Laserfiche WebLink
I Ite: 9/7/2005 Time: 11:24 AM To: ® 96476515 <br />714-905-1910 Paqe: 001-006 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE o9io i oYs' <br />PRO WGER (714)905-1923 FAX (714)905-1910 <br />Hayward Tilton & Rol app Ins. Assoc. , Inc. <br />License k0614365 THIS CERTI FICATEIS ISSUED ASAMATTER OFINFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER THIS CERII FICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />P.O. Box 25529 <br />Anaheim, CA 92825-5529 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED Cycom Data Systems, Inc. IN~uRER A Hartford Casualty Insurance Co 29424 <br />6835 Roberta Rd. SW I/,SURERH Continental Casualty <br />Ocean Isle Beach, SC 28469 IN~u6ER~ <br /> k51J4FF' G <br /> P!'iIJREP L <br />frIVFQ OG CC <br />THE POLICIES OF INSURANCE LISTED BELOYV HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANY REQU IREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCU MENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSU ED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJ ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NLMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY 7258ANJ1649DX 06/04/2005 06/04/2006 EACH~~~~`L RRENCE s 1,000,000 <br /> X F~SMMERrIAL~,ENERALLIARILIT+ DAMAGE T4RENTEG $ SOD,000 <br /> ~:LPIMS MADE ~~_QUR MEC~EFP IAIi$nnr Veiwlq $ 1D, DDD <br />A PER$[INALF 4LlV IV.I l1 R~/ $ 1 <br />ODD <br />DDD <br /> _ , <br />, <br /> -EraERAL AGGREGATE t 2,000,000 <br /> BEN"~ n,;,;PE54TE LIMIT APPLIES RER <br />FRO PRnpltTS ,,VMP/SP A56 S 2, OOO, DDD <br /> R~, ~.~./ <br />- LOC <br />IEI T <br /> AU TOMOBILE LIABILITY <br /> ~./MBINED SI PULE IJMIT ,~ <br /> APII' AUTO (Ea a~mmit <br /> ALL ~9VNJED A11T0`_. <br /> &~DILY INJURY $ <br /> ;~ Ht ~uLm Al R~+ IPerpersorl <br /> HwFG ul n ~~. <br /> BODIL° NJUHV $, <br /> NoN~_INhFn AUT~~S (Fe.: ~ulonq <br /> PRGPERT' ~APAA2E <br /> $ <br /> (Fa accitlenl) <br /> OARAGE LIABILITY AH-n ONLY EA Af CIDEM1T $ <br /> /wv Ann ~~~P <br />y Il <br />I ~J, ; <br />'~ EA nce $ <br /> . <br />, 1 ., ..-r;e nnrPnlAnl <br /> gllni oruLr Ac3 s <br /> EXCESSNMBRELLA LIABILRY <br />i. <br />~ ~ <br /> <br />/ EACH F~~~ uRRENrc $ <br /> Ji_i'lIG VLAI MS MADE ___ , ~ <br />~ A'SGREG FTE $ <br /> _ _~,,,,L.. L <br />.... _~~,: <br />=.[< <br /> $ <br /> OEDWdTIELE ---- - <br />$ <br /> F'ETENTION $ - <br /> WORKER6COMPENSATIONAND WC STATU CTH- <br /> EMPLOYERS'LIABILnY 1~ PY 11 - F <br /> 4NY PRCPRIETJkIPAHTNER/ExE,IITIVE EL EACH ACCIDENT $ <br /> OFFI~:FH/MCMREk t ur LUpCR^ <br />Ilyus, tlswme under <br /> <br />CL OItiE/SE EA EMPLOYE <br /> <br />$ <br /> SPECIAL PFnvlsl0^ds below EL DISEAtiF FOLICVLIMIT S <br /> POro~essional Liability 267898038 07/16/2005 07/16/2006 51,000,000 Aggr. Inc! Expenses <br />B 51,000,000 Each Wrongful Act <br /> 510,000 Deductible <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS <br />ertificate holder is named as additional insured as respects to general liability but only as respects <br />o services provided by the named insured. <br />'CANCELLATION: 10-day notice for non-payment of premium. <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />~lty of Santa Ana EXPIRATION DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL <br />Office of the City Attorney 30-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />Attn: Juanita Hernandez BNT FAILURE TO MgIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />2D Cl V1C Center Plaza OF ANY KIND UPON THE INSURER, rtSAGENTS OR REPRESENTATNES. <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATVE ~~ <br />Valerie GallardoNHC <br />ACORD 95 !9007/0M1 FAX: (7141647-6575 <br />