Laserfiche WebLink
<br />PRODUCER <br />North American Ins Agency <br />A Div of Hi1b,Roga1 & Hamilton <br />P.O. Box 6700 <br />Rancho Cucamonga CA 91729 <br />Phone: 909-476-3300 Fax:909-484-5176 <br /> <br />CERTIFIC" OF LIABILITY INSU \NCetlk~b1 DA~E~~~~';o)3 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />, ACBRD. <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />INSURER A: <br />INSURER S' <br />INSURER c: <br />INSURER D: <br />INSURER E <br /> <br />Golden Eagle Insurance Cor <br /> <br />Kinkle Rodiger & Spriggs <br />3~33 14th Street <br />R1verside CA 92501 <br /> <br />COVERAGES <br /> <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 CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLlCIES_ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />lrl~ TYPE OF INSURANCE POLICY NUMBER <br />~NERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY CBP9667121 <br />I CLAIMS MADE [!] OCCUR <br /> <br />DATE lMM/DD1YYi" <br /> <br />DATE'IMM/DOIWf' <br /> <br />EACH OCCURRENCE <br /> <br />02/28/03 <br /> <br />02/28/04 <br /> <br />FIRE DAMAGE (Anyone fire) <br />MED EXP (Anyone person) <br /> <br />~'L AGGRE~E ILlMIT AP~S PER: <br />I POLICY I I j~8i I I LOC <br />AUTOMOBILE LIABILITY <br />- <br />A _ ANY AUTO <br />_ ALL OWNED AUTOS <br /> <br />- <br />-.!. HIRED AUTOS <br />-.!. NON-OWNED AUTOS <br /> <br />I----- <br /> <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS. COMPfOP AGG <br /> <br />02/28/03 <br /> <br />02/28/04 <br /> <br />COMBINED SINGLE LIMIT <br />(Eaaccident) <br /> <br />CBP9667121 <br /> <br />SCHEDULED AUTOS <br /> <br />BODILY INJURY <br />(Per person) <br /> <br />BODILY INJURY <br />(Per accident) <br /> <br />PROPERTY DAMAGE <br />(Per accident) <br /> <br />GARAGE L1ABIUTY <br />R ANY AUTO <br /> <br />EXCESS LIABILITY <br />A t!J - OCCUR D CLAIMS MADE <br /> <br />h DEDUCTIBLE <br />Ii1 RETENTION $ 10 , 000 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' L1ABIL.ITY <br /> <br />AUTO ONLY - EA ACCIDENT <br /> <br />OTHER THAN <br />AUTO ONLY: <br /> <br />EAACC <br />AGG <br /> <br />02/28/03 <br /> <br />02/28/04 <br /> <br />EACH OCCURRENCE <br />AGGREGATE <br /> <br />CU9662824 <br /> <br />/..','I-:{,O' <br /> <br />ORM <br /> <br />;'0J'~GLl <br /> <br />LL ":;y _ '\' ,\t7\ :l:l:"',! <br /> <br />---,,----~". <br /> <br />I TORY LIMITS I IU~~- <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br /> <br />OTHER <br /> <br />DESCRIPTION OF OPERATlONSlLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTfSPECIAL PROVISIONS <br />With regards to the Santa Ana Office of the named insured,The City of Santa <br />Ana,its officers,&employees are named as additional insured. *Except 10 Days <br />Notice of Cancellation for Non-Payment of Premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />I y I ADDITIONAL INSURED; INSURER LETTER; <br /> <br />CANCELLATION <br /> <br />LIMITS <br /> <br />$1,000,000 <br />$100,000 <br />$ 5, 000 <br />$ EXCLUDED <br />$2,000,000 <br />$2,000,000 <br /> <br />$1,000,000 <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br />$ <br />$ <br />. 5,000.000 <br />'5,000,000 <br />. <br />$ <br />$ <br /> <br />SANTAN2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. /.? /"'? <br />/^ ,,? / r::;>. <br />Linda Burns (,.,,/.Y ~ ~ - <br /> <br />City of Santa Ana <br />P.O. Box 1988 <br />Santa Ana CA 92702 <br /> <br />ACORD 25-5 7/97 <br /> <br />, <br /> <br />@ACORDCORPORATION 1988 <br />