Laserfiche WebLink
{ <br />TN CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) <br />o9/o7/zoos <br />PRODUCER (714)905-1923 FAX (714)905-1910 <br />Hayward Tilton & Rol app Ins. Assoc. , Inc. <br />License #0614365 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 />P.O. Box 25529 <br />Anaheim, CA 92825-5529 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Cycom Data Systems, Inc. INSURER A. Hartford Casualty Insurance Co 29424 <br />6835 Roberta Rd. SW INSURER e. Continental Casualty <br />Ocean Isle Beach, SC 28469 INSURER c: <br /> INSURER O <br /> INSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSU RANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br /> GENERAL LIABILITY 7256ANJ1649DX 06/04/2005 06/04/2006 EACH OCCURRENCE $ 1~000~QQQ <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 300 <br />OOO <br /> , <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1Q , QQQ <br />A PERSONAL 8 ADV INJURY S 1 ~ QQQ ~ QQQ <br /> GENERAL AGGREGATE E 2,000,QQQ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -COMP/OP AGG E 2 , OOO, OOO <br /> POLICY PRO- LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />S <br /> ANV AUTO (EB BCCitlant) <br /> ALL O WNED AUTOS <br />BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accitlenU <br /> PROPERTY DAMAGE <br /> <br />(Per accitlen0 S <br /> GARAGE LIABILITY ., AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG E <br /> EXCESS/UMBRELLA LIABILITY _ _ •e :_- ._ _.____. _ Y - EACH OCCURRENCE E <br /> OCCUR ~ CLAIMS MADE T AGGREGATE E <br /> E <br /> DEDUCTIBLE E <br /> RETENTION $ E <br /> WORKERS COMPENSATION ANO WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E l EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUOED9 <br />E.L. DISEASE - EA EMPLOYE <br />$ <br /> If yee, tlescribe untler <br /> SPECIAL PROVISIONS below El DISEASE -POLICY LIMIT $ <br /> ro~" <br />i <br />l <br />i <br />bili 267898038 07/16/2005 07/16/2006 $1,000,000 Aggr. Incl Expenses <br /> ona <br />ess <br />L <br />a <br />ty <br />B $1,000,000 Each Wrongful Act <br /> $10,000 Deductible <br />DESCRIPTION OF OPERATIONS I LQCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />ertificate holder Ts 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 />City of Santa Ana <br />Office of the City Attorney <br />Attn: Juanita Hernandez <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD zs(zooveal FAX: (714)647-6515 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />3O*° DAYS WRITTEN NOTICE TO TXE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />Valerie GallardoNMG ~ <br />nernen rnaanaennu ~DRI <br />