Laserfiche WebLink
<br />.. . <br />ACORCl CERTIFICATE OF LIABILITY INSURANCE. I DATE (MMfDDIYYYY) <br />12/07/2005 <br />. PR~DUCER (949)553 9700 FAX (949)553-9797 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Westland Insurance Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2302 Martin, Suite 315 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine, CA 92612 <br /> INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Del hi Conmnunity Center /t.- J9'Q5--63 I INSURER A:. St Paul Travelers 190380 <br />505 South Central Ave. INSURER B: <br />Santa Ana, CA 92707-3504 A-:WoJ-i 83 INSURER c: <br /> INSURER 0: <br /> INSURER E: <br />'--- <br /> <br />COV""'RAGE" <br /> <br /> - <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWrTHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWlTH RESPECT TO WlHICH 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 />Jr~ ~~~fl TYPE OF INSURAN.CE POLICY NUMBER PRH~'; EFFECTIVE PQUCY EXPlRA TIQN LIMITS <br /> GENERAL LIABILITY X-660-818X4872-TIL-05 12/14/2005 12/14/2006 EACH OCCURRENCE $ 1,000,000 <br /> X' COMMERCIAL GENERAL LIABIliTY DAMAGE TO RENTED $ 300,000 <br /> I CLAIMS MADE 0 OCCUR MEa EXP (Anyone person) $ 5,000 <br />A PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APrlS PER: PRODUCTS - COMPfO? AGG $ 2,000,000 <br /> II ,nPRO- <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY BA-3123W685-TCT-05 12/14/2005 12/14/2006 COMBINED SINGLE LIMIT <br /> (fa accident) $ <br /> ANY AUTO 1,000,000 <br /> - <br /> ALL OWNED AUTOS BODILY INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br />A - rv.~-' <br /> ~ HIRED AUTOS ,;tt~'\fitl l\I 'tO~ / BODll Y INJURY <br /> $ <br /> X NON-OWNED AUTOS ' ^- ....- (Per accident) <br /> - .~; ;i.,,-, ~ lJ?fP~ <br /> - ~C\( PROPERTY DAMAGE I <br /> (Per accident) <br /> ~~GE LIABiliTY --cr ,-,Sf' ~'C\W {O,"'" , ~ AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO p,SSIStO(\ of' - OTHER THAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESs/UMBRELLA L1ABIL.lTY X M-CUP 3289W520-TIL-05 12/14/2005 12/14/2006 EACH OCCURRENCE $ 100,000 <br /> ~ OCCUR o CLAIMS MADE AGGREGATE $ 1,000,000 <br />A Retained Limit $ 10,000 <br /> =1 ~EDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I we STATU- I IOJ~- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORlPARTNER/EXECUTJVE E.l. EACH ACCIDENT $ <br /> OFFICERlMEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS { LOCATIONS I VEHICLES ( EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />idelity Bond: The Hartford #72BDDAM2830 - 7/7/2005-2006 Limit: $600,000 Deductible: $2,' 500 <br />he Santa Ana Empowerment Corporation and the City of Santa Ana are named as Additional Insured's <br />er attached Endorsements CN0188(01/9), CGD037(0199) <br />'Except non-payment of premium which is a 10 day notice of cancellation <br />C"RTIFICATF HOI DER C4NCEI LATlnN <br /> SHOULD ANY OF THE ABOVE .DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Santa Ana Work Center EXPIRATION DAl"E l"HEREOF, THE ISSUING INSURER WilL KiXXX~ MAIL <br /> Attn: Bea Gonzalez *30 DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1000 E. Santa Ana Bl vd KiXllOOO{~Klt1i('I0OO0lllXlOOOO;ll>>~XltXXX <br /> Suite 200 lllOOOOOOl>>llKlOOOOOOIil(JroU(iIiltl(lI\j(lt~~XXXXXXXX <br /> Santa Ana. CA 92701 AUTHORlZED REPRESENTATIVE ~---<l~~ <br /> Alfonso Galvez/PAT <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION1988 <br />