Laserfiche WebLink
<br />t-rom: LOirpletlenSl\'e Ansurance 019'-709-1668 To: lucy Flores <br /> <br />Date: 6f1312002 Time: 4:0114:56 PM <br /> <br />Page2of3 <br /> <br />..~ <br />~ <br /> <br />, <br /> <br />ACORD. CERTIFier C OF LIABILITY INSURA(.....e I ~1'eI.IlltDCVYYJ <br />O6/13/Z00Z <br />"""""'"" (949) 709-saOO FAX (949)709-166. THIS CERTIFICATE IS """'~~.~s A IlIATTER OF INFORIlIA l1ail <br />C~rehensive Insurance Services ONLY AND CONFERSNORIGIfTS UPOHTHE CERTIFICATE <br />ZZl42 Aven;da E~resa HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW. <br />Suite ZOO <br />RSM, CA 9Z688 INSURERS AFFORDING COVERAGE <br />~ Asslstance League of Santa Ana HSURER A; HONPffOFIfS t INSURANCE ALLIAHCE -~ <br />10~1 W. First Street lNSUfl:ERB <br />Santa Ana. CA 9270l I'NfiURFRC n, , - /J:::)Q~ - \ ~ <br /> It.l!;;lSU,Rll <br /> -- ---.----- -- ------ <br /> INSLRERE: <br /> <br />- b3 <br /> <br />COVERAGES <br /> <br /> . - . <br />1liE POUCIES OJ:' INSURANa: LISTED BELOWHAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR lrlE POL1CV PE'RIOO INOICA'TF.D NOTWITHSTAOOING <br />ANY REQUIREMENT. TERM OR CONDlTlQN Of ANY CONmACT OR OTHER DOCLNENTWTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR <br />fAAY PERTA-IN, lHE INSUP..J..NCE ,t,rrOROCD B'f' THE POUctCS DeSCRlBEO HERE1~ IS SUBJECT TO"" l THE': "frRMS. EXCWSIONS ""0 CQNnmoNS OF SlJCI1 <br />POUCtES_ AGGREGATE LIMITS SHO~ MAY HAVE BFEN REDUCED BY PAID ClAIMS. <br />i',~R TYf'EOFIHSURAHCE ----- --- ~~~~~~-;~--- ----- --~~~~ U..,.. <br /> ~EIW.UAl>UTY 1"002-07504-NPO 06/01/200Z 06/01/2003 [ACH OCCURREt<<::E . 1,000,00( <br /> -.! D~RCIAlGENEJW.ll/lJl'LfT'( "lHl. u.~ tArl~ """,lif.) . 100_001 <br /> _ QAU5 ""ADF 0 ('JCClIH MEn EXP V'I1Y O:'le' person) , 10.000 <br />A ~ Pf:R5UNA.L Ii. AJW INJURY . 1,000,000 <br /> - Gl:MERALAGGKJ::GAfe . 3 000 OOc <br /> ~'~AGG:n~:rN>9r:tlPER PRODUCTS _ COMPIOP AGG . 3,000 00( <br /> POlIev JEeT lOC <br /> ~TOMOEILE UABILllY ! COMBIr-tEO $"":;LE lIMIT . <br /> AtftlUJTO (c..o:idertl <br /> - - <br /> - ALL Ov.wED AIJTOS 800Il V f\lJURY <br /> (PerpBrson> . <br /> - $r;H~D\J~O AUlQli <br /> - HIRED AUlDS 800Il Y INJURY <br /> . <br /> NON.ov""ED A.lJT1)S (PerllCCllMlnlj <br /> - <br /> - PIl:Of'ERTY DAMAGE . <br /> O'er.x.l:lElr'l\J <br /> =iGE UABlUTY NIlQ OM. 'f'. EA ACCIDENT . <br /> ANY NJTO QTliERTl-IAN EAAl:C . <br /> AlJTOONty N;;G . <br /> EXCESS LWlift..ITY EACH C1CClJRRENCl . <br /> :-:l'OCCUR D Q...AIMSIAADC """""....'" . ------ <br /> . <br /> ~ DCOUCTSU: . <br /> RETEHTKJN , , <br /> WORKERS CQNPE1\iSAT'IOU AND I TORY LNnsl lum <br /> BIlP\.OYERS' UA8ll1TY E t _ EACH ACOOCN7 . <br /> EL DISEASE - EA B&>l~ , <br /> E.L OISI:ASE . POLICY U"'T . <br /> OTHER <br />DESCRrllON OF OPERA'llONSA.0CA11ONSNEHtCLE$lEXCt..USIONS ADDED BY ENOORSElilE NTJSI"'E.(lAl PROVISIONS <br />E: AJNDING <br />-10 DAY NOTICE SItOOLO TIlE POLICY CANCEl FOR NON-PAYMENT <br />ERITFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER TIlE ATTAOIEO SPECIAL ENlOIlSHENT <br />EPLACING ORIGINAL CERTIFICATE ISSUED ON 6/7/OZ <br />CERTIFICA n;: HOLDER I I ADPI~L-IMSUREa; INSURER LCTl'ER C....NCELLA TiON <br /> ~ Ol.f'IV Of'ffif IFIO\Ir nf'R/'iR'llFn POI JG1ES.IlEr..ANCF11 m RrFORF1UF <br /> Df'IIRATIONOAttTH~B;N=', rriE.SSlfIN(JCOMfFAH,(WiU.~iIAi.. <br /> UTY OF SANTA ANA *30 O~YS1HRlrrEI4H01lCET01ltE CER'1'IFlCA11: HOI..IlI:ftNIUIIED TO THE l..EFT. <br /> COMNUNITY OEVELOPEMENT AGENCY _~_""''''''I\llll_'''lfXMIIII{JI<<_lriI~XX <br /> H-25 <br /> P.O. BOXHI8 ________Ii'il(XXXXXXXX <br /> SANTA ANA, CA 9270Z AUl1tORJZ!o RElWSf~T.JIlNE Uv.( ?:.- <br /> Richard EYnon a:c/BRANDI <br /> @ACORDCORPORAnoN1~ <br /> <br />ACORll2S-S (7J!'T1 <br /> <br />APPROVED A~ i(~ ~ORN1 <br />~ LEE SHAW <br />Deputy City Attorney <br />