Laserfiche WebLink
SENTRY INSURANCE A MUTUAL COMPANY <br />STEVENS POINT, WISCONSIN <br />(A PARTICIPATING MUTUAL COMPANY) <br />A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />F *zMW W3i=I=IZEd']-1Z141d <br />ACCOUNT NUMBER 49-39070 <br />This certificate is issued as a matter of information only and confers no <br />rights upon the certificate holder. This certificate does not amend, extend <br />or alter the coverage afforded by the policies below. <br />Name and Address of Name and Address <br />Certificate Holder of the Insured <br />THE CITY OF SANTA ANA K & A ENTERPRISES INC DBA <br />ITS OFFICERS, EMPLOYEES, ALL SIGNS AMERICA <br />AGENTS, VOLUNTEERS & 15481 REDHILL AVE STE A&B <br />RESPRESENTATIVES TUSTIN, CA 92780 <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 A- L1 <br />This certificate is issued on 09-23-2003 and is effective until 09-23-2004. <br />It certifies that policies of insurance listed below have been issued to <br />the insured named above. Notwithstanding any requirement, term or <br />condition of any 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 may have been reduced by paid <br />claims. <br />Coverage Provided <br />Businessowners Liability <br />. Includes: <br />Bodily Injury <br />Property Damage <br />Personal Injury <br />Advertising Injury <br />Hired and Non -Owned <br />Workers' Compensation and <br />Employer's Liability <br />oes Not Include: <br />-Pers/Adv Injury <br />49-39070-01 Each Occurrence 4 500 <br />Medical Expense I 10 <br />Fire Damage t 250 <br />General Aggregate t 11500 <br />Products Aggregate t 1,500 <br />49-39070-02 Statutory <br />Each Accident <br />4 <br />500 <br />Each Disease/Employee <br />t <br />500 <br />Each Disease/Policy <br />t <br />500 <br />49-39070-03 Each Occurrence <br />t <br />1,000 <br />General Aggregate <br />t <br />11000 <br />Products Aggregate <br />i <br />1,000 <br />If any of the listed policies are cancelled prior to their normal <br />expiration date, the insurer will send notice to the certificate <br />holder 30 days in advance. <br />80-C1035 (MECH) <br />ALL 49-39070 31-040406 <br />05-28-2004 <br />PAGE 1 <br />(0007) <br />egy� <br />011IHORG 04634 <br />