Laserfiche WebLink
<br />ACORD. <br /> <br />CERTIFI <br /> <br />. IE OF LIABILITY INS . <br /> <br />~ zoo <br /> <br /> <br />ANCeAy€t~~ 06/13/02 <br /> <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 />PRODUCER <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 />INSURED <br /> <br />Dayle McIntosh Center <br />13272 Garden Grove Bl. <br />Garden Grove CA 92843 <br /> <br />INSURER A:. <br />INSURER B: <br />INSURER c: <br />INSURER 0: <br />INSURER E: <br /> <br />INSURERS AFFORDING COVERAGE <br />NIAC <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 PAlO CLAIMS. <br />ffi TYPE OF INSURANCE POLICY NUMBER DA TE MMJDD~rE DATE MM/DDIYY i LIMITS <br /> ~ERAL LIABILITY I EACH OCCURRENCE $ 1000000 <br />A X: COMMERCIAL GENERAL LIABILITY 200202327NPO OS/25/02 OS/25/03 FIRE DAMAGE (Anyone fire) $ 50000 <br /> -------- <br /> ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000 <br /> ~ Professional PERSONAL & ADV INJURY $ 1000000 <br /> GENERALAGGREQATE $ 3000000 <br /> n'L AGG~Er~.~r LIMIT APnSrPER: PRODUCTS. COMP/OP AGG $ 1000000 <br /> POLICy ~~gT LOC EmD Ben. 1000000 <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 <br />A ~ ANY AUTO 200202327NPO OS/25/02 OS/25/03 (Eaaccidenl) <br /> c_ A',L OWNED AUTOS BOOIL Y INJURY $ <br /> SCHEDULED AUTOS TC FORM (Per person) <br /> ~ fU-l,,,OvED AS <br /> ~ HIRED AUTOS i BODILY INJURY <br /> ~h .~jJ/ $ <br /> ~ NON-OWNED AUTOS I I (Peraccidenl) <br /> PROPERTY DAMAGE $ <br /> I ~:::A;, (Peraccidenlj <br /> I <br /> hRAGE LIABILITY Deputy City Attorney AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC . <br /> AUTO ONLY: AGG . <br /> DESS LIABILITY I EACH OCCURRENCE $ 1000000 <br />A OCCUR D CLAIMS MADE 200202327UMBNPO OS/25/02 I OS/25/03 AGGREGATE .1000000 <br /> . <br /> ~ QEGUCTIBLE . <br /> X RETENTION $ 10000 --r I $ <br /> WORKERS COMPENSATION AND I I IrO'W~~YTS I IOi~' <br /> EMPLOYERS' LIABILITY E.L EACH ACCIDENT . <br /> I I E.L. DISEASE. EA EMPLOYEE' $ <br /> ! <br /> E.L. DISEASE. POLICY LIMIT I $ <br /> 1 OTHER <br /> I <br />DESCRIPTION OF OPERATIONSILOCA nONSNEHICLESfEXCLUSIONS 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 i y"i ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA TrON <br /> DATE THEREOF, THE ISSUING INSURER WILL ~ MAIL ~ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU~ - ... ~~" <br /> City of Santa Ana ."..JI.t, "I.rllil_ ""~~"""'_Ul~.c:Jr..~SIlC""A """"&l}t <br /> Attn: Mike Linares ~._1lI...li9. <br /> 20 Civic Center Plaza AUTHOR~EDRE~;~ ') MACORO CORPORATION 1999 <br /> Santa Ana CA 92701 <br /> , <br /> r <br /> <br />ACORD 25-S (7/97) <br />