Laserfiche WebLink
Fzb GV 01 4:59p sar`'a ana presa 714 °714235 P•2 <br />'64:59P <br />v *IAOF <br />A/I.AItUs,,. .,.�. '. �r.$ A . ,a3. A�N...�s d��i" <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br />PRODUCER PNDNE E,G, <br />MUNICIPALITIES INsum.NCE SERVICES, INC. <br />1920 E. 17th Street, Ste. 130 <br />COMPANY <br />ESSEX INSURANCE camPANY <br />BINDER <br />3955 <br />E <br />E"IRATIO <br />E <br />01/04/01 <br />12;'03.' <br />�1 <br />PM <br />01/04/02 <br />" "N <br />NOON <br />Santa Ana, CA 92705 <br />THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />PER EXPIRING POLICY A: <br />CODE: SUB CODE: <br />AUENCY <br />DESCRIPTION OF OPERAMORSNEHICLESIPROPEITY IIndu3nB LocXiaN <br />Exercise and Health Classes for City effuloyees <br />Per the attached list <br />INSURED <br />Leisure Class Instructors and The City Of Santa <br />Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92(701 <br />TYPE OF INSURANCE COVERAGPIFORMS <br />t <br />AMOUNT DEOUCTIBLE COINS% <br />PROPERTY OF LOSS <br />^ICAUSIES <br />BASIC LJ BROAD F SPEC <br />GENERAL UABILITY <br />T MERCIAL SENERAL LlABRITY <br />CLAIMS MADE X❑ OCCUR <br />NER'S& CONTRACTOR'S PROT <br />PO11Cy Ntm>ber: 3CE9257 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS � COMPPOP AGG <br />S 1,000,000 <br />PERSONAL & ADV INJURY <br />! 1 GOO, 000 <br />EACH OCCURRENCE <br />! 1,000,000 <br />PRE DAMAGE IAnY one III -) <br />P 50,000 <br />PETRO DATE FOR CLAIMS MADE: <br />MED EXP IAny one Paean) <br />1 Excluded <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />S <br />BODILY INJURY IPw PiInw) <br />S <br />ANY AUTO <br />BODILY INJURY (Par aac. S O <br />0 <br />ALL OWNED ALTOS <br />PROPERTY DAMAGE <br />S <br />SCHEDULED AUTOS <br />YEOICALPAYMENTS <br />S <br />. HIRED AUTOS <br />PERSONAL INJURY PROT <br />L <br />- <br />NON OWNED AUTOS <br />UNINSURED MOTORIST <br />$ <br />S <br />AUTO PHYSICAL DAMAGE DEDUCTIBLE <br />ALL VEHICLES SCHEDULED VEHICLES <br />ACTJAL CASH VALUE <br />STATED AMOUNT <br />COLLISION: <br />S <br />OTHER <br />OTHER THAN COL <br />GARAGE LIABILITY <br />AUTO ONLY- EAACCIOENT <br />t <br />OTHEfl THAN AUTO ONLY' <br />�. <br />ANY AUTO <br />EACH ACCIDENT! <br />AGGREGATE <br />S <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />J <br />AGGREGATE <br />d <br />UMBRELLA FORM <br />OTHER -HAN UMBRELLA FCRM <br />RETRO DATE FOR CLAIMS MADE: <br />SELF - INSURED RETENTION <br />! <br />STATUTORY LIMITS <br />EACH ACCIDENT <br />t <br />VI WDYS COMPENSATION <br />AND <br />EMPLOYER'S LABILITY <br />DISEASE- POUCYLIMIT <br />b <br />DISEASE -EACH EA PLOYS <br />S <br />SPECIAL <br />CONDITIONS! <br />OTHER <br />COVERAGES <br />W,kiC 'F <br />,((q���ST��"'p'�,.'�Q�.y.',: w[.!y "zrayY v��Y$J?�:n,, ,^py�y. <br />A �S 1' <br />�gxklm N.�. �'.q�� <br />M $S <br />MAN .�3..1c°4 SFae. �'. <br />MORTGAGEE ADDITIONAL INSURED <br />% f <br />LOSS PAYEE <br />LOAN e <br />1� y <br />AUTHORIMEO ESENTATIVE <br />Deputy City Attorney <br />Carol A. Frost <br />BN:1$ x av c ANY , yR° 7 x ,...: .. <br />�..'� . � - ...: as .. . . <br />