Laserfiche WebLink
/ RD. CERTIFICATE OF LIABILITY INSURANCE oi11 /2003 <br />PRODUCER (714) 836 -9945 Ffiliii 4) 836 -9946 THIS CERTIFICA ISSUED AS A MATTER OF INFORMATION <br />The Empire Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />555 North Parkcenter Drive, Suite #206 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92705 -3521 <br />INSURERS AFFORDING COVERAGE <br />INSURED ( iA� 111- 2001 -100) INSURERA: Allied Insurance <br />Peranich Reporting, Inc. INSURER B: <br />5241 East Santa Ana Canyon, #100 INSURER C: <br />Anaheim Hills, CA 92807 INSURER D: <br />I INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />INSR <br />LTR <br />rypE OF INSURANCE <br />POLICY NUMBER <br />I YEFFECTIVE <br />DATE IMWDDfYYI <br />POLICY EXPIRATION <br />DATE (MWDDffYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE I—XI OCCUR <br />ACP7801162395 <br />10/01/2002 <br />10/01/2003 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />FIRE DAMAGE (Any one fire) <br />$ 300,000 <br />MED EXP (Any one person) <br />$ S'000 <br />PERSONAL 8 ADV INJURY <br />$ 2,000,000 <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY PRO LOC <br />JECT <br />PRODUCTS - COMPIOP AGG <br />$ 4,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EAACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />APPROVED <br />S TO FO <br />M <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />8 <br />s <br />S <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />La a Speedy <br />Deputy City AtL <br />ney <br />ju <br />I TORYLIMI LS ER <br />E.L. EACH ACCIDENT <br />Is <br />E.L. DISEASE• EA EMPLOYE <br />$ <br />E.L. DISEASE - POLICY LIMIT 1 <br />It <br />OTHER <br />DESCRIPTION OF OPERATION S /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />ity of Santa Ana is named Additional Insured as respects to General Liability per PB6004, which will <br />e completed by the carrier. <br />10 days notice of cancellation shall apply for non - payment of premium. <br />GtHI IrIUAII, HULUhH I A I enninnuei Iueuovo- ium,OCe, G rAMCFI I ATIhM <br />% " "/ VACORD CORPORATION 1988 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />City <br />of Santa Ana <br />"30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: <br />Connie Gee <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />P. 0. <br />Box 1988 <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS R EPRESENTATIVES. <br />Santa <br />Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE 1e" <br />% " "/ VACORD CORPORATION 1988 <br />