Laserfiche WebLink
\ Q9/28/2005 11:22 7142589029 ALL SIGNS AMERICA PAGE 02 <br />A- 200IS- 14A <br />A-em - 1AA-0I <br />SENTRY INSURANCE A MUTUAL COMPANY d}. 2UO3— 140'01— <br />STEVENS POINT, WISCONSIN <br />(A PARTICIPATING MUTUAL COMPANY) <br />A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />CERTIFICATE OF INSURANCE ACCCUNT NUMBER 49-39070 <br />This certiticate is issued as a matter of information only and confers no <br />rights upon the certificate holder. Th1s certificate does not amend, extenu <br />ur alter the coverage afforded by the policies below - <br />Name and Address of Name and Address <br />Ce-tiftcate Holder of the Insured <br />THE CITY OF SANTA ANA R i A ENTERPRISES INC ONA <br />AGENTTS SFIVOLUNTEERSO6EcS 154011REUHILLRAVE STE Aae <br />REESPRESCNTATIVES TUSTIN, CA 92700 <br />20 CIVIC CENTER PLL <br />SANTA ANA, CA 92701 <br />This certificate is issued on 09-23-2005 and is effective until 09-2'-2006. <br />It certifies that Pollcias of insurance listed below have been issued to <br />the insurtd named above. Notwithstanding any requirement, term or <br />condition of .ny contract or other document with respect to which this <br />certificate may be issued or may pertain, the insurance afforded by the <br />policies described herein is subject to all the terms, exclusions, and <br />conditions of such policies. limits shown ■oY hove been reduced by Paid <br />claims. <br />Coverage Provided Policy Number <br />All Limits in Thousands <br />Businessowners Liability 49-59070-91 <br />Each Occurrence <br />i <br />Soo <br />Modica] Expense <br />a <br />10 <br />Includes: Bodily Injury <br />Demose to Premises <br />a <br />250 <br />Property Damage <br />General Aggregate <br />a <br />1.500 <br />Personal Injury <br />Products Aggregate <br />0 <br />11500 <br />Advertisingp In�ury <br />Hired and Nvn- caned <br />Workers' Compensation and 49-39070-02 <br />Statutory <br />Employer's Liability <br />Each Accident <br />F <br />500 <br />Each Disease/Employee <br />a <br />500 <br />Each Disease/Policy <br />S <br />500 <br />Umbrella Liability 49-39070-03 <br />Each Occurrence <br />f <br />11000 <br />Does Not Include: <br />General Aygrepste <br />s <br />1,000 <br />-Pers/Ado Injury <br />Products Aggregate <br />0 <br />1,000 <br />:N11PROV> lj AS ''rO FORM <br />- - Omura Stitt S dy <br />�,,,is[ant City ttorney <br />60-CIO35 (SFA) <br />ALL 49-39070 51-040416 onuw. <br />10-29-200S <br />PAGE 1 <br />(OD07) <br />