ORANGE COUNTY CRAZIES 5 - 2002 - Laserfiche WebLink

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ACORD_ CERTIFICV OF LIABILITY INSUUNCI;~~l~ S9 DATE (MMIDDfYY) 01/27/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PrideMark Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1820 E. First St. r Ste #500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana CA 92705 Phone: 714-569-2700 INSURERS AFFORDING COVERAGE _.----- _._-~_..- - - INSURED INSURER A First Financial Insurance Co. ,----- ------- ~~RB Orange County Crazies, Inc. ~-~-_..~-- ----- --- --- Cher1e Kerr INSURER C .. _k-2()()~~jf)S ~3 {;j 809 N. Main St. i-INSURER 0------ -- - Santa Ana CA 92701 I INSURER E: , COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LT: TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ., I.;l , CLAlMS MADE L~ OCCUR 154F000103 12/02/02 12/02/03 EACH OCCURRENCE -e 9 ~Q-L9.9_0 FIRE DAMAGE (Anyone firel__+ $ 100 ,9Q~______ MED EXP (Anyone person) ~O 0 I PERSONAl & ADV INJURY i $ 1,000,000 . GENERAL AGGREGATE j_~_2, 0~Q.LQ9_9_ PRODUCTS - COMPIOP AGG $ INCLUDED "-~~-,--~- I b GEN'L AGGREGATE LIMIT APPLIES PER' Xl POLICY r:;r2i LOC AUTOMOBILE LIABILITY ~ ANY AUTO , ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS i COMBINED SINGLE LIMIT I (Eaaccident) :-----'--~ I BODIL Y INJURY (Perpersool -------- BODILY INJURY (Peraccldenl) -- ----- PROPERTY DAMAGE (Per accident) $ --+-- $ $ tn--- , GARAGE UABllITY r--I ANY AUTO , AUTO ONLY - EA ACCIDENT $ --------- EAACC : $ OTHER THAN AUTO ONLY AGG $ ~, - EACH OCCURRENCE ,$ I AGGREGATE + I ~ -=-=--~ ~~~j:m --- --r-- I EXCESS LIABILITY OCCUR LJ CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY J(!/~. t:J~hec(\ De ut (~ity ('dll,;f'lC , TORY L1MrrS I ~ E,L EACH ACCIDENT. ! $ l'::':.~___~________ ! EL D:f;EASE - EA rMr-:..0VfE' $ 1-----,- EL DISEASE. POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Santa Ana, its officers, agents, employees' volunteers are named as additional insured per form CG 2010 (11/85). Except 10 days for non-payment. As respects cancellation by the company. CITYSAN CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL~ MAIL -3.L DAYS WRITTEN SHALL CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: A City of Santa Ana Community Development Agency P. O. Box 1988 Santa Ana CA 92702-1988 IMPOSE NO OBLIGATION 0 REPRESENTATIVES. AUTHORIZED REPRESENT RER, ITS AGENTS OR Jose Cazares ACORD 25-S (7/97)