<br />'ÁPR-16!li4
<br />
<br />02:50PM FROM-Narvlr Anoc,
<br />CERTIFICATE OF LlABILII Y
<br />
<br />+6262991010
<br />IN~UfU\
<br />
<br />T -485
<br />
<br />P.002/00!
<br />
<br />HOD
<br />
<br />~
<br />
<br />,A R . ''I '" t:. L:rESif-l--' 04/16/04
<br />~ROÞUtER THIS CERTIFICATE IS ISSUED AS A MA11'ER OF INFORMATION
<br />~arver Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />641 W, Las Tuna.s Drivê HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />~ IIox 1509 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />San Gabriel CA 91776
<br />Phone: 626-943-2200 Fax: 626-299-1010 INSURERS AFFORDING COVERAGE Np.lC# _-
<br />INSUREO '- C~ar;.;,
<br /> I~SURER Po:. Westport In3u~ance ..-
<br /> INSU~EA 9: F1ÞUf1»1'1I FuP4 Inl:lunnl;<l' co.
<br /> Liebert: Cassidy WhiÙII.oJ:'e INSUReR c:
<br /> G..~ Connally --
<br /> 603 w. Cent:~F.t Blvd., Ste.SOO INSURISR D:
<br /> Los Angeles CA 90045 ..
<br /> INSuRER. E:
<br />
<br />COVERAGES
<br />
<br /> THE pOLlCIES'Of' IN$1JRANCe I.rSTED Bel.OW HAve ElEliN IssuED TO THE INSU~ED NAMiD ABove FOR THe POl,lCY PERIOD INDICAreÞ. NOTWI1"HSTANDING
<br /> Ar.JY REQUIReMENT, 1ë.AM OR CONDITION OF PN'f CONTRACT OR Of HER DoCuMENT W1Tì1 ~PECT"O WHICH THIS CERTIFICA'Te MAY BE ISSUED OR
<br /> MAY pERTAIN, THE INsuAANCEAFFORDED BY T¡.(E POUOU¡S CESC~!e.¡D I~EREIN !s SU6JECTTO AlL TH\! TERMS, exCLUSIONS AND CONDI110NS OF SUCH
<br /> POLICIes. AGGAEGATE LIMITS SHOWN MAY HAve BEEN R~DUCI!D BY P,AtD CLAIMS
<br />~~ TYpEOFINSUfUI,NCE PO~NUMBER. 'ô'i,;,¡1~ PAl'S MMID~~~ UMITS
<br /> ¡..!..&N_RAL UAÐIUTY EACH OCCURRENCE .¡,OOO,OOO-
<br />II X X COMMERCI,Ø.L Gf:NERAL LIABilITY AZC80688894 12/14/0:'1 12/14/04 PRËÏuÌ'SES(Ea~C~te' . 100 ,O°.!L--
<br /> ¡ CLAIM$ MAlJE ŒJ DCCUR MED EXP lAnY DI'I& person) . 10,000
<br /> 1- PER$ONAL &. MJV INJURY '1.000,000
<br /> '- GENERAl. AGGREGATe . 2,000",000 -'
<br /> M'LMG~Er~E LIMIT APñS PER: PROC\JCTS - COMPIOP AGG '2,000,000
<br /> POLicY ~:€;: Loe
<br /> ~TOMOBllE UPoBIUTY COMÐINeO SINGL! LIMIT '1,000,000
<br />iIl X '-- ANV AUTO AZC80688894 12/14/03 12/14/04 (Ea 'lœQcnt) ---
<br /> '-- AU. OWNED AUTos BODILY INJURY
<br /> ,
<br /> '- SCHeDU\.l~,D AUTOS (Perplllf"""...an)
<br /> ~{^^. -
<br /> ..!.. HIRED AuTOS vi" SOOIL,YINJURY
<br /> ,
<br /> ..!.. NON~OWNED AurOS (Porõl.c;cidem)
<br /> 7 --
<br /> - '. PROPERTY D..w.AGE. S
<br /> (Pm-~m)
<br /> =fGE LIABILITY AUTO ONi.. Y a.!iA ACCIDeNT ,
<br /> ",NY AUTO OTHER THAN ~ .
<br /> AUTO ONI. Y: ^"" .
<br /> ð~MBREWA UABII.ITY EACH OCCURRENCE '2,000,000_-
<br />B X X OCCUR 0 CLAIMS MADE AZC80688894 12/14/03 12/14/04 AGC;AEGA.TE .
<br /> .. - ,-
<br /> . --
<br /> ~~ ~EDUCTI.Le . -
<br /> ..
<br /> RETENTION . ,
<br /> wORKERS COMPENSAT10Ñ AND T,.O.VLIMn-šT IO~,\"
<br /> EMPLOYS:RS' UABrL.11'V
<br /> ANYP~OÞ~ETO~ARTNE~eXeCU~ &:.L fACt1 ACCIDENT .
<br /> OFF!CJ;RlMEMBe~ E){CLUDf;:O,? E.L DISEASE. EA EMPI.OVEI! Si
<br /> If~'I,~ritlð""'der
<br /> S ECIAl PROVISIONS bel!Qw E.L DISEASE. POLICY L,IMIT .
<br /> OTH~
<br />A Lawy$rs l'rof. 1D$- LLF01004S-0 12/10/03 12/10/04 Per Cla.im 2,000,000
<br /> Aðareaate 2.000,000
<br />CESCRIPTIQN OF OPEM,TIONS I LOCATIONS I VetUCl.ES' DeLUSIONS AO~ED BY eNOORSEMENT I SÞE.CIAL. PROVISIONS
<br />*10 Day NOtice of Cance~lation for nOh-payment of premium. ~he Certificate
<br />Holder :is naDled as an a(id.:i.tiona1 in~1..1red. a.s X'espl!!cts to the operations of
<br />the Named insur~d under the Firemans Fund In~urance Co~anYr policy NUmtoer
<br />ilAZc80688894.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CJ:TSA-1
<br />
<br />CANCELLATION
<br />SHOULD ANY OF THe ABOVe DESCRIBED !IOUCIE5 8E CANceLLED BIEF=ORe THE I:J(ÞIRA T1o~
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEA\lOR TO MAIl. ~ DAYS WR.ITTEN
<br />NanCE TO THE CEJmF~CATE HOlDiR \'lAMED TO THe~, eUT ~AILURE TO DO SO SHAl"l,.
<br />IMPOSE NO. O1.IGAnON OR UABIUTY Olt ANY KIND uPON THE INSURER-ITS AG~TS Oft
<br />REPFtes~ . s.
<br />AI,ITHORIZEP Re;;
<br />'j
<br />
<br />
<br />@ACORD CORPORATION 1~8'
<br />
<br />C1ty of Santa Ana
<br />20 C~vic Cen~e. P~aza
<br />P.O. BO:l< 1988
<br />Santa Ana, C~ 92702
<br />
<br />ACORD ~~ (2001/08)
<br />
|