|
<br />Mar-,sh,
<br />
<br />Inc,
<br />
<br />11/9/2004 7:08 PM
<br />
<br />PAGE
<br />
<br />3/004
<br />
<br />Fax Server
<br />
<br />
<br />PRODUCER
<br />Marsh Risk & Insurance Services
<br />4695 MacArthur Court. Suite 700
<br />(949) 399-5800
<br />License #0437153
<br />Newport Beach, CA 92880
<br />0980-00-00.
<br />
<br />LOS-000445822-01
<br />
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
<br />NO RIGHTs. UPON THE CERTifiCATE HOWER OTHER THAN T1iOSE PROVIOED IN THE
<br />POUCY. THIS CERTlFICATt: DO¡::S NOT AMEND, EXTEN[ OR ALTER THE COVERAGE
<br />AFfORDeD BY T1fE POUClES oesCRJBE:D HERSN.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />COMPANY
<br />A Hartford Fire Insurance Company
<br />COMPANY
<br />B Hartford CsstJalty Insurance Company
<br />
<br />INSURED
<br />
<br />N- 2..001-003
<br />
<br />Itens, Inc. & Meyer Mohaddes
<br />Associates
<br />1515 S. Manchester Avenue
<br />Anaheim, CA 92802
<br />
<br />COMPANY
<br />C Twin City Fire Insurance Company
<br />
<br />COMPANY
<br />D ACE American Insufance Company
<br />ÇQ~9!!$,. . ..'. .,', .,;?'j¡¡~'~$jipj¡ '~~~'Îiiii¡¡jPïäi¡¡j~¡'¡¡~'p~6~~¡;¡ij¡;¡¡~ì~W;~'ï>ô!i<:Y'ÞØ@;íMtað.þ'~'/QW,. .' . T"
<br />THISt$ TO CERTIFY THAT POLICIES .OF INSURANCE -DESCRIBED HEREIN HAVE BEEN - ISSUED TO -TI1e- INSURED HAMED HEREIN FOR THE POlICY PERIOD INDICATED.
<br />t'ID1WITHSTAND1NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOClJMENT ~H RESPECT TO IM-iICH THE CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICies DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, CONDfTfcmS AND EXCLUSIONS OF SUCH POlICIES- AGGREGP.TE
<br />LIMIT~ SHOWN MAY HAVE !;;IEEN REDUCED BY PAID CLAIMS.
<br />
<br />co
<br />Lrn
<br />
<br />I POIJCY SFFECTrVE POUCV EXPIRATION
<br />, DATE IMMlDD/VY) ! DATE (MMfDDNY) i
<br />
<br />TYPE OF INSURANCE
<br />
<br />PQUCY NUUSER
<br />
<br />UMITS
<br />
<br />GENERAL UABlUTY
<br />X ¡ CDMMERCIAl, GF.NFRAI" llA8llfTY
<br />ClAIMS MADE [g] OCCUR
<br />OVtlNER'6 & CONTRACTOR'S PRCT ,
<br />I
<br />,
<br />I
<br />
<br />GENERAL AGGREGATE $
<br />PRODUCTS. COMPIOP AGO $
<br />PERSONAL.& ADV JII.IJURY $
<br />eACH OCCURRENCE $
<br />I FIRE DAMAGE QmI &eo) $
<br />j MED EXP one rson $
<br />COMSINED SINGLE LIMIT $
<br />
<br />A
<br />
<br />2,000,000
<br />2.000,000
<br />1,000,000
<br />1,000,000
<br />300,000
<br />
<br />72CESOA1Q89
<br />
<br />04101/04
<br />
<br />04/01105
<br />
<br />
<br />I
<br />AUTOMOIIL£ UABlUTY
<br />~
<br />B i X i ANY AUTO
<br />~,
<br />U All OVwNEO AUTOS
<br />W SCH€DUlED AUTOS
<br />i X HIRED AUTOS
<br />X NON-Q\MI EO AUTOS
<br />)( 1,000 Comp/CoII Oed
<br />
<br />1,000,000
<br />
<br />72UUNUM2574
<br />
<br />04/01104
<br />
<br />04101/05
<br />
<br />80Dft. Y INJURY
<br />(Perperlicn
<br />
<br />$
<br />
<br />SODILY INJURY
<br />(Pø-acc.dønl)
<br />
<br />$
<br />
<br />PROPERTY DAMAGE
<br />
<br />$
<br />
<br />GARAGE UAflUTY
<br />I ANY AUTO
<br />
<br />
<br />AUTO ONLY. EA ACCIDENT
<br />D1JiER THI\N AUTO ONt Y.
<br />
<br />$
<br />
<br />¡1/2-
<br />I
<br />I
<br />
<br />EACH A CIOENT $
<br />AGGREGATE $
<br />EACH OCCURRENCE I $
<br />AGGREGA~ 1$
<br />$
<br />
<br />EXCESS UABUTY
<br />
<br />UMBflELLA fORM
<br />OTHER THAN UMBRELlA FORM
<br />IŒRS COMPENSATION AND
<br />EMPLOYERS' UAaUTY
<br />
<br />
<br />InWEKT4991
<br />
<br />C
<br />
<br />ER .
<br />
<br />!04I01f04
<br />
<br />04/01/05
<br />
<br />THE PROPRlêTORl
<br />PARTNERSJEXEClJTlVE
<br />OFFICERS ARE
<br />
<br />$
<br />flDISEASE-POlICYlfolIT $
<br />'EL DISEASE-EA.CH B\IIPLOYEE $
<br />
<br />1,000,000
<br />1,000.000
<br />1,000,000
<br />
<br />x 'INCl
<br />I EXCL
<br />
<br />D Professional Liability
<br />j Claims-Made form
<br />
<br />10001104
<br />I
<br />
<br />EONG21858045011
<br />
<br />04/Q1105
<br />
<br />Limit per Occurence 1,000,000
<br />AgQregate 2,000,000
<br />OedU~ib~-.____--- 50,000
<br />
<br />DESCRfPnoN OF OPERAT1ONSllOCATlONSlVEH8CLESlSPEClALITEIIIS
<br />Cîty of Santa Ana, its officers, employees, agents, volunteers and representatives are ¡ncluded as additional insured per attached endorsement Exhibît B.
<br />
<br />R~: On-CaIIITIS Agreem~nt
<br />
<br />Project #: J04.1703
<br />
<br />
<br />
<br />S!iOULDiWY OF THE POLICIES œ8CJ\ eE:D tEREIN fIE CANèEu.£O aEFCRe. TrlE EXPlAAno,.. DATe THau;o¡:,
<br />THI! INSURER AfI"OAOING COVeRAGI!! 'A'l1.J.. ENDEAVOR TO MA.lL -.3D DAYS IIVFIITTEH NOTICE TO THe
<br />
<br />Santa Ana, City of
<br />Attn: Zed Kekula
<br />20 Civic Center Plaza, M.30
<br />Santa Ana, CA 92702~1988
<br />
<br />C¡RT1I'1CAT& kOLCER NAM£O jilãREIN, IIUT FAILURE TO MAIL. SUCH NOTICE SJ.W.L II.IPOS;S;: 00 OBUGATlCN OR
<br />
<br />
<br />UA8IUTY OF Nfi II)NO UPON THE IN$UfŒR AFFOIWINQ COVe:RAOE, 11$ AOENT$ OR ~PREse¡'¡T¡\T1\IES, OR T"E
<br /> $$UER OF TH S CeRtiFICATE.
<br />MARSH USA INC.
<br />BY; Stephen Flynn
<br />
<br />A;t..~
<br />
<br />
<br />
<br />
|