Laserfiche WebLink
<br />ACORDm <br /> <br />PRODUCER AICHER INSURANCE AGENCY <br />1255 PROSPECT AVENUE <br />HERMOSA BEACH, CA 90254 <br />(310) 798-1650 <br />(310)798-1654 FAX <br />OVERLAND PACIFIC & CUTLER, <br />100 W. Broadway #500 <br />Long Beach, CA 90802 <br /> <br />Â- ~Do3-038 A~),OO3,()1D <br /> <br />COVERAGES <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MMfDD/YV) <br />02 27 04 <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 />INSURERS AFFORDING COVERAGE <br /> <br />INSURED <br /> <br />INC <br /> <br />INSURER A <br />INSURER B: <br /> <br />GREAT AMERICAN E&S INSURANCE COMPANY <br /> <br />INSURER c: <br />INSURER D: <br /> <br /> <br />INSURER E: <br /> <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 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 />IN'¡;:I TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE P~~!fY EXPIRATION LIMITS <br />A ~NERAL UABILITY PL 5574310 06/24/03 06/24/04 EACH OCCURRENCE $ 1000000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100000 <br /> I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ exclude <br /> - PERSONAL & ADV INJURY $ 1000000 <br /> r-- GENERAL AGGREGATE $ 2000000 <br /> -¥l'L AGG~Eñ LIMIT APn PEA: PRODUCTS. COMP/OP AGG $ exclude <br /> X POLICY ~~Rr LOC <br />A ~TOMOBILE LIABILITY PL 5574310 06/24/03 06/24/04 COMBINED SINGLE LIMIT <br /> $ <br /> ANY AUTO (Eaaccident) 1000000 <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> $ <br /> ex SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> ~ <br /> - PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABIUTY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY. AGG $ <br /> =:JESS UABILITY ç4~' p~j //7 EACH OCCURRENCE $ <br /> OCCUR D CLAIMS MADE AGGREGATE $ <br /> u- .. t7 $ <br /> ~ DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I T~$LAJI¥S I IO~- <br /> EMPLOYERS' LlABIUTY <br /> E.L EACH ACCIDENT $ <br /> E.L DISEASE - EA EMPLOYEE $ <br /> E.L DISEASE - POUCY UMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />THE CITY, ITS OFFICERS, AGENTSW, EMPLOYEES, CONSULTANTS, SPECIAL COUNSEL & <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED PER ATTACHED CG8225 <br />*30 DAYS EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUMS <br />CERTIFICATE HOLDER I I ADDITIONAL. INSURED; INSURER LETTER: CANCEUATION <br /> SHOULD ANYOFTHEABOVE DESCRIBED POUCIES BECANCELLED BEFORETHE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN <br /> CITY OF SANTA ANA NOTICE TOf{HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAL.L. <br /> PUBLIC WORKS DEPARTMENT <br /> 20 CIVIC CENTER PLAZA M-36 IMPOSE NO t~ON OR uA::~~J.röTAfIIY KIND UPON THE INSURER, ITS AGENTS OR <br /> SANTA ANA, CA 92701 REPRESENT TlVES, . '-' . I <br /> ,.Un. "~'n .' . AUTHOR~ REPRErAny ¿j¿,7. A )~l../ <br />ACORD 25-S fl/97) "'AC~RPORATION ~i'1/ " <br /> <br />J <br /> <br />" <br />