TORRES, MARTIN 5 - Laserfiche WebLink

Home Browse Search

AC -ORA CERTIFICATE OF LIABILITY INSURANCI�SNA DAMD oa2/oi PRODUCER Fitness & Wellness Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 380 Stevens Ave., First Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Solana Beach CA 92075 POUCY EXPIRATION DATE MWDDIYY Phone:800-395-8075 Fax:858-519-0822 INSURERS AFFORDING COVERAGE INSURED INSURER A: Specialty National Insurance INSURER B: Karate Do Kiai #376126 Bff: 1/10/02 INSURER C, 12692 anchero Way Garden Grove CA 92843 INSURER D: INSURER E: 01/10/02 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDA(Y) POUCY EXPIRATION DATE MWDDIYY LIMITS GENERAL LIABILITY The City Effective Of Santa Ana 1/10/02 EACH OCCURRENCE $1,004,000 A $ COMMERCIAL GENERAL LIABILITY 3XZ126451-01 01/10/02 01/10/03 FIRE DAMAGE (Any one fire) $100,000 CLAIMS MADE C OCCUR MED EXP (Any we person) $ 2, 50 0 PERSONAL B ADV INJURY 31, 000, 000 A X Nisc Professional GENERAL AGGREGATE S 3, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGO $1,000,000 PICY PRO- OLLOC ECT AUTOMOSILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea acadent) $ BODILY INJURY $ (Per Pecan) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per SC eni) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Peraccidenq it GARAGE LIABILITY V ..� AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANYAUTO AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE AP PRO , --- --,)R $ $ S RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY U 1 ,S I1CCdy - "' TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EAEMPLOYE $ Deputy City AtU)rm _y E.L. DISEASE -POLICY LIMIT S OTHER A Sexual Abuse 100,000 300,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS It is understood and agreed that the following entity is added as an additional insured but only as respects the operations of the named insured except that liability resulting from the additional insureds sole negligence CERTIFICATE HOLDER IN I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION ACORD 25S (7/97) 1 - WAGUKU GUKPUKAIIUN TsnB CITYSAA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL The City Effective Of Santa Ana 1/10/02 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVES. Santa Ana CA 92701 ACORD 25S (7/97) 1 - WAGUKU GUKPUKAIIUN TsnB