P DEY <br />INJURr <br />Y <br />MREOAUTOs <br />NON1rWNEbVY0 A9 � <br />. <br />: <br />- <br />BODILY <br />(Per AeWM) <br />µIURY" <br />' _, <br />PR <br />(Pr <br />DANAG <br />•' <br />... <br />i <br />MARAGIE LIAMLITY <br />.. <br />Ly=GA <br />Imw <br />S. <br />ANY AUTO <br />- <br />. <br />OTHER <br />AUTO. <br />. <br />M. <br />ICA cis <br />A00 <br />11.- <br />8 <br />MMm.LAL41aLITT <br />OCCUR �cuILeNAoc <br />XEK00085758233 <br />06/24/04 <br />•.. <br />06/24/O5 <br />EACH <br />CURPEN <br />74 000,000 <br />ADca6 <br />TE <br />et OOO,ODO <br />DEDUCTIBLE <br />RETENTION i <br />-. <br />i <br />. <br />. <br />Ea <br />ANY <br />'a'Fl <br />1,., <br />BPEC <br />coNPElmAmNAND .. <br />MEAaWTY <br />ARTN6VFXPdnDAE <br />MELeER EACLUpmT <br />U r <br />PRONBIONS bNP• . <br />f/ `' <br />a - a./_._ <br />, �� <br />�'_ . <br />- <br />_ <br />- <br />•LMIIS <br />! �. <br />EL <br />ACC <br />t : <br />ELDS <br />E-FAG <br />PLOY <br />I' <br />E.L <br />YIINR <br />� - <br />EI 8 <br />A Prc <br />DFpDgIP <br />Op6ra <br />'pmeat Floater - T,9C19890157 06/24/04 '06/24/05 see <br />LQrt Section b=80829622 - 06/24 04 06/24/05 <br />OPO►aNT10N8l LOa11TN)NBIVFfII('1E6/EJfCLVBNfI{9 ADOEO BY ENOORSdEM,M'EMLPROPIBIONB ' <br />'ons pertaining Co'named insured for c,rtholder.- <br />be <br />pw <br />City' <br />empZ <br />•30 CIE <br />Santa Ana and its officers, agents, represenWtives,volunteers, <br />es are add'1' iasd/prim. wrdg, as respeeta gen,l liab <br />Is N OC except 10 days for non-payment of premium,'-. <br />6 I <br />- <br />CERTIFI <br />WE HOLDER -. CANCELLATION. <br />• <br />.. <br />CISAN06 <br />EHOU MYWF EABDU OD RMMPO <br />DiC <br />E LLEOME EME:WIMTNW <br />City Of Santa Ana - <br />M-21 Beas a.. 6t1L £lr <br />DATE TMERF2IP,TIK ai1111JCa IN6YR6R <br />'NOTICE roTla O[pTIFIGT[nGLO6R wuieo <br />OrNi <br />AWL +'3O Opy$WROTEN <br />20 Civic Center Plaza. <br />r$NS <br />Santa Ana CA 92704 <br />WORD <br />(2001108), 0 <br />RD CORPORATION 198S <br />