Laserfiche WebLink
M45/2005 15:50 7145714209 PARKS AND RECREATION PAGE 03 <br />04/28/2005 12:14,25 PM Client Services Of NoW YorK Y'AJL6R,1%Vrn roB <br />ACORD-l� arTDATE C <br />lE9/DD/YY <br />•;•aura E 6 "s 'a <br />m ;A 4 e <br />PRODUCER <br />THIS CERTIFICATE 13 ISSUED A$ A MATTER OF INFORMATION <br />Aon Risk Services Inc, of Washington, D.C./ HNnti <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE: <br />1120 20th Street NW <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Washiegtan DC 2003E <br />ALTER THE CQVERAGE AFFORDED AY THE POLICIES BELOW. <br />COMPANIES AFFORDING C YeMG <br />COANANY Westchester Surplus Lines ins cG <br />PHONE-C9E6) 256-7475 FAX. (866) A67-7847 <br />A <br />I1115URED _ <br />�'�'=IL�O= - D I7 <br />C, MPAIuY <br />Rebuilding Together <br />B <br />And Its Affiliates N - xL'0 3—L'77-GI <br />1536 16th StPa9t, NW <br />GOAPAN! <br />Washington OC 20016 UsA YY�� tt <br />T'T <br />C <br />COMPANY <br />O <br />TNIS 1E TO CERTIFY THAT THE POLICIES OF INSVR►MCE LISTED BELOW HAVE BEEN MUEO TO THE INSURED NAMEDABOVE FQR THE POLICY PER100 <br />INOICATED, NOTWITHSTANDING" REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WNICM THIS <br />CERTIFICATE MAY BE ISBUED OR MAY PERTAIN, THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />CO YY73 OF MURA149L LOItCY NOMRER VOLICYEA'EICIEV9 YULICYEV111AIAVN LEWIS <br />L <br />PAII IIKNN mj DATE 0A 111YST <br />A <br />NNERALUABILRY <br />GLIRdaa03 <br />01/15/06 <br />OS/15706 <br />GENERALAGGREUTE <br />SS, COO, Oa <br />,Y <br />CONJAFRCIAI GENCRAL LIAEfUTT <br />COMMERCIAL GPIERAL LIABILITY <br />ROIJUGTS.COMPIOP AGG <br />52.0001000 <br />CLAIMSMACE mOCCI,R <br />aril'. <br />PERSONAL a APV INJURY <br />41,000,000 <br />EACH GOCURRENOE <br />$1,000,00 <br />O'A4VER 9 B CONTRACTOR S PRDT <br />L PAMAGE(AMCM em) <br />Swim <br />MED CxP TAM one Aemom <br />55,00 <br />AUTOMOBILELIABILITY <br />:OM5NED5N%Cuw <br />ANY AUTO <br />ALL 0AUTOS <br />06nu NA1PV <br />SCHEOL DALMS <br />fPe, mon) <br />HRED ALTOS <br />BpOty wJURV <br />NONOWNEO AUTOS <br />lPA, W 56m <br />ROPERTVDAMAOE <br />BAAAGE LIABILRv <br />AU170 MY. EA ACCIDENT <br />AANAUTO <br />OTHER THAN A6700^L. <br />"f" wA" ,fi' Y F,•, <br />EACHACCIDENT <br />AGGREGATE <br />A <br />ExCE00 LMBIL" <br />CwwSS305 <br />03/15/05 <br />05/15106 <br />EACH GCCLFRE^4E <br />5,0 <br />JMURELLAP69M <br />Excess <br />AGOREGA-E <br />SS, DOB, OO <br />x OTHER THANL VPPL LA P09M <br />WORKER'S COMBENSRTONANO <br />T I IM'f <br />EMPLOYERS'UMBIMTY <br />APPROVED <br />AS TO <br />EL EACH AO ENT <br />EL OISEASE.eOLIC`IUMn <br />THE PPOpmrORI <br />I°ARTNEPSFXELIlTIVk IN <br />,FORM <br />OFFICERS ARE I JEXCL <br />M DWA92.EA EMPLO'IEE <br />to Stitt She <br />y <br />Assis <br />ant City Att <br />rney <br />I <br />OWFI11TION OF 01`EAATON6ILOCATVmSN1EtC EVwI "AL TOMS <br />WITH RESPECT TO GENERAL LIABILITY, THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, EMPLOYEES, REPRESENTATIVES ANO <br />VOLUNTEERS ARE fNCLUDED AS AN ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT. i <br />SHOULD ANY OC THE ABOvt oESCBIBED POLICES aE CANCELLED BEFOPETNE <br />CITY OF SANTA ANA <br />tXPIPATI0N DATE TI'.CRCOF THC ISSUNG COMPANY PALL ENOEAVOFTO MA <br />PARKS, RECREATION & COMMUNITY <br />N PAYS V, .EN FIO.ICC TO THE CBRnocATE Ha,.DER N&NED TO THE LEFT, <br />SERVICES AGENCY <br />ATTN: OOLORE5 RAMOS <br />BUTTALURE TO MAL SUCHNOTICESHKa M VSE NPQISIGPT,ON OR LAeLT I <br />P.O. SOX 1998 M-23 <br />OP AW )(M UPON TIC COMPANY ITS AG N$ OR CEPREo WATIVC5 <br />I <br />AL94VU�ci REPRESENrnnw .,:.. BBAtxA.M.A.AEr. y9er.IEn.�r,.2 aT <br />SANTA ANA CA 92702 USA <br />I <br />