Laserfiche WebLink
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE;ou8~!\JR I DATE IMM/DDIYY) <br />12/02/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />The Dougherty Company, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 7277 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Long Beach CA 90807 I INSURERS AFFORDING COVERAGE <br />Phone: 562-424-1621 Fax:562-490-0432 ;tJ <br />INSURED Hartford Insurance -------. <br /> 61.-- .,. 0 INSURER A: Compan~ <br /> INSURER B: <br /> ~ ,,1,0 . <br /> Touch VisionA Inc. INSURER c- <br /> 11095 Knott venue --- <br /> Cypress CA 90630 INSURER 0: <br /> I I INSURER e- <br /> <br />COVERAGES <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 />'~T~ I _I DAfEIM~bb'iWYE t'~Al,}~1MMI~'tfrlvY'. -. <br /> TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY I EACH OCCURRENCE .1,000,000 <br />A f1ro-"," -""~,~ 72 SBA KF4568 01/10/02 01/10/03 FIRE DAMAGE (Anyone fire) .300,000 <br /> I CLAIMS MADE Xl OCCUR MED EXP (Anyone person) .10,000 <br /> - -- <br /> , PERSONAL & ADV INJURY .1,000,000 <br /> ..--- -.---- ---- ..-- ..-.- <br /> GENERAL AGGREGATE .2,000,000 <br /> -' -"---".-. ..---- <br /> , GEN'l AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG I $ 2 LO 0 0 , q~ <br /> rXl POLICY , ---- <br /> PRO- LOC <br /> JECr <br /> AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 1,1,000,000 <br /> f-- <br />A j ANY AUTO I 72 SBA KF4568 01/10/02 01/10/03 I (Ea aCCident) , <br /> [ All OWNED AUTOS r----- <br /> _~I SCHEDULED AUTOS BODilY INJURY . <br /> (Per parson) <br /> "- <br /> X I HIRED AUTOS BODILY INJURY /. <br /> r NON-OWNED AUTOS (Peraccidenl) <br /> -- <br />r--I---- PROPERTY DAMAGE '. <br /> I (Peraccidant) <br /> GARAGE LIABILITY I I AUTO ONLY - EA ACCIDENT . <br /> I-~ ANY AUTO I OTHER THAN EA ACCJ. --- <br /> I AUTO ONLY AGG . <br />~ESS LIABILITY EACH OCCURRENCE .2,000,000 <br />A f I OCCUR I~I CLAIMS MADE 01/10/02 01/10/03 c- <br />I 72 SBA KF4568 AGGREGATE '2,000,Q~ <br /> RM . <br /> L-' DEDUCTIBLE I APE.:a.~ED f1-, TO FO - <br /> . <br /> ,X 1 RETENTION '10,000 \/ it , <br />I WORKERS COMPENSA nON AND ,- I TOoRY'UMITSI IUER - <br /> EMPLOYERS' LIABILITY CRr.5'l'lN L:~E SHAW ~ EL EACH ACCIDENT $ <br /> ~Ity Attorney I ---_.~-- --- <br /> I Deputy E.L. DISEASE - EA EMPLOYEE $ <br /> I ---- <br /> EL DISEASE - POLICY LIMIT i $ <br /> OTHER <br />A I Hired Auto 72SBAKF4568 01/10/021 01/10/03 Ded $500 50,000 <br />I Physical Damaae I <br />DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />10 days notice of cancellation for nonpayment of premium. Additional insured <br />endorsement attached. <br />CERTIFICATE HOLDER I y i ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br /> SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL crJI9&""SR T8 MAIL ~ DAYS WRITTEN <br /> City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NA~ED TO THE LEFT, Bl:JT FAILtlRE T6 B3l1e SIIALL <br /> Public Works Agency I <br /> 20 Civic Center Plaza, M-43 Rf:fI\EllL.T:t.fl.E:5. ,/} <br /> P o Box 1988 <br /> Santa Ana CA 92702 AUTHORIZED REPRE=~T~W r, ~ J" <br /> Richard Lin e:t it' <br />ACORD 25.S (7/97) ""~~vRD CORPORATION 1988 <br />