Laserfiche WebLink
12/18/2004 07:41 9492539233 ACI INS AGENCY PAGE 01 <br />ACORD28(2001108) ®ACORD CORPORATION 1988 <br />DATE(MMIDDNYYY) <br />��B.�p/� <br />CERTIFICATE OF LIABILITY <br />INSURANCE <br />oRMArI /2004 <br />:DDJWW� <br />SCI INSURANCE AGENCY <br />3848 campus Dr. #102 <br />IssD6D AS A MATTER OF w <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />9ewport Beach, CA 92660 <br />949 - 263-9933 <br />SURED KIDS LOVE MUSIC <br />INSURERS AFFORDING COVERAGE <br />INSURERA The Hartford Insurance Co. <br />NAICB <br />INSURER B: <br />INSURER C: <br />8434 CALENDUXA <br />INSURER O; <br />BUENA PARK, CA 90620 <br />INSURER 2 <br />:OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />run <br />R <br />'D'L <br />WRD <br />POLICY UMBER <br />DA IDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 14000,000 <br />PREMISES Ee amvence <br />S 300,000 <br />X COMMERCIAL GENERAL LIABILITY <br />MEDEXP(Anyoreomm) <br />S 10,000 <br />CLAIMSMADE I�I OCCUR <br />PERSONAL S ADV INJURY <br />B 1-10-0-0100-0- <br />A <br />X <br />57SBAAX1031 <br />11/16/2004 <br />11/16/2005 <br />OENERAL AGGREGATE <br />S 2,000,000 <br />GEHL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGO <br />S 2,000,000 <br />X POLICY P LOC <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />COMBINED SINGLE LIMIT <br />(EB RPddeM) <br />S <br />�--- <br />BODILYINJURY <br />(Porpmw) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILYINJURY <br />(PerecddRM) <br />S <br />HIRED AUTOS <br />NON•OWNEDAUTOS <br />PROPERTY DAMAGE <br />(PeremdonI) <br />S <br />GARAGE <br />LIABILITY <br />AUTO ONLY.EAACCIDENT <br />B <br />OTHF,RTHAN EAACC <br />AUTOONLY, AGG <br />$ <br />ANYAUTC <br />B <br />EXCFSSMMERELLA LIABILITY <br />EACH OCCURRENCE <br />S <br />OCCUR CLAIMSMADE <br />AGGREGATE <br />S <br />S <br />S <br />DEDUCTIBLE <br />RETENTION <br />// <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIARILITY <br />ANY PRGPRIUr PARTN1RrCYECUTNS <br />CFPICEIVNEWE,R EMCUMED, <br />IfyM, deem @BUI <br />SPECIAL PRDVIS I O N56alrnv <br />�' <br />TH- <br />d <br />E L.FACH ACCIDENT <br />S <br />E.L. OISEABE - EA EMPLOYE <br />S <br />E. L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br />Music School. <br />Certificate Holder is listed as Additional Insured. <br />*10 -day notice for non-pS.13p2nt. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED PN,IC IES BE CANCELLED RFFORE THE EXP IRATIO <br />The City of Santa Ana <br />Parks, Recreati.oa and CoMm=ity Services <br />DATE THEREOF. THE ISSUING INSURER WI1-LVjj0WftMA14 *3D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />Attn: Dolores Ramos <br />Fax: 714 - 571 -4209 <br />AUT e <br />ACORD28(2001108) ®ACORD CORPORATION 1988 <br />