|
<br />Mar\5h.
<br />
<br />Inc.
<br />
<br />11/9/2004 7:08 PM
<br />
<br />PAGE
<br />
<br />3/004
<br />
<br />Fax Server
<br />
<br />
<br />PROOUCER
<br />Marsh Risk & Insurance Services
<br />4695 MacArthur Court, $uite 700
<br />(949) 399-5600
<br />License #0437153
<br />Newport Beach, CA 92660
<br />40980-00-00-
<br />
<br />LOS..ooo445B22-01
<br />
<br />iHlS CERTIFICATE IS ISSUED AS A MAT11;R. Of INFORMATION ONLY AND CONFERS
<br />NO RIGHTS UPON THE CERl1fICA1ë HOLDER OTHeR THAN THOSE PROVIOED IN THE
<br />POUCY. THIS CERTIfiCATE DOES NOT AlIENO, EXTEND OR ALTER THE COVERAGE
<br />AFfORDED BY THE POUÇ ES DESCRIBED flERaN.
<br />
<br />COMPANIES AFFORDING COVERAGE
<br />
<br />lteris, Inc. & Meyer Mohaddes
<br />AssoCiates
<br />1515 S. Manchester Avenue
<br />Anaheim, CA 92802
<br />
<br />N- :<001-003
<br />
<br />COMPANY
<br />A Hartford Fire Insurance Company
<br />COMPANY
<br />B Hartford Casuatty Insurance Company
<br />COMPANY
<br />C Twin Cjty Fins Insurance Company
<br />
<br />INSUREC
<br />
<br />COMPANY
<br />D ACE American Insurance Company
<br />Cj¡)'otèf!I\GE$. . .'... ,.,';'iîh¡i{~¡¡¡¡~íi!I!î~'¡¡¡¡¡¡'@P¡å@"~'äijy:¡¡~ô~.¡$iii.ìi¡d~¡¡iìI<iiii¡¡¡4r'¡bØ'pôl\i;~þ¡;(¡çdriÇtéi¡#"ï4W: . . . j '.
<br />nnS1$ TO CERTIFY- THAT POLICIES 'OF Ir04SURANCE -DESCRI9ED HEREIN HAVE BEEN ISSUED TO THe- INSURED' HAMED HEREIN FOR THE POlICY PERIOD INDICATED.
<br />NO'lWlTHSTAND!NG MY.Y REQUIREMENT, TERM OR CONDITION OF fJHY CONTRACT OR OTHER DOCUMENT V'MH RESPECT TO """UCH THE CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HeREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POllCIES- AGGREGATE
<br />LIMIT::; SH(M1I MAY HAVE I;If.EN REOUCED BY PAID CLAIMS.
<br />
<br />cc
<br />"1ft
<br />
<br />TYPE OF tN&URANCE
<br />
<br />P-OUCY NUMBER POUCY EFFEcnVE POUCY EXPIRAT10N UMITS
<br />, DATE IMMIDD/YY) ! DATE (MMIDDNY .
<br /> GENERAL AGGREGATE $ 2,000.000
<br />72CESOA 1989 04101/04 04/01105 PRODUCTS. COMPIOP AGO $ 2,000,000
<br /> PERSONAL ¿ ÞDV INJURY $ 1,000,000
<br /> EACH QCCURRENCE $ 1,000,000
<br /> FIRE DAMAGE ( ~"'") $ 300,000
<br /> i MED EXP "" """ $
<br /> COMBINED SINGlE LIMIT $ 1 ,000,000
<br />72UUNUM2574 04/01104 04101105
<br />
<br />
<br />GeNERAL UABlUTY
<br />X ¡ COMMERCIA!, GENERAt LIA8ILJTY
<br />CLAIMS MADE [I] OCCUR
<br />O~ERS&CONTRACTORSPROT,
<br />I
<br />I
<br />
<br />A
<br />
<br />I
<br />AUTOMOElL£ UAElUTt
<br />B :XlIWY AUTO
<br />!-~
<br />U ALL OWNED AUTOS
<br />, ! SCHEDULED AUTOS
<br />~
<br />'x HIRED AI.JTOS
<br />X NON..(IV'ð'ojEO AUTOS
<br />X 1,000 Comp/CoII Oed
<br />
<br />BODILY INJURY
<br />(Perp8l"iOn
<br />
<br />$
<br />
<br />BODILY INJURY
<br />(Pt!I'sccidønl)
<br />
<br />PROPERTY DAMAGE
<br />
<br />,$
<br />I
<br />$
<br />
<br />GARAGE UAflUTY
<br />I AAY AUTO
<br />
<br />Exœss UAElUTY
<br />
<br />
<br />.¡IL
<br />I
<br />I
<br />i
<br />
<br />AUTO ONLY. EA ACCIDENT
<br />OTHER THAN AUTO ONLY.
