PSOMAS 1 - 2005 - Laserfiche WebLink

Home Browse Search

Client#: 6184 PSOMAS ACORD~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYY) 10/13/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 01 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO'" PRODUCER Dealey, Renton & Associates P. O. Box 10550 Santa Ana, CA 92711-0550 714 427-6810 INSURERS AFFORDING COVERAGE INSURED tJ - .5-(',/L PSOMAS4_ k'(>5-(1'l5 11444 West Olympic Blvd.,Suite 750 West Los Angeles, CA 90064-1549 INSURER A: Hartford Fire Ins. CO. INSURER B, Travelers Property Casualty Co of Am INSURER c: American Automobile Ins. Co. ----- ------ INSURER D' U.S. Specialty.lnsurance Company INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDlf ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED ( MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUo POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~~ TYPE OF INSURANCE POLICY NUMBER Pg~~Clf~~~gr.x~ POLICY EXPIRATION LIMITS A GENERAL LIABILITY 57CESOA1659 10/15/05 10/15/06 ~~H OCCURREN.CE -I $1,~O,Ollll ~ X C~lMERClAlGENERAlUABllITY FIRE DAMAGE (Anyone fire) ~MO.O,OOO_ .- CLAIMS MADE [iJ OCCUR INDP. CONTRACTORS MED EXP (Anyone person) $10000 .x CONTRACTUAL INCLUDED PERSONAL & ADV INJURY $1 000 000 .x BFPD, XCU GENERAL AGGREGATE $2 000 000 ~'L AGG~EfilE LIMIT APrilS PER: PRODUCTS -COMP/OP AGG $2 000 000 POLlCY X ~.f,Q,: X LOC B ~TOMOBILE LIABILITY P810153D8928TIL05 10/15/05 10/15/06 COMBINED SINGLE LIMIT .x ANY AUTO (Eaaccident) $1,000,000 ----. _00- - ALL OWNED AUTOS BODILY INJURY $ - SCHEDULED AUTOS (Per person) ~ HIRED AUTOS BODILY INJURY $ ~ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) '~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ ~::rOCCUR U CLAIMS MADE AGGREGATE $ $ ~ ~EDUCTIBLE $ RETENTION $ $ C WOR.KeRS COMPENSATION AN[I WZPS09346G2 10/15/05 ~Ci~5;OG X T...wc STATIJ:-r--' ,OJ~- EMPLOYERS' LIABILITY ~.lIOBY..LlMlTS.I_ .L ----- ~_EA9:!Ac:c:IDENT $1,000,00_0_ E.L DISEASE - EA EMPL OYEE $1,000000 E.L. DISEASE - POLlCY LIMIT $1 000 000 D OTHER Professional US051170301 10/15/05 10/15/06 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONSllOCATlONSNEHICLESfEXCLUSIONS ADDED BY ENDORSEMENT/sPECIAl PROVISIONS General Liability policy excludes claims arising out of the performance of professional /'-/tili._a-uifj ;0 services 2SAN050700- Task 00000 On Call agreement for survey work, preparation of legal descriptions and (See Allached Descriptions) CERTIFICATE HOLDER I I ADDmONALINSURED.INSURERLETTER: CANCELLATION Tan--= ,.,^"- SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILLt:X~MAIL3D---DAYSWRITTI All: Kent Jorgensen NOTlCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BKJtI8IX1lU.)Ot~nJnIXJll: Public Works Agency MeCIIJ(~"KXJJX_XJmIJII!XBJIIDJ(~ 20 Civic Center Plaza; PO Box 1988 M36 "',,"','"" x Santa Ana, CA 92702 AUTHORIZED REPRESEN/~E.. . ,II I....A ACORD 25-S (7/97)1 of2 #M 140545 ...., V" ..........H'~LL @ ACORD CORPORATION.