OVERLAND, PACIFIC & CUTLER 1A - Laserfiche WebLink

Home Browse Search

ACORD", CERTIFICA.OF LIABILITY INSURA.E DATE7~~;'~;;;' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Venbrook Insurance Services 22801 Ventura Blvd, Third Floor Woodland Hills, CA 91364 Phone 818-225-6200 Fax 818-225-6210 INSURED Overland, Pacific & Cutler, Inc. 100 West Broadway Suite 500 Long Beach, CA 90802 INSURERS AFFORDING COVERAGE INSURER A; Great American E & S Company INSURER B: The Hartford Insurance Company INSURER c: Everest National Insurance INSURER D: Illinois Union Insurance Company INSURER E: RSUllndemnit Campan NAIC# COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: N~~r POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ~AERAL LIABiLiTY EACH OCCURRENCE ! 1,000,000 X COMMERCIAL GENERAL LIABILITY PL 5574310-01 6/24/2004 6/1/2005 ~~:~~JYE~~~~~~nce\ $ 50,000 A I CLAIMS MADE []] OCCUR MED EXP (Anv one person) $ Excluded - PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 ~'~AGGREnE ILlMIT APnS ;ER: PRODUCTS. COMP/OP AGG $ Excluded POLICY ~~,9.;: lOG ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO 72 UECUM6536 6/24/2004 6/24/2005 (Eaaccident) -----j - All OWNED AUTOS BOOIL Y INJURY $ B SCHEDULED AUTOS (Per person) X HIRED AUTOS BODilY INJURY ex (Per accident) $ f-- NON-QWNED AUTOS f-- PROPERTY DAMAGE $ (Per accident) RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ t!]ESSlUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 X OCCUR D CLAIMS MADE NHA212256 ; /9/20C 4 6/1/2005 $ 1,000,000 AGGREGATE E $ R "Cuue "bLC $ RETENTION $ $ WORKERS COMPENSATION AND 3900048305-041 6/1/2004 6/1/2005 X I.WCSTATU-.I IOJ~- EMPLOYERS' LIABILITY $ 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? YES E.L DISEASE - EA EMPLOYEE $ 1,000,000 ~PEtl~r~~~~s1o~s below E.L DISEASE. POLICY LIMIT $ 1,000,000 gTHER BMI20010437 6/24/2004 6/1/2005 EPL: $1,000,000 - $15,000 Retention D mployment Practices Liab & E & 0: $2,000,000 - $50,000 Retention Errors & Omissions Prof Liab DESCRIPTION OF OPERATIONS f lOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PR , '# Y 1',1) ^:; TO FORM "10 Days Notice of Cancellation for Non-Payment of Premium" (;4 ~. {~(li iv.;r Lal1ra St-lt~" _ 1 - ..' ~"'r.. ^S.,iSW.ti. eity Al Jr:,cy .. CERTIFICATE HOLDER Add,bonallnsured City of Santa Ana Public Works Department Alln: Taig Higgins 20 Civic Center Plaza Santa Ana, CA 92701- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) l--{ 1---1. @ACORD CORPORATION 1988