CAMBODIAN FAMILY, THE 6 - Laserfiche WebLink

Home Browse Search

ACORD CERTIFICATE OF LIABILITY INSURANCE 02 /08 /2006' PRODUCER (714)838 -1912 Lake Insurance Agency 13891 Newport Ave., Suite Lic #0747473 Tustin, CA 92780 FAX (714)838 -7568 285 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Cambodian Family /><�3o0'�_a.03 1111 East Wakeham Avenue �p�{_ tD3 Suite E Santa Ana, CA 92705 A-- 5- b�8 -OdP l&9 INSURER A. Philadelphia Ind. Ins. Co. INSURERS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY INSURER C'. 03/09/2006 INSURER D. EACHOCCURRENCE W SURER P DAMAGETO RENTED GUVtRAUtJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TypE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICYEXPIRATION LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY PHPK355246 03/09/2006 03/09/2007 EACHOCCURRENCE s 1,000,000 DAMAGETO RENTED $ 400,000 MED EXP (Any ane person) $ 5,000 CLAIMS MADE T OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 3,000,00D GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - OON IOP AGO $ 1,000,000 POLICY JECOT LOC AUTOMOBILE LIABILITY ANY AUTO PHPKI55246 03/09/2006 03/09/2007 COMBINED SINGLE LIMIT (Ea accident — $ 1 , 000, DDD BODILY INJURY (Per person) $ ALL OWNED AUTOS X X A SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) $ — PROPERTY DAMAGE (Per accident) $ X $0 Deductible GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY'. AGG $ ANY AUTO $ EXOESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE / EACH OCCURRENCE $ AGGREGATE S $ DEDUCTIBLE S RETENTION $ WC BTATU- OTH- - WORKERSCOMPENSATION AND EL. EACH ACCIDENT $ EMPLOYERS'LIASILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYE S E. L. DISEASE - POLICY LIMIT S Ryes describe under SPECIAL PROVISIONS below A Tuse &Molestation PHPK155246 03/09/2006 03/09/2007 $1,000,000 Each Claim $1,000,000 Aggregate $0 Deductible DESCRIPTION OF OPERATICws I LOCATIONS / VEHICLES I EX LUSIONS PIGGED BY ENDO EMENTI SPEC L PROVISION -,Except 10 days for non payment or premium. Em. -, DTS�ionesty 200,000/$2,500 Ded. Professional Liability $1,000,000 Each Occ /$3,000,000 Aggregate. City of Santa Ana is named additional insured per contract with named insured. Schedule of vehicles and drivers on file. "Non Profit organization" The City Of Santa Ana: Its Officers,Employees Agents, representatives 20 Civic Center Plaza (M -30) Santa Ana, CA 92705 Arnon Da rDnm mat FAX: (714)571 -1974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL KUXdH5X14 MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. ffi15' �XK6X�l0Ut1( d414Y3fkX %WXX%d4 %>idHHldhYdEXXdkX�XXX'. ©ACORD CORPORATION 1981 _Y