Laserfiche WebLink
J'un-25 <br />ACORD <br />iY <br />OATJ ;M W JJ: r i^y <br />PRODUCER Schweickert & Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />3090 Bristol Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 160 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Costa Mesa CA 92626 — <br />INSURERS AFFORDING COVERAGE - Ngli: <br />INSURED Mercy IIouse R.tSURERA: Great American Insurance Company - <br />P.O. Box 1905 NSURERD: _ - <br />SantaAna CA 92702 "55'"'ERc_.... .._. _ <br />2004_ 2:01PM <br />CERTIFICATE uF LIABILITY INSURANCL <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTAIT H+ ANDINC <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE JEL DF <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION= )qF <br />POLICIES. AGGREGATE LIMNS SHOWN MAY HAVE nFFM Rrol I rn uV .,l I A,.e - <br />INSR <br />AW1__..._ <br />OCTNUMBER <br />POLICY EFFECTIVE <br />POLICY ESPIRAn <br />OS/02/2005 <br />LIMITS <br />- <br />_ <br />$__. -. 00 ,o0n. <br />GENERAL <br />LIABILITY <br />PAC5373885 <br />05/02/2004 <br />EACH OCcuRReNCE <br />'4 <br />X <br />'� <br />COMMEHCULL GENERAL. LIABIIIIY <br />Sex Abase Aggregate limit is <br />DAMAGE TO RENTED _- ._ <br />MCDOf <br />CLAIMS MADE. a OCCUR <br />sl,a)e,000 <br />5,000 <br />X <br />Professional Liability <br />(I ypncpc+FOA) <br />E <br />Abuse&Molestation <br />NodcductiblecrSIR <br />Nu.aADV INJURY <br />�)00.000- <br />X <br />- <br />--- <br />GENERAL AGGRPGATE <br />E .l00,000 <br />GENL <br />AGGREGATE LIMIT APPLIES PER <br />�-- <br />PRODUCTS-COMpgp AGG <br />- -)OO O71 <br />X <br />POLICY PfiO I L. <br />is _ <br />AVTO <br />BRE MOOA&UTY <br />PAC5373885 <br />05/02/2004 <br />05/02/2005 <br />'..p71)(Y)i- <br />O <br />COMM" 91NGLE LIMB $ <br />(U mcidalt) <br />ALL OWNED AUTOS <br />_ <br />$CHEDULFDAUTOS <br />BODILY INJURY <br />(Pn Pawn) <br />k <br />X <br />X <br />_. <br />MIRED AUTOS <br />X <br />'>< <br />X <br />NOWOMCOAUTOS <br />BODILY <br />YI WUn)RY 'E <br />PROPERTY <br />,P acd 'DAMAGE <br />GARAGE LIARII.ITY <br />AUTO ONLY EA ACCIOf-M <br />E <br />ANYAUTO <br />OTHER THAN EA ACC <br />- <br />AUTO Ot Y: AGG <br />3 <br />E%CESBIUMBREl1(A LIABILITY <br />EACH OCCURRENCE <br />OCCUR I. CLAIMS MADE <br />_ _f <br />AGcg[cAiE g <br />DEOUCTIL <br />RETENTION I <br />- .... <br />WORKERS COMPENSATYYI AND <br />- <br />WC SLAT V UTH- - _-•.�. _ - _- <br />EMPLAYERS'LIABNJTY <br />ORY LIMITS <br />ANY PROPRIETOWPARTNEWEJ(ECUTNE <br />- <br />- <br />E.L. EACH ACCIDENT 3 <br />OFHCER/MEMBER FXCLIAED? <br />- - -- <br />G dnbibe uiMer - <br />EL DISEASE G FMPI.OYE , $ <br />. E.IAI VIS <br />._ _—_ <br />E.L. DISEASE -POLICY LIMIT $ _ _ <br />-_. _._._..- �.+.....,v...,..cnn.acil u4lRa,UNE woorn NY ENDORSEMENrI SPECUIL PROVISIONS <br />(lie City of Santa Ana, its officials, employees,. representatives, and volunteers are hereby mimed as Additional Insurc3c ac <br />e3pecIS the operations of or On behalf on Mercy Houso Transitional living Center, performed under contract with The City of <br />Tanta Ana <br />2 <br />City of Santa Am <br />20 Civic Center Pl v <br />PO B.. 1988 <br />Santa Am <br />.CORD 25 (2001108) <br />CA <br />92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFOJtE THE EM -IRATIOA <br />DATE MEREOP, THE ISSUING NSURER WILE"OEAVOTFTO MAIL DAy!. WRITTEN <br />NOTICE TO THECERTIFICATE HOLDER NAMED TO THE LEFr-0nTTARORrTTTDD!T,S. AD <br />-IMPDFE?16�HI-RSATIDNiTRbATIiDTYCIF'IArRND �THETNSUREF. m; RrFNrS W <br />AUTHORIZED REPRESENTATIVE <br />0 <br />w CQlryy -7 _ <br />CORPORATION 1983 <br />