Laserfiche WebLink
<br />J. <br /> <br />APR 11 2005 1:41PM <br /> <br />HP LASERJET 3200 <br /> <br />p.2 <br /> <br />. <br /> <br /> Client#: 831 G URBANCROS <br /> ACDRD~ CERTIFICATE OF LIABILITY INSURANCE T DAT!(I\IIII1IDCN'Y} <br /> 11/01/04 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> D..ley, Renton & Associates ONLY AND CONFERS NO RIGHTS UFON THE CERTFICATE <br /> 199 S Los Robles Ave Sle 54ll HOLDI!R. TliIS CERTIFICATE DOES NOT AMEND, EXTeND OR <br />"----'"" Pasadena, CA 91101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 626544-3070 INSURERS AFFORDING COVERAGE <br /> INSURED #-.),U(l2- )'73 JN~URER ,6,: United Stal8& Fklelilv & Guaranty <br /> Urban Crossroads, Inc. St. Paul Fire & Marine In.. Co. <br /> 41 Corporate Park, Sulle 300 I'i - .:iLCd - 17 3.01 NSURER !!t <br /> INSURER c: <br /> Irvlno, CA 92606 /v'._,3-oC:J-17.:3-- ('/;2 INSURER c: <br /> INSURER E; <br /> <br />COVERAGES <br /> <br /> TI1E POLICIES OF INSURANCE LSTED 88..0w HAVE BEEN ISSUED TO THE INSURED NAM.sO ABOVE FOR THE POL.ICY PERIOO INDICATED. NOTWlruSTANCING <br /> ANY REQUIREMENT, TERM OR CONomON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH!S CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE jfolSURANCE AFFORDSC BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONCITIONS OF SUCH <br /> FOLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlD CLAIMS. <br /> .SA 1~~JI!I"fECTNE ~.w,EXPlRATlON -- <br /> Lm TYPE OF ~8URAIIC! POUCY NUMBER: UMrTS <br /> A ~N!RALUAI5ILITY BK01237ti06 i 11/01104 11/01105 EACH OCCURRENCE . -/ $2.000.000 <br /> ~ ~1I1 ERCIAL GENERAl.. LIABILITY FIRE DAW\GE (Any OOllillir.,) . $300 000 <br /> f- ---.J ClAIMS MA.DE [!] C:";C';UR !\lED Ell:1= (Anll O~ p..on) .10 DOo <br /> f- PERSONAL & ADV INJURY '2 DOO~OOo <br /> ~ I GENERALAGGREG"'TE $II 000 DOo <br /> n.LAG3~~~IMI1"7~rlpeR; PRODUCTS .COMP/OP....:30 $II 000 000 ~- <br /> 1=OLlCY ,;~R;. LOC <br /> A ~'!10MOBILe LIABilITY BKOl237606 11101/04 11101105 COMSJNED SINGLE UMIT <br /> ANY AUTO (EIla::c:I.nlj '2,000,000 <br /> f- <br /> f- ALl. OWNED AUTOS SCOL Y INJUFO.Y <br /> (Parp8/'lICln) . <br /> SCI-IEOuLED ....urOS <br /> f- I BODIL.Y INJURY -.-- - <br /> c!- HI~ED AUTOS <br /> ~P.r acckIsnl) I <br /> ~. NON-OWNED AUTOS <br /> h APPROVED A~ TO FOR \1 PROPERTY 0Ar.tAGf I <br /> (Pwacclllent) <br />'../ R~.. LWlOJTV /<;l ;/.2- AUTO ONL.,. . EA ACCIDENT . <br /> "'!'NAUTO d ;.;(/-,' 4 o J1-tER THAN EAACe . <br /> , ,,". ,",UTOONLY: AC. $ <br /> ~~s L1ABIUTY Assistant 0t Attorney EACI' OCr:URRENCE . <br /> oceul': 0 Cl,l\.Il'.'lS MADE AGGREGATE $ <br /> - <br /> $ <br /> ~ ~3)UCTIBLE . <br /> R!HE;NTION . . <br /> B WORKSlS COUPENSATlON AND WVA773S90o 11/01/04 11101105 X l~r~W"s T IOJ~' <br /> EMPLQVER8' LlA8IUTY E.L EACH ACCIDENT 11000000 <br /> E_L OISEASE . EA EMPLOYEE .1 ODD 000 <br /> l<.L !'JlSEAS~ . POlICV lIulT .1 000,000 <br /> B OTHER ProfesskJnal QP03804176 11101/04 11101105 $1 ,000,000 per claim <br /> lablllly $2,000,000 annl aggr. <br /> D!!SCRlPTION 0' OPERAlIONSlLOCATloOttSNEHICl..U1EXCLUSjONS ADDEO BV ENDORSEMEHTISPECtAL PRCMSIONS <br /> City of Santa Ana, its offleers, agents, voh.m1ee... and employees ;Ire <br /> named as additional Insurod ao reapocls general llablllly for claims <br /> arising from the operations of the named Insured. <br /> CERTIFICATE HOLOeR I ACID moNAl.INSUJt!"D .INSURER LETT~R: CANCELLATION TM n_....~"_ <br /> SHOULD MYQFTHI!!AEIOYeDE5CIl1&I!D POl.ICII!SBI!CANCeLL.eD IU!I'OAI!1'tiE I!)CPIRATlON <br /> City af Santa Ana DATE THl!i:ReOF, T~ IUUING INSURER WIU.:a.Iltl8faQlb[]PMNL30...-.DAYSWRITTEN <br /> 20 Civic Cent.r ?Iaza NOTlCETOTHE CERTlFlCltle HOLDERN....e:D TOTHE LEFT, II~JUUaXx <br /> Santa Ana, CA 927Dl III I!'" """OIJ'4" - . -mmc;DDlIJ(Xlllll:lUI'XWD-- U~Tr -- <br /> "" <br /> , .60/;/:: :;,RESENT;I:E C~_ _ . -~p <br /> <br />x <br /> <br />ACORD 25-5 (T197)1 of 1 <br /> <br />#M114244 <br /> <br />NLS <br /> <br />@ ACORD CORPORATION 1088 <br />