Laserfiche WebLink
ACORDTN CERTIFICATE OF LIABILITY INSURANCEpage 1 of 2 <br />DATE <br />06/25/2004 <br />PRODUCER 877- 945 -7378 <br />Willis North America, Inc. - Regional Cert center <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 />26 Century Blvd. <br />POLICY EXPIRATION <br />P. D. Box 305191 <br />Nashville, TN 372305191 <br />INSURERS AFFORDING COVERAGE <br />INSURED Sisters of St. Joseph of Orange <br />INSURERA: Hartford Insurance Company of the Midwest 37478 -001 <br />Santa Ana Work Center <br />480 S. Batavia Street <br />INSURERS: <br />INSURER C: <br />Orange, CA 92868 <br />INSURER D: <br />G ENERALLIABILITY <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 />REQUIREMENT, ANY OR CONDITION OF ANY CONTRACT OR O DOCUMENT RESPECT O CERTIFICATE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 5 SUBJECT TO AL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1XWXXXNNIKXOEC0951GN1LL <br />TYPE OF <br />Santa Ana Work Center <br />N32X86K�7[HV�6g <br />1000 E. Santa Ana Blvd, <br />EACH OCCURRENCE <br />$ <br />G ENERALLIABILITY <br />It A!`llon rn PPnRaTInfJ 1QRR <br />FIRE DAMAGE (Any one Sire) <br />$ <br />COMME RCIAL GENERAL LIABILITY <br />CLAIMS MADE F7 OCCUR <br />M ED EXP(Any one person) <br />$ <br />PE RSONAL B ADV INJU RY <br />$ <br />G ENE RAL AG GREGATE <br />$ <br />PRODUCTS- COMPADPAGG <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOD <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(EaecciGent) <br />$ <br />ANYAUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Per Person) <br />$ <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />NON -OW NED AUTOS <br />PROPERTY DAMAGE <br />(Peraccident) <br />$ <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />ii <br />..; • ?(N ru� <br />- <br />-�' <br />- <br />AUTO ONLY - EA ACCIDENT <br />$ <br />EAACC <br />OTHERTHAN <br />AUTO ONLY AGG <br />$ <br />S <br />EXCESS UABILRY <br />OCCUR CLAIMS MADE <br />'A �, <br />"��� <br />_,eta h <br />S� P�terl�e� <br />key,,. / <br />U`y <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />A <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY <br />72WNC93300 <br />5/31/2004 <br />5/31/2005 <br />WC STATU- DTH- <br />}. T Y IT <br />E.L. EACH ACCIDENT <br />$ 21 00 ,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 2,500,000 <br />EL. DISEASE - POLICY LIMIT <br />$ 2,500,000 <br />OTHER <br />7 <br />DESCRIPTION OF OPERATONSLOCAnONBNEHICLESIE XCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: SSJO dba Taller San Jose, Block Grant - 810 N. Poinsetta, Santa Ana, CA 92701 <br />CERTIHICA It RULLILM I I ADDnIDHAL ma11ncu; irveuncry �ci ice,.. <br />— ^•--- - --- -- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Xff2U6 2EK MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1XWXXXNNIKXOEC0951GN1LL <br />�i:IKQEfiIQENKX1KXli(I NEE'} EK` iQiQ�. ESKIY .ENSKiEQ�5n1Q'KiEE�IiA�fF}. <br />Santa Ana Work Center <br />N32X86K�7[HV�6g <br />1000 E. Santa Ana Blvd, <br />AUTHORIZED REPRESE TATI <br />Suite 2000 <br />Santa Ana, CA 92701 <br />It A!`llon rn PPnRaTInfJ 1QRR <br />ACORD 25- S(7197) Coll:1027012 Tpl:2 /ZouA cerc: xevvxii <br />