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TIBURON, INC. 1D - 2004
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TIBURON, INC. 1D - 2004
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Last modified
1/3/2012 1:59:57 PM
Creation date
12/10/2004 2:58:58 PM
Metadata
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Template:
Contracts
Company Name
Tiburon, Inc.
Contract #
A-2004-130
Agency
Police
Council Approval Date
7/6/2004
Expiration Date
9/2/2005
Insurance Exp Date
4/1/2006
Destruction Year
2010
Notes
Amends A-2000-162
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<br /> <br />PRODUCER <br />MARSH USA INC. <br />120 E. BALTIMORE ST.. STE. 1900 <br />BALTIMORE. MD 21202 <br />Attn: (410)347-3600 <br /> <br />CERTIFICATE NUMBER <br />CLE-001149971-06 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN, <br /> <br />714069--PROP.05-06 TIBURO A <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY <br />A ZURICH AMERICAN INSURANCE COMPANY <br /> <br />INSURED <br />TIBURON. INC. <br />39350 CIVIC DRIVE <br />SUITE 280 <br />FREMONT, CA 94538 <br /> <br />:i/iOC -J. <br />A ,\ co I <</;/ <br />/1-i,cm-CLf:J <br />11 - JrC3 11 i <br />,) J-{'GI i6() <br /> <br />COMPANY <br />o N/A <br /> <br />COMPANY <br />C NIA <br /> <br />COMPANY <br />B AMERICAN ZURICH INSURANCE COMPANY <br /> <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN !SSUEDTO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br /> <br />CO <br />LTA <br /> <br />POLICY EFFECTIVE <br />DATE (MMfDDIYY) <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY EXPIRATION <br />DATE (MM/DOIYY) <br /> <br />POLICY NUMBER <br /> <br />GENERAL LIABILITY <br />A X COMMERCIAL GENERAl I.IARIIITY S~031B6-'!a5 <br />CLAIMS MADE 0 OCCUR <br />OWNER'S & CONTRACTOR'S PROT <br />X Per proJt1....oc Aggregate <br /> <br />0.',,'01/05 <br /> <br />04/01/06 <br /> <br /> AUTOMOBILE LIABILITY <br />A X ANY AVTO BAP3486404 (ADS) 04/01105 04/01106 <br />A ALL OWNED AUTOS BAP3486421 (VA) 04/01105 04/01106 <br />E SCHEDULED AUTOS 238Y00021 ($1 MILx$1 MIL) (AOS) 04/01105 04/01106 <br />E HIRED AVTOS 238Y00084 (51 MILx$1 MIL) (VA) 04/01105 04/01/06 <br /> NON-OWNED AUTOS <br /> X COMP DEDUCTIBLE: $250 <br /> X CaLL DEDUCTIBLE: $500 <br /> GARAGE LIABILITY <br /> ANY AUTO <br /> <br />B <br /> <br />EXCESS LIABILITY <br /> <br />UMBRELLA FORM <br /> <br />OTHER THAN UMBRELLA FORM <br /> <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br /> <br />WC3486403 (ALL OTHER STATES) <br /> <br />04101106 <br /> <br />04/01/05 <br /> <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />OFFICERS ARE; <br />OTHER <br /> <br />X INCL <br />EXCL <br /> <br />LIMITS <br />GENERAL AGGREGRATE $ <br />:-'RGDUGTS-COMP/OP AGG $ <br />PERSONAL & ADV INJURY 5 <br />EACH OCCURRENCE $ <br />FIRE DAMAGE (Anyone fire) $ <br />MED EXP (Anyone person) $ <br />COMBINED SINGLE LIMIT $ <br />BODILY INJURY 5 <br />{Per-person} <br />BODIL Y INJURY $ <br />(per acciden~ <br />PROPERTY DAMAGE $ <br />AUra ONL Y- EA ACCIDENT S <br />OTHER THAN AVTO ONLY; <br />EACH ACCIDENT <br />AGGREGATE <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />X <br /> <br />EL DISEASE-POLICY LIMIT <br />EL DISEASE-EACH EMPLOYEE <br /> <br />DESCRIPTION OF OPERATtONSlLOCATIONSNEHICLES/SPECIAL ITEMS <br /> <br />:, ')1/ Li) 1\ S '0 FORM <br /> <br />V~~-I I/? <br />,,' S!j~ Sheedy <br />,td::: City Attorney <br /> <br /> <br /> <br /> <br />2,000,000 <br /> <br />2,000,(;::;::: <br /> <br />1,000,000 <br />1,000,000 <br />500,000 <br />5,000 <br /> <br />2,000,000 <br /> <br /> <br />SANTA ANA POLICE DEPARTMENT <br />60 CIVIC CENTER PLAZA <br />SANTA ANA, CA 95110 <br /> <br />SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS <br />WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BVT FAILURE TO MAIL SUCH <br />NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER <br />AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATJVES, OR THE ISSUER OF THIS <br />CERTIFICATE. <br /> <br />MARSH USA INC <br />BY; Timothy M. Sasser <br /> <br /> <br />
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