Laserfiche WebLink
<br />CERTIFICATE OF INSURANCE <br /> <br />1063165 <br /> <br />0 <br /> <br />9 23 04 <br /> <br />K & K Insurance Group, Inc. <br />1712 Magnavox Way <br />P.O. Box 2338 <br />Fort Wayne, In 46801 <br /> <br />THIS CERTIFICATE 15 ISSUED M. Á tNn'ER OF INFORMÁ1l0N <br />ONLY AND CONFEFIS NO RlGHlS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFIOOE DOES NC1r AMEND. EXTEND OR <br />ÁIIER THE COVERAGE AFFORDED 81' THE POLICIES BELOW <br /> <br />F'RODYCS"I <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />INSUREC <br /> <br />LADIES FROFESSIONAL GOLF ASSOCIATION <br />AND ITS MEMBERS <br />100 INTERNATIONAL GOLF DRIVE <br />DAYTONA BEACH, FL 321241092 <br /> <br />COMPANY A <br />LETTER VIRGINIA <br />CCMPAI-IY B <br />LETTER <br />COMPÞ.NY C <br />LEtTER <br /> <br />SURETY COMPANY <br /> <br />INC. <br /> <br />COVE!RAGI!:S <br />THIS IS 11) CE""FV TH.<r THE PCUCI"" OF INSURANCE LlST'!D aB.OW HAVE sEEN ISSUED 10 THI! INSURED NAMED ABOVE FCI\ THE POLla.' _100 IN- <br />DlCATEP. NOTWITHS11.NDING ANY REQUIREUEI(T, TERM OR DONDITlON OF ANY CON1RACT OR OTHER COOUMEttTWlTH ÆSPECI" 10 WHICH THIS OERTIACPJ"E <br />MAY BE 1I$$I)EOORtUf PEm"AIN, THE rNSURANCEAFFO~DED BVTH€ POLIC:IES DESCFŒlEO ~E N 18 SUBJEGT TO AU.. TH!; TERMS. ËXCLUSlaNBAND CONm. <br />TIONS OF SUOH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIIoI& <br />ro POlICY EFFECI1VE POUOY EXPFWICI' <br />LTA TYPE OF INSURANCE POLlev NUMBEA D/lTE IMMIDDIVYI DATE (MMIDDIYY) <br /> <br />LIMITS (in tnousands) <br /> <br />A <br /> <br />G...,II LI8bIIltJ <br />ŒICommiHCiral GenerBI Liability <br />0 CIBlm. Made ŒI Occur. <br />DOwn,,'. & Cenl""'" ProI. <br />0 <br /> <br />T7 0001215700 <br /> <br />12:01AM <br />1/01/04 <br /> <br />12:01AM <br />1/01/05 <br /> <br />G"""",I J9.¡re . $ <br />FrallIIOIS-Co /0 S <br />Pe"",nBI & Adver1s In', S <br />Each Occ1!rrem:ø S <br />Rre Oa . A on.1!Ja S <br />Ue<lical;x Nil OM I'$on S <br />I'or1lçlpant Logo! LI.bll $ <br />CtJmbif1si:l <br />Sif1ç!a <br />U"" <br />'''"''' <br />Injury <br />IITSDß $ <br /> <br />NONE <br />1000 <br />1000 <br />1000 <br />300 <br />5 <br />1000 <br /> <br />Aut...- Llabllly <br />0 Any aulD <br />DAII CIM1'" auIDO <br />0 Sohocjuled auto. <br />0- au'" <br />D Non.owned IUIOB <br />OGara¡¡e Liability <br />0 <br />Ex.... LilÞnl1y <br />0 <br />0 Other than Umbrella form <br /> <br />$ <br /> <br />- <br />~,'k;øOM) s <br />",",Otty <br />Domaaa <br /> <br />$ <br /> <br />Each <br />Occurrel'1ðGl <br /> <br />AGe- <br /> <br />$ <br /> <br />$ <br /> <br />War"" Compenaatkln <br />.1Id <br />Employe..- Liability <br /> <br /> <br />I/J <br /> <br />s <br />S <br />$ <br />AD&D <br />Primer Medical <br />E)(œS8 Medical <br />Week Indemni <br /> <br />Slatu <br />Eaeh ""cidenr <br />Diseue-PoR Lin'ii1 <br />D__och Em I <br /> <br />Portlclpaot <br />Aoeldon! <br /> <br />$ <br />$ <br />s <br /> <br />x <br /> <br />.,fSCRIPT1QN OFOPfRATI SILD <br /> <br />ONS,V 1CL.E61 SfNCT 81 <br /> <br />LALITEMS <br /> <br />CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED ON THE POLICY BUT ONLY AS <br />RESPECTS THE OFERATIONS OF THE NAMED INSURED. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITY OF SANTA ANA, ITS <br />EMPLOYEES, VOLUNTEERS, <br />REPRESENTATIVES <br /> <br />OFFICIALS, <br />AND <br /> <br />SHOULD At>IY OF THE ABOVE DESCRIBED POLICIES SE <br />CANCELlED BEFORE THE EXPIRATION DÅTE THEREOF, THE <br />ISSUING COMPANY WILL ENDEAIIOR TO MAIL JQ.. DAYS <br />WRITTEN NOnCE TOTHECERTIRCATE HOLDER NAMEDTOTHE <br />LEFT. BUT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO <br />OBLIGATION OR LIABILITY Of' AJoJY KIND UPON THE COMPANY. <br />rrs AGENTS OR REPRESENT.Oi <br /> <br />2~ J;EPRJ:;.SEN"OOl <br /> <br /> <br />'.92 <br /> <br />SL 39 <br />