<br />
<br />$
<br />
<br />EACH A ~DENT $
<br />AGGREGATE I $
<br />EACH OCCURRENCE $
<br />
<br />UMBRELLA FORM
<br />OTHER THAN UMBREllA FORM
<br />KERS COMPENSATION AND
<br />EMPLOYERS' UAaUTY
<br />
<br />"GGRtGATE
<br />
<br />1$
<br />$
<br />
<br />
<br />THf PROPRrETORl
<br />PARTNERSlEXECUTJVE
<br />OFFICERS ARE:
<br />
<br />X
<br />
<br />InWEKT 4991
<br />INC" I
<br />! EXCL
<br />
<br />!04I01/04
<br />
<br />04/01105
<br />
<br />X TORY LIMITS ER
<br />E:L EACI-I ACCIDENT $
<br />fL DISEASE-POUCY LroIlT $
<br />EL DISEASE-EACH EMPLOYEE $
<br />
<br />1,000,000
<br />1,000,000
<br />
<br />C
<br />
<br />D
<br />
<br />Professional Uabiltty
<br />I Claims-Made Form
<br />
<br />EONG21656045011
<br />
<br />104/01/04
<br />I
<br />
<br />04101105
<br />
<br />Limit per Occurence
<br />Aggregate
<br />Deductible
<br />
<br />oeSCR! PTION OF OPeRAnONSlLQCATIONIlVEHfCt.E8llPECIAI. I"ÆIIS
<br />City of Santa Ana, its officers. employees. agents, volunteers and representatives are included a$ additional insured per attached endorsement Exhibît 8.
<br />
<br />- ,---,-,-,-,-,-----,---
<br />
<br />1,000,000
<br />2,000.000
<br />50 000
<br />
<br />Re: On-CaIlITIS Agreement
<br />
<br />Project #: J04.1703
<br />
<br />
<br />Santa Ana. City of
<br />Adn: Zed KBkula
<br />20 Civic Center Plaza, M-30
<br />Santa Ana, CA 92702~1988
<br />
<br />SHOUlD ANY Of' THE POLlClês œSCRJBfÓ t£AEIN 8E CANCEIJ.£D WCFlE. THE EXP!AA1lCIN IìATE THI:FœOf,
<br />THe INSU~EIII AFl"CmIìING COVeRAGI!' 'MLJ.. eM:)!AvoFl TO MAl.. --3JJ DAYS Il'fRJTTEN NOTtCE TO THe
<br />
<br />CERTIFlCAT& HOiDER HAME!) HIiREIN, BUT FAILURti. TO MA1L SlJCI NOTICE: ~u. IMPO;;¡;: 00 08U~T10!11 OR
<br />
<br />
<br />UASILlTY OF ÞHY KANO IJPON THE INSliRER AFFORDING OOVERAOE, ITS AOENT-9 OF! ~PRESENTATlVES. OA TI1E
<br />lSEiUERΠTHIS CERTIFICATE.
<br />MARSH USA INC.
<br />En'; Stephen Flynn
<br />
<br />~+
<br />
<br />
<br />
<br />
|