Laserfiche WebLink
<br />ACfQRCERTIFICATE OF LIABILITY INSURANCE DATE (MMMDF(YYY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Venbrook Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />22801 Ventura Blvd, Third Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Woodland Hills, CA 91364 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone 818-225.6200 Fax 818-225.6210 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Overland <br />Pacific & Cutler <br />Inc INSURER A: Great American E & S Company <br />, <br />. <br />, <br />100 West Broadway INSURERS: The Hartford Insurance Company <br />Suite 500 <br />NSURERC: RSUI Indemnity Company <br />Long Beach, CA 90802 INSURER D: Everest National Insurance <br /> INSURER E: Illinois Union Insurance Company <br />?nVERAGES <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 />INSR 00 POLICY NUMBER POUCYEFFECTIVE POUCYEXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PL 5574310-01 6/24/2004 611/2005 PRMISES Eaaccurenca $ 50,000 <br />A CIAIMSMADE ? OCCUR MEDEXP(MymePe,san) $ Excluded <br /> X Contractual Liability PERSONAL & ADV INJURY S 1,000,000 <br /> fENERAL AGGREGTE S 22000,000 <br /> GEN'L AGGREGTE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ Excluded <br /> POLICY PRO LOC IECT F7 <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 <br />000 <br />000 <br /> ANY AUTO 72 UECUM6536 6/24/2004 6/24/2005 (Eaeccidwt) , <br />, <br /> <br /> ALL OWNED AUTOS BODILY IWURY <br />$ <br />B SCHEDULED AUTOS (Per person) <br /> <br /> X HIRED AUTOS AePROV J AJ LU BODILY IWURY <br />$ <br /> X NON-OWNED AUTOS (Per awdent) <br /> I <br />1 <br /> PROPERTY DAMAGE <br /> (Per accident) $ <br /> <br /> <br />GARAGE LIABILITY <br />LaL <br />ra L tld4u <br />J <br />AUTO ONLY -EA ACCIDENT <br />$ <br /> ASSISI nL C11) ALIor G? <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXOESSUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> NHA212256 719/2004 6/1/2005 000 <br />000 <br />1 <br /> X OCCUR El CLAIMS MADE AGGREGATE , <br />, <br />$ <br />C $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> X we $TATU- OTH- <br /> WORKERS COMPENSATION AND 3900048305-041 6/112004 6/1/2005 <br /> <br />D EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT 1,090,660 <br />$ <br /> ANY PROPRIETORIPARTNER/EXECUTIVE 600 <br />690 <br />1 <br /> OFFICER/MEMBER EXCLUDED? YES E.L. DISEASE-EA EMPLOYEE , <br />, <br />S <br /> Xves, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT 1,000,000 <br />$ <br /> 4THER <br />Em <br />lo <br />ment Practices Liab & BM120010437 6/24/2004 6/112005 EPL: $1,000,000 - $15,000 Retention <br />E p <br />y E & O: $2,000,000 - $50,000 Retention <br /> Errors & Omissions Prof Liab <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, agents, employees, consultants, special counsel & reperesentatives are named as Additional <br />Insured as their interests may appear in the operations of the Named Insured. <br />Revision of Certificate dated 7/2012004 <br />e10 Days Notice of Cancellation for Non-Payment of Premium <br />Additional Insured <br />City of Santa Ana <br />Public Works Department <br />Attn: Taig Higgins <br />20 Civic Center Plaza <br />Santa Ana, CA 92701- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED <br />25 (2001/08)