Laserfiche WebLink
<br />. <br /> <br />Ac,'oRD. <br /> <br />CERTIFIC <br /> <br />- Zoo ~ - <br /> <br />-E OF LIABILITY INSU~NCeAyEf~~ 06/13/02 <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 /> <br />~ <br /> <br />J" <br /> <br /> <br />FiRODUCER <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax: 626-405-0585 <br /> <br />Dayle McIntosh Center <br />13272 Garden Grove Bl. <br />Garden Grove CA 92843 <br /> <br />INSURER A:. <br />INSURER 8: <br />INSURER C <br />INSURER 0: <br />i INSURER E' <br /> <br />INSURERS AFFORDING COVERAGE <br />NIAC <br /> <br />INSURED <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 RE5PECTTO 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 />'~ , 6~~lrjMMfDD/YY DATE~{i~rDrr~?N .-- <br /> TYPE OF INSURANCE POLICY NUMBER LIMITS <br />l.G~NERAL LIABILITY EACH OCCURRENCE : , 1000000 <br /> 200202327NI?O I OS/25/02 OS/25/03 FIRE DAMAGE (Any one fire) r $ 50.000 <br />A ~_C_O~MERCIAl GENE~_L1ABllITY I i - -- -- .-- --- ---- <br /> t~ CLAIMS MADE -~ OCCUR I MED EXP (Anyone person) , 5000 <br /> X Professional PERSONAL & ADV INJURY $ 1000000 <br /> ---- - - - <br /> GENERAL AGGREGATE ,3000000 <br /> --- -------- ----- <br /> I GEN'l AGGRE~~~E liMIT APPLIES PER: PRODUCTS. COMPIOP AGG I $ 1000000 <br /> - 'I' PRO n Emp Ben. I 1000000 <br /> ; ! ..POLlCY JECr lOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT 1'1000000 <br />A X ANY AUTO 200202327NPO OS/25/02 OS/25/03 (Eaaccidenl) <br /> i AI, l OWNED AUTOS BODll Y INJURY , <br /> fl SCHEDULED AUTOS TC FORM (Per person) <br /> ,', ..,OvtD AS <br /> ~ HIRED AUTOS . /:tJr ./ f~.1 BODilY INJURY , <br /> l---?5:l NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> ' - -I - --.. .. I I'-ft,. , <br /> : ,~.' ./ (Per accident) <br /> GARAGE LIABILITY ~~CpIJty City Attorney AUTO ONLY. EA ACCIDENT $ <br /> r---1 ANY AUTO OTHER THAN EAACC , <br />I ' AUTO ONLY' AGG I $ <br />l_~~CESS LIABILITY __ EACH OCCURRENCE , 1000000 <br />A 1-' OCCUR [, CLAIMS MADE 200202327UMBNPO , OS/25/02 OS/25/03 AGGREGATE ,1000000 <br /> , , <br /> '--~l ~EOUCTIBLE $ <br /> -, $ <br /> X RETENTION $ 10000 "--r <br /> WORKERS COMPENSATION AND ~O~R~I~~y,:sl ~ <br /> : EMPLOYERS' LIABILITY E.L EACH ACCIDENT , <br /> I I I EL DISEASE. EA EMPLOYEE $ <br /> i <br /> , E.L DISEASE. POLICY LIMIT , <br /> OTHER I <br /> I I <br />DESCRIPTION OF OPERATlONSILOCATIONSNEHICLES/EXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa Ana, their respective officers, employees, agents, <br />volunteers and representatives are named as additional insured with respect <br />to the operations of the named insured. <br />CERTIFICATE HOLDER Iy ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL WlllnlabIlAUUiAl MAIL ..3.L DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU~- ,"'- <br /> City of Santa Ana -':-II.fTJ" i.-II.. I U.'~_A\UI."r.~ !A.lI_~..A"'~ <br /> Attn: Mike Linares .4!"___~"""9. <br /> 20 Civic Cen ter Plaza <br /> Santa Ana CA 92701 AUTHORIZED RE:~:':.. 7 t, .A@ACORD CORPORATION 1988 <br /> , <br /> <br />ACORD 25-S (7/97) <br />