Laserfiche WebLink
LVCOR~P CERTIFICA''~ OF LIABILITY INSURA''CE <br />PRDDUCER (714)979-6543 FAX ~, <br />Wigmore Insurance Agency, Inc. <br />2970 Harbor Blvd. #215 <br />License #0811959 <br />Costa Mesa, CA 92626 <br />INSUapD Share Qur Selves <br />1550 Superior Ave. <br />Costa Mesa, CA 92627 <br />DATE (MMIDD/YYYY) <br />THIS <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />f'f1VFR 4(:FC <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 PAID CLAIMS. <br />INSR D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY E%PIRATION LIMITS <br /> GENERAL LIABILITY 660830X485006 01/26/2006 01/26/2007 EACH OCCURRENCE E 1,000,00 <br /> X COMMERCIAL GENERAL LIABIUTV DAMAGE TO RENTED $ IOO, DD <br /> CIAIMS MADE a OCCUR MED EXP IMy one person) $ 5 , DD <br />A PERBONALBADVINJURY S I,000,OO <br /> GENERAL AGGREGATE $ 2 , OOO, OO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 <br /> POLICY PRO- LOC <br />JECT <br /> AUT OMOBILE LIABILITY BA3466W34406 01/26/2006 D1~26~2DD7 COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accitlenU $ <br />1,000,00 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />X <br />SCHEDULED AUTOS <br />(Per person) $ <br />A X HIRED AUTOS <br />BODILY INJURY <br />$ <br /> X NON-OWNED AUTOS (Peramidenl) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG E <br /> EXCESSIUMBRELLA LIABILITY EACN OCCURRENCE 8 <br /> OCCUR ^ CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE E <br /> RETENTION S S <br /> WORKERS COMPENSATION AND WC STATV- OTM- <br /> EMPLOYERS' LIABILITY <br /> ANY PROPRIETORJPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBEP. L-%CLUDED? E L DISEASE - EA EIdPLOYE <br />s <br /> If yes, tlesuiGe untler <br /> SPECIAL PROVISIONS Eelow E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSNJNS ADDED BY ENDORSEMENT /SPECIAL PROVISN)N$x <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ~ _.-.,, , <br />r <br />__ .._.._.. __... ~T~-~ <br />ANCELLATION NOTICE IS 10 DAYS IN THE EVENT OF NON-PAYMENT OF PREMIUM . <br />. <br />n <br />, <br />, <br />rwuro , wr,nu <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />CITY OF SANTA ANA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COMMUNITY DEVELOPMENT AGENCY M-25 <br />ATTN: FRANK NERNANDEZ BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATON OR LVIBILITY <br />20 CIVIC CENTER DRIVE OF ANY I(IND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />SANTA ANA, CA 92701 AUTHORD:ED REPRESENTATIVE <br />~ <br /> Timoth Wi more 6128 <br />ACORD 25 (2001108)( ©ACORD CORPORATION 1988 <br />l., ` ~ ~ <br />