Laserfiche WebLink
-ACORyCERTIFICATE OF LIABILITY INSURANCE OP ID Z <br />GILLI-1 <br />DATE(MMIDDNYYY) <br />12/20/05 <br />PRODUCER <br />G. S. Levine Insurance <br />Services, Inc. <br />10505 Sorrento Valley Rd. #200 <br />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 />No <br />N <br />San Diego CA 92121 <br />Phone: 856-481-8692 Fax: 858-481-7953 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: ACE American Ins. Co. <br />INSURER B: <br />Gillis S Associates <br />Architects Inc. <br />2900 Bristol St. Suite G205 ,. <br />,Costa Mesa CA 92626 <br />A_) a _75 <br />INSURER C: <br />INSURER D'. <br />1 INSURER E: <br />V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO 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 />Raw <br />LTR <br />No <br />N <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MMO <br />DATE (NIMIDDIM <br />LIMITS <br />P.O. Box 1988 <br />GENERAL LNBILR <br />REPRESENTATIVES. <br />AU RIZED REP ESE THE <br />EACHY OCCURRENCE <br />$ <br />PREMISES (Ea occurenca) <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one Person) <br />$ <br />CLAIMS MADE [—] OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY PRO17 LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ANY AUTO <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per acdtlanq <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC $ <br />AUTO ONLY'. AGG $ <br />ANY AUTOr <br />EXCESSIUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />$ <br />OCCUREl CLAIMS MADE <br />__.. <br />__ _ _..._ ---AGGREGATE <br />DEDUCTIBLE <br />�''"n'.;.Y. <br />- <br />$ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />_ <br />TORY LIMITS ER' <br />E.L. EACH ACCIDENT $ <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTNE <br />OFFICERUIEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />Des, tle nbe under <br />SPECIAL PROVISIONS below <br />OTHER <br />A <br />Professional <br />EOLNNO4080506 <br />11/08/05 <br />11/08/06 <br />Claim/Agg $1,000,000 <br />LiabilityDed <br />$5,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHIOLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: All Operations. <br />Proof of Insurance. <br />*10 day notice of cancellation applies for non-payment of premium. <br />CANCFI_LATILBN <br />CERI R9VA.a RVLYGn <br />---- <br />C ITYSA- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Clerk of the City Council <br />DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30* DAYSWRITTEN <br />City of Santa Ana <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza (M-30) <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />REPRESENTATIVES. <br />AU RIZED REP ESE THE <br />im A!`non rnDDnOATIIN 4ORR <br />ACORD 25 (2001/08) <br />