Laserfiche WebLink
11/24/2003 10:27 FAX 7148865340 TouchVision <br />r.A DAn <br />A-c-oft-D. CERTIFICATE OF LIABILITY <br />INSURANCF,,„C„Rl,TR <br />11121 103 <br />PRODUCER <br />I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Dougherty Company, In,. <br />P.C. Box 7277 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Long Beach CA 90807 <br />Phone:562 -424 -1621 Fax:562- 490 -0432 <br />INSURED <br />INSURER A. Hartford Insurance Co an <br />INSURER B <br />01/10/04 <br />INSURERC. <br />lyoogh Vision Inc. <br />13095 Knott venue <br />Cypress CA 9 630 <br />INSURER D: <br />INSURER E: <br />rnvcoencs <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR 74E POLICY PERIOD INDICATED, NOTWITHSTANOINO <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CPR MFICATE NUT 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 PAU CLAWS. <br />LTR <br />TYPE OF BISUMNCE <br />POLICY NUMBER <br />OATEN <br />Dl1i MI <br />LIMITS <br />• <br />GENEML IJABK.RT <br />X COMMERCMLGENERALLUBErn <br />CLAIMSMAGE ❑X OCCUR. <br />72 SBA XV4568 <br />-rte - <br />01/10/03 <br />01/10/04 <br />EADH OCCURRENCE <br />S1 000 000 <br />F1112.H C(AYNOM) <br />1$300,000 <br />MED EXP Any— PMWIII <br />$ 10,000 <br />PERSONAL! ADV RUURY <br />S1 000',000 <br />GENERAL AGGREGATE <br />1$2,000,000 <br />_ <br />GENL AGGREGATE UNIT APPLWZPER'. <br />X POLICY 7 PRO. <br />JECT LOC <br />PROOVOTS.COMWOPAGC <br />$2 GOO, 000 <br />• <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />12 SBA KF4568 <br />01/10/03 <br />01/10/04 <br />�BOKe MBINGLE LIMIT <br />!1,000,000 <br />BODILY INJURY <br />(PR P..) <br />! <br />BOGEY WJURv <br />(Pa LNG) <br />$ <br />X <br />PROPERTYDAMAGE <br />(PF,PwJ�M) <br />! <br />CARAOE LIABILITY <br />ANY AUTO <br />AUTO ONLY -EA ACCIDENT –FS <br />OTHER THAN EAACC <br />AUTO 0NLY1 AW <br />! <br />$ <br />A <br />BXCBBS LMBILFTY <br />X OCCV0. CLAIMS MADE <br />DEDUCTIBLE <br />X RETENTION %10,00 <br />72 SBA KF4568 <br />01/10/03 <br />01/10/04 <br />EACH DCCUNRE.CE <br />$2,000,000 <br />AGGREGATE <br />$2,000,000 <br />S <br />$ <br />y <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABLITY <br />TORY LIMITS ER <br />EL. EACH ACCIDENT <br />EACH MIDEN:Y <br />S <br />E.L. gSFAgEEA EMPLOYE <br />$ <br />LIMIT <br />S.. <br />A <br />OTHER <br />Hired Auto <br />Physical Damage <br />72 SBA KF4568 <br />01/10/03 01/10/04 <br />Ded $500 50,000 <br />DESCRIPTION or OPERATIONSILOG NSNENICLE.SIEXCLUSK)NS ADDEO BY ENOOKSL1i, I rSPECIALPRDUSIONS <br />10 days notice of Cancellation For nonpayment Of premium. Additional insured <br />endorsement attached. <br />$." •' , SHOULD ANY OF THE ABOVE GESCRBIED POLICIES BE CANCELLED BEFORE THE 01 PIRATKIN <br />DATE THEREOF. THE ISSUING INSURERWILL WKWAVOR7p MAR +0 DAYSWRITTEN <br />City Of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BMifAbB8EY6'BRrRBIHEL <br />Public Works Agency <br />20 civic Center Plaza, M -43 ' <br />P O Box 1988 RED. <br />Santa Ana CA 92702 AUTHOMEEDREPRESENYATNE , <br />