Laserfiche WebLink
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE J DATE (MMfDDfYYYY) <br /> ,. NO. 12 29 2004 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> EMPLOYERS DIRECT INSURANCE COMPANY CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br /> 30301 AGOURA ROAD AFFORDED BY THE POliCIES BELOW. <br /> SUITE lOO INSURERS AFFORDING COVERAGE NAIC# <br /> AGOURA HILLS, CA 91301-2096 <br /> INSURER A: EMPLOYERS DIRECT INSURANCE COMPANY <br />INSURED INSURER B: <br /> J MATTMAN SECURITY, INC. <br /> MATTMAN SPECIALTY VEHICLES INSURER c: <br /> 1004 RANCHEROS DRIVE <br /> SAN MARCOS, CA 92069 INSURER D: <br /> A -:;iL7D3 - Jl &0'1 INSURER E: <br />COVERAGES <br /> The Policies of Insurance listed below have been issued to the Insured named above for the policy period indicated. Notwithstanding any requirement, term <br /> or condition of any contract or other document with respect to which this Certlficate may be issued or may pertain, the Insurance afforded by the Policies <br /> described herein is subject to all the terms, exclusions and conditions of such Policies. Aggregate limits shown may have been reduced by Paid Claims. <br />INSR ADDL POLICY EFFECTIVE POLICY EXPIRAT~?N <br />LOR INSR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDfYYI DATE fMMIDDIYY LIMITS <br /> GENERAL liABIliTY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> ClAIMS MADE OCCUR PREMISES lEa occurrence) <br /> NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY MED EXP (Anyone person) $ <br /> PERSONAL & ADV INJURY $ <br /> GEN'L AGGREGATE LIMIT APPliES PER: <br /> GENERAL AGGREGATE $ <br /> POLICY PROJECT Lac $ <br /> PRODUCTS-COMP/OP AGG <br /> AUTOMOBILE LIABILITY COMBINED SINGLE liMIT $ <br /> ANY AUTO (Eaaccidenl) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> {Per accident) <br /> NON-OWNED AUTOS PROPERTY DAMAGE $ <br /> (Per accident} <br /> GARAGE LIABILITY AUTO QNL Y-EA ACCIDENT $ <br /> ANY AUTO NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY OTHER THAN EA ACCIDENT $ <br /> I I AUTO ONLY: AGGREGATE $ <br /> EXCESS/UMBRELLA liABILITY I I <br /> OCCUR CLAIMS MADE NOT WITH EMPLOYERS DIRECT INSURANCE COMPANY EACH OCCURRENCE $ <br /> DEDUCTIBLE AGGREGATE $ <br /> RETENTION $ <br />A WORKER'S COMPF.NSATION AND ~.:C 000148-01 01-01-05 01-01-06 X WC STATUTORY OTHER <br />EMPLOYERS LIABILITY LIMIT:;> <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? N E.L. DJSEASE-EA EMPLOYEE $ 1, 00 0 I 0 0 0 <br /> If yes, describe under AFFROV 'Jfi)DI~E~YlJ'J@T~' $ 1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER . <br />DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 'Y:Y ,;;,., :JL,.~ <br /> , .-_.. <br /> i":ldL J(,., (!> <br /> A::.sislam ell) /-Uld.,l....;Y <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER <br /> WILL ENDEAVOR TO MAIL ----l9.- DAYS WRITTEN NOTICE TO THE <br /> CITY OF SANTA ANA CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO <br /> 20 CIVIC CENTER PLAZA SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br /> THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br /> SANTA ANA, CA 92701 10 DAY NOTICE FOR NON-PA YME~REMIUM ci~N-REPORTING <br /> AUTHORIZED REPRESENTATIVE 7: L~" I' /, <br />PRINTED BY U07 ON 12/29/04 AT 1,48 PM <br />ACORD 25 (2001/08) 10f2 / @ACORD CORPORATION 1988 <br /> <br />JRN10'05 lOti 3'07 PUR <br />