Laserfiche WebLink
ACORD. CERTIFICATE OF LIABILITY <br />INSURANCE DATE(MM/DDNYYY) <br />PRODUCER (949) FAX (949) 709-1668 <br />Comprehensivea Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />05/10/2004 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 />INSURERS AFFORDING COVERAGE <br />NAIC # <br />RSM, CA 92688 <br />INSURED <br />LATINO YOUTH LEADERSHIP INSTITUTE <br />1850 E. HODSON <br />LA HABRA, CA 90631 <br />INSURER A: NONPROFITS' INSURANCE ALLIANCE <br />INSURER B: <br />wsuRER c: <br />INSURER D: <br />INSURER E: <br />COVERAGES <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 />INSR D' <br />TYPEOFINSURANCE <br />POLICY NUMBER <br />POIN;Y EFFECTIVE <br />05/07/2004 <br />POLICY E%PIRATION <br />05/07/2005 <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X OCCUR <br />2004-13325-NPO <br />EACH OCCURRENCE <br />$ 1,000,00 <br />DAMAGE TO RENTED <br />§ 11-0,00 <br />$ 10, DD.. <br />MED EXP (Any ona personl <br />PERSONAL BADV INJURY <br />$ 1,000,00 <br />GENT AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE <br />$ 1,000,00 <br />PRODUCTS - COMP/OPAGG <br />$ 11000,00 <br />T: <br />POLICY JEX LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea amltl nt) <br />$ <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(PeTecdtlenH <br />$ <br />NON WNED AUTOS <br />PROPERTY DAMAGE <br />(Per eccitlenQ <br />$ <br />GARAGE LIABILITY <br />- <br />ANY AUTO <br />AUTOONLY- EAACCIDENT $ <br />OTHER THAN EA ACC $ <br />EXLESSNMBRELLA LIABILITYAGG <br />AUTO ONLY: <br />$ <br />OCCUR CLAIMS MADE <br />EACH OCCURRENCE $ <br />AGGREGATE § <br />DEDUCTIBLE <br />RETENTION $ <br />$ <br />YIORKERSCOMPENSATION AND <br />EMPLOYERS' LIAmLITY <br />WC STATU- OTH- <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. EACH ACCIDENT $ <br />_ <br />❑yea, da=ibe untl r <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - EA EMPLOYE $ <br />OTHER <br />E.L. DISEASE -POLICY LIMB $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER ATTACHED CITY ENDORSEMENT <br />EXCEPT 10 DAYS FOR NON-PAYMENT <br />CERTIFICATE HOLDER <br />CITY OF SANTA ANA, ITS <br />AGENTS AND VOLUNTEERS <br />ATTN: LAURA SHEEDY <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />ACORD 25 (2001/08) <br />OFFICERS, EMPLOYEES <br />SHOULD ANY OF THE <br />BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />* 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER. ITS AGENTS OR RMD=Q ..AT'l, <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon, CIC/JEREMY .lZl <br />©ACORD CORPORATION 1988 <br />/wr- <br />