|
<br />ACOE/J" CERTIFICATE OF LIABILITY INSURANCE I DATE IMMfDD/YYYYj
<br />01/03/2008
<br />PRODUCER (949)756-5730 FAX (949)756-5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />Spectrum Risk Mgmt. & Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />CA Lie. #0C77485 A-:loo5-;L(.,8' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
<br />74 Discovery A, ;1.00"-0;1.3
<br />Irvine, CA 92618 A - <u>o(" - 3;;15 INSURERS AFFORDING COVERAGE NAIC#
<br />INSURED TSCM Corp. A-:2.001-005 INSURER A Navigators Ins. Co. 42307
<br /> 18281 Gothard St. ,Ste.l09 N-I'I"I"1-:2.11 INSURER B: General Ins. Co. of America
<br /> Huntington Beach, CA 92648 INSURER C St.Paul Fire & Marine Ins. Co.
<br /> A . ;1.O03-,::l. ~ ~ c INSURER D Cypress Insurance Company 10855
<br /> A.;;uJol../ -0::L3 INSURER E
<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 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
<br />I,N1iE- ~,q,~! TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~~!fi EXPIRATION LIMITS
<br /> GENERAL LIABILITY 06CGLOO0481-02 01/01/2008 01/01/2009 EACH OCCURRENCE . 1,000,000
<br /> -
<br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED . 50,00C
<br /> l CLAIMS MADE 0 OCCUR MED EXP (Anyone person) . 5,000
<br />A PERSONAL & ADV INJURY . 1,000,OOC
<br /> GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG . 1,000,000
<br /> I ,nPRO- n
<br /> POLICY JECT LOC
<br /> ~TOMOBILE LIABILITY 24-CC-153067-2 01/01/2008 01/01/2009 COMBINED SINGLE LIMIT
<br /> (Eaaccident) $
<br /> X ANY AUTO 1,000,000
<br /> --'-'-
<br /> - ALL OWNED AUTOS BODILY INJURY
<br /> ,
<br /> SCHEDULED AUTOS (Per person)
<br />B -
<br /> ~ HIRED AUTOS BODILY INJURY
<br /> (Peraccidentl $
<br /> ~ NON OWNED AUTOS
<br /> PROPERTY DAMAGE $
<br /> (Peraccidenl)
<br /> ~~GE LIABILITY AUTO ONLY - EAACCIDENT $
<br /> ANY AUTO OTHER THAN EAACC ,
<br /> AUTO ONLY AGG $
<br /> EXCESS/UMBRELLA LIABILITY QK04500369 01/01/2008 01/01/2009 EACH OCCURRENCE , 4,000,000
<br /> X OCCUR D CLAIMS MADE AGGREGATE , 4,000,000
<br />C ,
<br /> ~ ~EDUCT"LE .
<br /> X RETENTION . 10,OOC .
<br /> WORKERS COMPENSATION AND 3310010909-071 07/01/2007 07/01/2008 X IT,:("J:e:,~~[ [OJ!;'
<br /> EMPLOYERS' LIABILITY E L EACH ACCIDENT , 1,000,00C
<br />D ANY PROPRIETOR/PARTNER/EXECUTIVE
<br /> OFFICERfMEMBER EXCLUDED? E L DISEASE EA EMPLOYEE -'-- 1,000,000
<br /> If yes. describe und~r
<br /> SPECIAL PROVISIONS below E L DISEASE POLICY LIMIT , 1,000,000
<br /> OTHER
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ( SPECIAL PROVISIONS
<br />e: Parking lot sweeping services.
<br />he City its officers, agents, employees are named additional insureds with resepect to the GL and auto
<br />iability per the attached forms.
<br />~e: Notice below: 10 days notice for non-payment of premium and/or non-reporting of payro 11 .
<br /> ..,-"""
<br /> " ,. , " , .' . CANCELLATION
<br />CERTIFICATE HOLDER ' ,
<br /> The City of Santa Ana -~:J- / /.5. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> _ ._ ~PIRAJION DATE THEREOF, THE ISSUING INSURER WILL l!!r1l!1E IiIRTOMAIL
<br /> ..JJL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> Attn: Carolyn Fullerton '
<br /> 20 Civic Center Plaza M-25 (.! ,!., . c" ., ~,,~ ~... ..~~ T9 rUr!. ["<;11 t'''........~ ........ ,..........,.'" .'? 9n. .....A~."" ".,. I I~"''' 'TV
<br /> Community Development Agency BF' AU, IUlII'! I1F'BIJ TilE IIJ8I:iRER, ITS, 8EllfS BR REPRE&EflrTl"E;;S.
<br /> Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE 9-?1~
<br /> Jim Waterhouse/GINNIE
<br />
<br />ACORD 25 (2001/08)
<br />
<br />@ACORDCORPORATION 1988
<br />
|