|
<br />- .
<br />
<br />/...:ltJtI'I- 4'tf-ol
<br />
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE II OATEllilUDDlYYYV)
<br /> ,. 0811712005
<br />PRODUCER THIS CERTifICATE IS ISSUED AS A MATTER OF INFORMATION
<br />SeymourlHutchings Insurance S.tNices ONLY AND CONfeRS NO RIGHTS UPON THE CERTI>ICATE
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />4140 Irvine Blvd. AL TEN: THE COV9AG~ AfPQftDeO BY THE POLICIES BELOW.
<br />Su~. 202 i
<br />Irvin. CA 82f20 INSURERS AFFORDING COVERAOE - f NAlC#
<br />~."- ~.~_._-----.- ---------.-..-- -.--.'" -~--~---------- ----
<br />IN!'tlIA'Fn Dog Service. UnHmlted, CalifomiaCanln. Game. &. :Jr:!~~_~ ~__W!~~m H.rit~~o R E ~_ r
<br /> Agility Dog Deal... In'. iN<:::,wRF't-
<br /> 12602 WlIfi. Lan. I! ';tJ:>rRC
<br /> Santa Ana CA blOt I'lSl~FRr) I
<br /> I~JSlRf:R "- I
<br />
<br />COVI!RAGES
<br />THE POLICIES OF INSURANCE L.ISTED eeLqw HAye SEEN ISSUE!) TO- THE INSURED NAMED ABOVE FOR floE PoucY PERIOD INDICATED. NOTWITHSTANDING
<br />/>H'( ~eOUll1eMeNT. T~M O!'\ C.-oNDITION 0,. -J>HY CONTMCT 0"- OTt'R:" DOCUMeNT WITH I'U!SPecr TO \MilCH THIS .;.eftTI"ICATI: MAT ISe I:SSUW OP'::
<br />WtY PERT"". THE INSURANCE AFFOADED BY THE POUClES DESCRIED 'I-EREIN IS SUBJECT TO AU.. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POliCIES. A~EO;ATE uMITS SHClWNMAYHNJE BEEN REDOCm BYPAI)ClAJUS.
<br />~91t L
<br />
<br />
<br />POlICY NUMBER
<br />
<br />POLICY EffECTIVE
<br />
<br />P .ICYIU:PIRA ON
<br />
<br />L.IMlTS
<br />
<br />A
<br />
<br />L.IABlLITY
<br />X (T'~~!OAL U'r-FI,'A,L UA8iLlfY SCPOS51.
<br />J ,:IAlWSMA(jf" Li 1 (KClJfI
<br />
<br />01.10-2005
<br />
<br />'06-10-_
<br />
<br />EAr: X;( h.'RLNCC
<br />DM1"GE TO ~1"rED
<br />e.~~lli.I:lL~
<br />MH2f:'Xf~.Q!1~~'1.0J
<br />F'~~9J:ol~L~R:>!'.EM.!f<:,!
<br />GENERA..~ .~0-'3REGA~
<br />,TS COW/CD AGG
<br />
<br />1 DOO DOO
<br />L~~~!uded
<br />! Excl~d~d
<br />~ e~~I~ded
<br />$ t_OOO,_OQO
<br />$" Included
<br />
<br />
<br />LIJ.'~
<br />
<br />AUTOMO"I!..E I.IAaIlJTY
<br />ANY AUTO
<br />
<br />COMBlI".'E;D SINGLE: LIMIT
<br />lEel'lwi:lertl
<br />
<br />All C,V.l>FnAI:TO')
<br />
<br />BCOIl v IN~JPy'
<br />IPli'f/WfSOfl)
<br />
<br />~;Cr+I'I.11 ,:.') AtHO~;
<br />
<br />>-1lF.'I'1 J 1\1 :r:j~;
<br />
<br />J3OClIt.;YIl'l~I.Jf<Y
<br />(Potrll(ddell'l)
<br />
<br />N(J!'I-C!yI<tIJ( n flUT0S
<br />
<br />J:'F(OPf:'RTY DAMA(.Eo
<br />(P<efac~I"enlj
<br />
<br />GARAO~ LlA.BILITY
<br />
<br />~1l,l,J.r9gt~L_Y, E_'" .A(~IPf.tfr_
<br />
<br />!
<br />
<br />ANYIlIIrC'
<br />
<br />.oTHlR rriAN
<br />AIftOONlY.
<br />
<br />.!;'A.6~l -"'_
<br />AGe
<br />
<br />
<br />U,I1,,k-:1tllf-
<br />
<br />I
<br />~ 47- 1/3
<br />/'7f-----L ~ I
<br />
<br />~H ocn_lR!liJ:.lCt s
<br />
<br />excesa.u.tBRB..L.A I.IMl.rr..,.
<br />- ,l
<br />'-";',,'.Jj..' L-' Cl.AIM:.:MAVL
<br />
<br />r;AfE
<br />
<br />:,t-n.Nlf)/'J
<br />WORKr;RS COMPENSATION AND
<br />EUPLO'f1:RS'LlASIl1'N
<br />l\r;'l-''''-'I''+<ILif.>H:''-'M.a~'L,~l:UJlI\I[
<br />""''''~F"R","1F~FR ~)_,_-,~,,1
<br />
<br />.1________
<br />.
<br />I w,;sr^'~u I lon<
<br />__ _i(}l'lYl1Mr:.,._ __ _ .t"if_
<br />J;1--E"'CI:I ~~~pEJJT ~_
<br />!::: L ~EASE _EA [Mr!-_Q-t];T.. :G._
<br />A':;[_P K:YLIr.t1T
<br />
<br />j :._"':,:'~"(."t,~, ';:-,J<o,
<br />
<br />i OTHER
<br />:
<br />,
<br />,
<br />,
<br />
<br />oeSCRIP'T10N Of OPERATlONS' !..OCATIONS IVEHICL.i8fi)(CLUIlONtADDEO gVENDDRUMENT/.PECIAl PRcMstONS
<br />
<br />It is he~byunderstood and agreed that City of S41ntiAnl, its officers, agents,l!'mployeell, reprlsentatives. and volunteers
<br />ar. nam.d as additional infi:URd p.r Form CGl201'JOl 04 ittache'd.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLAtiON
<br />
<br />City 01 Santi Ani
<br />Parks, Ru...allon and Community S.mc:es D.pt
<br />A1tn: Peggy
<br />20 Civic Center Plan (M-23)
<br />
<br />Santa Ana, CAN101
<br />FIX 11U11-l23$
<br />ACORD 25 (2OOtI08)
<br />
<br />SHOULD AN'( OF THE ABO\IE OEItCRlIIlO POI..ICIE8 BE CANCELLED BEFORE THE EXPIRATION
<br />DATE THEREOF. THE ISSUNC.INtUREA. hI. E~J0fIAR. 30 DAYS wRITTEN
<br />NOTlCli TO THE C&fU1FICATlHOl.OER TO THE LIiFT.JIIQ)f)CIIQII(XJOIlIIXDkX xx
<br />
<br />_llll__
<br />
<br />lllllIOl'8t_lllIIll'II'll_ XX
<br />X XX)
<br />
<br />9
<br />G'
<br />
<br />
<br />o ACORD CORPORATION 1988
<br />
|