My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
JOHNSON FRANK & ASSOCIATES 2 - 2005
Clerk
>
Contracts / Agreements
>
J
>
JOHNSON FRANK & ASSOCIATES 2 - 2005
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/3/2012 2:52:04 PM
Creation date
3/29/2005 10:01:16 AM
Metadata
Fields
Template:
Contracts
Company Name
Johnson Frank & Associates, Inc.
Contract #
A-2005-027
Agency
Public Works
Council Approval Date
2/7/2005
Insurance Exp Date
12/1/2010
Notes
Amended by A-2005-027-01, workers' comp. ins. exp. 1-01-2010
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
33
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
I a' <br />CERTIFICATE OF LIABILITY INSURANCE DATE (NRVDDIYYYY) <br /> 1113012009 <br />PRODUCER IOA Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />30 Yantis <br />Suite 165 <br />1 <br />^ <br />130 anti <br />Su ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />, <br />p '? J; <br />92656 ri r <br />Viejo <br />Allso I'1 Ht? L 11?? THIS CERTIFICATE DOES NOT AM END, EXTEND OR <br />, AfT HE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />949-680-1790 OE67766 <br />www.ioausa.corn CITY' <br />INSUJRI! R AFFORDING COVERAGE <br />NAIC # <br />INSURED Johnson-Frank & Associates, Inc. C I <br />F- INSUREkN Eeazle insurance company, <br />- <br />551550 E. Hunter Avenue INSURER B: <br />Anaheim CA 92807 <br /> INSURERC: <br /> INSURER D: <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 />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />SR <br />1JR <br />DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE fMMtDO Y YJ <br />POLICY EXPIRATION <br />DATE (MMODIYYYYI <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY - PREMISES ao=rrance $ <br /> <br /> CLAIMS MADE 0 OCCUR MED ELP An one person $ <br /> PERSONAL & ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS .COMP/OPAGG $ <br /> POLICY PRO- LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEOULEDAUTOS (Parpmon) $ <br /> HIREDAUTCS /y <br />TO ?+OR BODILYWJURY <br /> OW <br />APPR (Per accident) $ <br /> NON-OWNED AUTOS <br /> / <br />A PROPERTYDAMAGE <br /> <br />??/// <br />(Per accident) $ <br /> <br /> GARAGE LIABILITY <br />aura Stitt <br />]'lee <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANY AUTO nt City <br />t <br />i Attorney' EAACC <br />OTHER THAN S <br /> a <br />s <br />Ass AUTO ONLY: <br />AUTO ONLY: AGG <br />$ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WCSTATLY 10TH- <br /> AND EMPLOYERS'LIABILITY <br /> YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE ? <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICERIMEMBFR EXCLUDED? <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br /> It yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />A Professional V15PR3090201 1211/2009 1211/2010 $1,000,000 per Claim <br /> Liability <br />L J $2,000,000 Aggregate <br /> <br />DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />_ <br />_ <br />30 Day Notice Endt. BICAE00411105 included <br />City of Santa Ana, Its Officers, <br />Employees, and Representatives <br />Attn: Sherry Barkley <br />PO Box 1988 <br />Santa Ana CA 92702 <br />SHOULDANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLEDBEFORETHE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3V DAYS WRBTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES- ' 1e Days for Non-payment o?Premium <br />AUTHORIZED REPRESENTATIVE J? <br />(AVC) Alicia K. Igram <br />ACORD 25 (2009101) <br />CERT NC.: 6330999 (AVC) Betty Tran 11/30/2009 9:43:24 AN Page 1 of 3 <br />®1988-2009 ACORD CORPORATION. All rights reserved.
The URL can be used to link to this page
Your browser does not support the video tag.