Laserfiche WebLink
r4COR� <br />R��C I.1E: t-kX'1 .7F1 € 4YJ -- nmelmm/200 <br />_ 1/4/2008 <br />Producer Dam RemWesb' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAIION <br />ONLY AND CONFERS NO RIGHTS UPON 1HE CERTIFICATE HOLDER <br />GarretVMosier/Gnffith/Sistrunk Ins. Services <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW <br />12 Truman <br />Irvine CA 92620 <br />(949)559-6700 <br />INSURER American Zurich Insurance Company <br />www Pparrett-mosier.com <br />GB84519 <br />INSURER Zurich American Insurance Company <br />of Illinois <br />INSURER Zurich American Insurance Company <br />mSDrea <br />Ken Thompson, !fie <br />INSURER <br />1785 Sampson Avenue <br />Corona CA 92879 <br />INSURER <br />E <br />CDVERAGES' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY <br />NSk <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFFECTIVE <br />DATE <br />MM1DD/YY <br />EXPIRA 1 ION <br />OAT <br />MM!DDIYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />71 COMMERCIAL GENERAL UABCP09141632 <br />CLAIMS MADE a�OCCUR <br />2/13/2007 <br />2/13/2008 <br />EACH OCCURRENCE $ 1.00U UOU <br />FIRE DAMAGE (My we fire) $ 700000 <br />MED EXP I" ore 'rs nr S 10 000 <br />PERSONAL a ADV INJURY S 1,000,000 <br />GENERAL AGGREGATE 4 <br />(; ML AGG OMT I AM! TS PER <br />PROWCTS-COMP!OP AUG S L <br />5 <br />PCLICV F4ROJECT LCC <br />B <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCREWED 0.Ui OS <br />I CPG9141632 <br />2/13/2007 <br />2/1312008 <br />rr_y,IBINFO SINGLE EMI? <br />s 1.000 000 <br />EDGILY INJURY <br />IPer person) S <br />EMILY INJURY <br />(Per S <br />HIRED AU105 <br />NON,vAFD AUTOS <br />DAMAGE <br />URIYrD <br />PROPERTY <br />IN, actlaera) S <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN EA ACE S <br />AUTO MYACC S <br />ANY AUTO <br />EXCESS I (ABILITY <br />EACH OCCURRENCE S <br />AGGREGATE S <br />OCCUR U CLAIMS MADE <br />S <br />pDEDUCTIBLE <br />1—i RUE NET IDN S <br />S <br />C <br />COMPENSATION <br />DYERS I <br />WC 427767200 <br />6/30/2007 <br />6/30/2008MPI <br />STATIIi9P.YIIMl1 TH :' - <br />11 <br />S 1 OO <br />ELDISEASE EAFMPLDYEL S 1 OOO OOD <br />EL DISEASE POLICY UNIT Is 1 000 000 <br />DE. .RIPII N OF UPF RAT IONSAOCA11 N. FHI LE lEX LU.I N ADDED BY END R EMENT. PF.IAL MOVISLUNS <br />RE Raitt/McFadden Sanitary Sewer Improvements <br />The City of Santa Ana. Its Officers, Employees A ents Volunteers and Representatives are added as Addtional Insured, <br />and this insurance is primary, per u-GL 1175-/A CW 0903 attached, with respect to work performed for them by Ken Thompson <br />Inc under General Llabilit coverage. <br />As respects General Liability coverage, Severability of Interest clause is included, per CG 0001 1204 attached <br />CERTIFICATE HOLDEROItGELiATJ4f�S .,- <br />RaItUMcFadden Sanitary Sewer Improverncra5 <br />GI[y Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DATE THEREOF. THE ISSUING COMPANY WILL MUX16 � MAIL <br />EXPIRATION -'-DAYS <br />_ DAYS WRIT IEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 1H <br />LEFT, <br />20 Civic CentPTfRgza°X&VA <br />Santa Ana - - CA 92701 `� ° =t�° 3 <br />Xt -10Days for Non Payment ofPremium <br />AUTHORIZED <br />REPRFSFNigI1VE <br />John Garrett <br />tiCORD 25 SrOAM7 <br />