Laserfiche WebLink
<br />NOV-05-2002 03:20 PM <br /> <br />r . C':iI House- <br />'-' <br /> <br />714 36 7901 <br />'wi <br /> <br />P.02 <br /> <br />Hur~ington Pacific Ins. Agency <br />~B672 r10rida St. Ste. 304D <br />Huntington Beach CA 92.48 <br /> <br />... ACORD. ..CSRrJFICAJJ$OF:j.JABlldtYJN$ORANCE~$R'.~~.... <br />....... ................ .. ......... .................... ..................... ....................... ............... ...~\<c:!)r. J. ..... 05/03/02 <br />PRODUCER 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 />COMPANIES AFFORDING COVERAGE <br /> <br />DATE (MM/COIVY) <br /> <br />Robin Hatfield <br />Phon. No 714-841-6283 <br />INSUREO <br /> <br />'ox No. 714-842-2538 <br />A -26a2-.0S".Z(, <br />JfI -2bCl. -"C/~ -~q <br />Mercy House Transitional <br />Living Center IlTAL A-./24n-dY3-~~ <br />P.O. Box 1905 <br />Santa Ana CA 92702 <br /> <br />COMPAN)' <br />A Great American Insurance Co. <br /> <br />COMPANY <br />B <br /> <br />COMPANY <br />C <br /> <br />~OVERAGEi?':.: .. ::: .. ." .. '.. .....: ..:::.. . ...........::.::....:.... ..' ::: :.::... . .... <br /> <br />THIS IS TO CERTIFY THAT THE POL.IClES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THe INSU~D NAMED ABOVE FOR ntE POL.ICY PERIOD <br />INDICA TED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Of ANY CONTRAcT OR OTHER DOCUMENT 'vYITH RESPeCT TO WHICH THIS <br />CERTIFICATE MAY Be JSSUEO OR MAY peRTAIN, THE &NSURANCE AfFORDED BYTHe POLICIES DESCRIBED HEREIN IS SlI!JecT TO ALL THE TERMs. <br />EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAV fiAVI: ~19i REDUCED BY PAID CJ.AIMS. <br /> <br />COMPANY <br />o <br /> <br />co <br />LTR <br /> <br />. <br /> <br />TYPE OF INSURANC' <br /> <br />POL.ICY NUMBER <br /> <br />~OLICYEFFECTIVE POUCY€XPIftATION <br />DAT! (MWOOJYY) DATE {MMIO-'/'r"i) <br /> <br />LIMITS <br /> <br />~ERAL LIABILITY <br />A X COMMeRCIALGENERALL.IA8IUTY PAC65362l8 <br />2W ClAJUS MADE [jJ OCCUR <br />_ OWNER'S & CONTRACTOR's PROT <br /> <br />n'NeL <br />nOCl <br /> <br />ADDDnVFI) AS HI FORI\; <br /> <br /> <br />~LJ/d/~ <br />Lllura Sheedy I <br />Deputy City Attorne <br /> <br /> GENERAL AGGREGATE $2,000,000 <br />05/02/02 05/02/03 PRODUCTS. COMP/OP AGG '1,000,000 <br /> PERSONAL & ACV IHJURY sl,Ooo,ooo <br /> EACH OCCURRENCE 11,000,000 <br /> FIRE DAMAGE (Any ~ Ira) '200,000 <br /> MED EXP (My one~) '10,000 <br /> COM8INED SlNGL.e UMrr '1,000,000 <br /> BOOIlY INJUA:Y . <br /> (Perpet1on) <br />05/02/02 05/02/03 BeOIL Y IHJURY . <br /> (Pefilcclden4l <br /> PROPERTY OAMAGE . <br /> AUTO ONL. V. EA ACCIDENT iz <br /> OTHER THAN AUTO ONLY: <br /> EACH ACClDEHT . <br /> AGGRfGATE . <br /> EACH OCCURRENCE . <br /> AGGREGATE . <br /> <br />AUTOMOBItE LLABJUTY <br />~ A....V AUTO <br />ALL OWNED AUTOS <br />f- <br />r-- SCHEDUl.EO AUTOS <br />A ~ HIRED AUTOS <br />_~ NON-OWNEtI AUTOS <br /> <br />PAC.53.218 <br /> <br />~RAGE LIABIL.ITY <br />_ ANY AUTO <br /> <br />- <br /> <br />EXCess lIABILITY <br /> <br />RUMBRElLA FORM <br /> <br />OTHEA THAN UMBRELLA FORM <br /> <br />WORKEAS COMPENSATION ANO <br />EMPL.OYERS' L.IABILITY <br /> <br />THE "RQPRIETORI <br />PARTNE~ECUTNE <br />OFFICERS ARE: <br />OTHER <br /> <br />. <br />IOJ~' .....:...:.:>:......:...::::::.::... <br />. <br />. <br />EL. DISEASE. EA EMPL.OYEE $ <br /> <br />lY;Co~~~lJI;, I <br />EL EACH ACCIO&NT <br />El 04SEASE. POUCY LJMIT <br /> <br />OESCRJPTION OF OPERATION'SflOCATIONSlVEHJClESlSPECIAL.ITEMS <br />With respects to the additional insureds, this insurance shall not be cancelled or materially <br />reduced in =verage or limits except after (30) days written notice has beet1 given to the <br />City of Santa ana. <br />CERTIFl<;AtpI:IOLDER::::::::.: .... .... ... .... .. ..:................ .. ...:::<c.<\NGEL!;!l:T:!Q"F:;:::;::,:.:::.........::::. ... :: ... ..:....::..... ....... <br /> <br />City of Santa Ana,~nitY <br />Development Agenc~ ~25' <br />Att: John Maloney <br />P.O. Box 1.988 <br />Santa Ana CA 92702-1988 <br /> <br />SANTANA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCEL.LED BEFORE THE <br />fXPJRATION CATE THEREOF. THE ISSUING COMPANY WIL.L .,t/'IJfnctMAIl <br />30 DAYS Yo"A:lTTeN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.En, <br />~wr"~J?<~~~~~ <br /> <br />......... <br />............... <br /> <br />..~. <br /> <br />AUTHORIZED REPREseNTATIVE <br /> <br />ACPRi:j:2:;;$'ll~)..:.. <br /> <br />Robin Hatfield <br /> <br />,.,.,. .,,'" ..... 'O!U>oIlAilON::i91ia: <br />........AWRPCJ........... .... .... <br />