Laserfiche WebLink
<br />"... <br /> <br />~ <br /> <br /> MARSH CERTIFICATE OF INSURANCE ISSUE DATE <br /> 0112712004 <br />PRODUCER Thll csrlificalB II iBlUad .. I matter oIlnlormBlion only Ind _ no ~ <br /> MARSH USA INC. upon 1I1e CertlficalB Holder. Thio CertltlcalB doeI not _. .xtend or tor 1110 <br /> ONE STATE SIREET coverage afforded by 1I1e policlel _. <br /> HARTFORD. CT 06103-3187 COMPANIES AFFORDING COVERAGE <br /> Company Hartfold Are Inouflll1CB Co <br /> A <br />INSURED A--,;).003 - ;;IJCg' Company Inl Co 011110 Stale 01 PA <br /> OTIS ELEVATOR COMPANY B <br /> ONE FARM SPRINGS ROAD Company <br /> FARMINGTON. CT 06032 C American Home Auuflll1CB Co <br /> Company New Hampahire lnaurance Co <br /> D <br /> Company Nalional Union Fire Ina Co Pa <br /> E <br />COVERAGES Thil csrlificalB __ end raplaCBa any pravIouoly 1_ csrlificalB "" 1110 policy partod notad _. <br />ThIo 10 Ie> csrtlly 11101 1110 pollcIea of InSUflll1CB _ herein heve been illuad Ie> 1I1e I_'ad named h8l'oIn "" 1110 policy parlod Indlcaled. NotwI1h~ <br />any raquIrament. tsrm or condition of contract or _ documonl wl1h reopact Ie> whlch 11110 csrlificalB may be Ioaued or may pertoln. 1110 InSUnll1Cl alIordod by <br />1110 pollcIea _ herein II subject Ie> eJI1110 tsrmo, conditlonl end excluoiono of ouch policlel. UmIta ohown may have been raduCBd by peId cIelmo. <br />CO TYPE OF IN8URANCI! POLICY NUMBER EFFEcnVE EXPIRATION IJM/T1l OF UA8IUTY <br />LT <br />A GENERAL UABlLITY 02CSET10004 01101/2003 04/0112004 lEACH OCCUFlAENCE $ 1,000,000 <br /> IllI Comlnon:lol Gonerol LIobIllIy FIRE DAMAGE $ 300,000 <br /> o CIoJmo Modo IllI Oocurronco 52.000,000 general aggregate per MEDICAL EXPENSE $ 5,000 <br /> OOwnots'ond~' p_ <br /> O -- PERSONAL' ADV INJURY $ 1,000,000 <br /> 0 GENERAL AGGREGATE $ 2,000.000 <br /> _ Awogo. UmIl_ pot, $10,000.000__01_ PAODUCTS. COMPIOP AGG. $ 2,000,000 <br /> o PcIIcy 0 PlOjoc:t O~1Ion <br />A AUTOMOBILE UABlLITY 02CSET10000 (NO) 01101/2003 0410112004 COMBINED SINGLE UMIT $ 1,000,000 <br /> IllIAnt- 02CSET10003 (TX) BODILY INJURY (PW-) <br /> o All 0wn0cl_1oo Honford CoouoIty lno Co BODILY INJURY <br /> 0__ 02CSET10002 (MA) <br /> OHIrod_ PAOPERTY DAMAGE <br /> o NolKlWlMMl AuIomobIIa Hartford Ace & lnet I.... Co COMPREHENSIVE <br /> 0 O2CSET1001. (HI) COLUBlON <br /> Hartford UtIdetWfllelalna <br />B WORKERS' COMPENSATION WC5210ll85 (Other Sloloo) 04101/2003 0410112004 ..,_.....1 x I"",", 1 1 <br />C AND EMPLOYERS' UABlLITY WC5210ll<l8 (CA) I8ll (NJ) EL EACH ACCIDENT $ 1,000,000 <br />0 WC5210ll<l8 (NY.WI) EL DI8EABE (E"'-l $ 1,000 000 <br />E WC5210170 (OllCOll CT)' EL OlllEAIlE ""*"....., $ 1 000 000 <br /> WC5210867 (ME.MS.NV,OR.R1,UT)' <br /> -National UnIon Fire I.... Co Pa -,...~ <br /> EXCESS UABlLITY D f'>S :OA EACH OCCUIlAENCE <br /> o 0ccumInc0 OClolmo Modo ~.,,~y.0vt., A f;;" ..:- - AGGREGATE <br /> -cd.' .......-:::.- Q'?-C'f.. <br /> / t 5 p:Ol\\l!~ ) <br /> ~ \..\51>- \ '0\ <br /> 1>-ssis\<J,(\ I~f <br />CIIy of _..... PoIIco ond HokIIng FocIIlty. Sonto ...... CA 82702 <br />The CIy of Sara Ana. lis officers. ......, voIunteer1. and employees are .ddltionalln8ured on the above ComrnerdaI General UabiUIy as required by contract. The Iiab6IIty <br />covorago _10 ~ ond non-<:ontrII>la. <br />contract number: SAN 5208 <br />CERTIFICATE HOLDER <br /> SHOULD ~y OF THE ABOVE DESCRtED POLICIES BE CNCELLED BEFORE THE EXPtRATION <br /> DATE THEREOF, THE INSURER WILL MA'l30 DAYS WRITTEN NOTICE TO THE CERnFICATE <br /> HOlDER NAMED TO THE LEFT. <br /> City 01 SanIa ..... MARSH USA INC (J-'" ,'(7J9f <br /> 20 CIvic Coroor PIeza (M-211). PO Box 19B8 BY: <br /> SanIa Ana. CA 82702 <br /> ~ID' 2A <br /> <br />~ <br />