Laserfiche WebLink
<br />OCT-13-2005 16:44 From:TASMAN-INS-SVCS <br />I <br /> <br />949 276 5522 <br /> <br />To:9496424025 <br /> <br />P.1/1 <br /> <br />'l'HS TI?NMS AND CONUrnONS <br />CONSIOF.R^ nON. PI.RASR RF:^O <br />REVlI!W 11m roUCY FORMS' <br />Ut'ON '11-11:: S"'ATl::M~NlS MAllJ;; <br />YOUR R,EQUEST AS FOLLOWS. <br /> <br />DATE ISSUED: <br />PRODUCER: <br /> <br />INSURED: <br /> <br />INSURER: <br /> <br />POLlCY NO.: <br />Q9X~8.~91;:: <br /> <br />BINDER EFFECTIVE: <br />POLICY PERIOD: <br /> <br />CONFIRMATION OF COVERAGE <br /> <br />;J ~ J..oo 5 - 10;)... <br />N-'" ~OO b ... ~O .y <br /> <br />f THIS CONI'IKMATION Oil INSUKANf..'J:o; MAY NOT l:OMI'I"Y WITH THI! SI>i(ClIIlCA'l'IUNS SUIJMfI'I'110 (fOR <br />IS CONFlRM^TION CIIREFULl Y ANti COMPARE rr WITH ANY QUOTE AND SUBMISSION I)OCt)McN'IS ANU <br />11m ACTUAl. r.OVI\RACmS PkOVlnF.O.IN A('CORI)ANCr:. wrrH YOUR INSTRll("nON~. "NO IN RF.:U"NCF.. <br />Y TH~ Ill::TAIL BIWKI:!llll'l nil! INSURI:!I)'S A1'I'UCA'nONISUBMlSSION. WE HAVE ODTAINIlD INSURANcn AT <br /> <br />Sep 30. 2005 <br />Tasman Ins. & FinanCial Services <br />3 Sablewood Circle <br />Ladera Ranch CA 92694 <br />Robert Tyler <br />2008 Centella PI <br />Nowport Beach CA 92660 <br /> <br />CNA Insurance <br /> <br />MCA276195773 <br /> <br />ProfeSSional Liebiltiy <br /> <br />912912005 TO <br />9/29/2005 TO 9{2912OO6 <br /> <br />1 ~:Ol ,0,1'.4. s'r ANDAR() TIME AT HE; 1.0CATION AOORESS OF THl: NAMED INSURED. THIS INSURANCE BINDER WILL BE TERMINATED AND <br />SUPE SEDlED UPON DELIVEAY OF 1 HE FORMAL POI.lCV(leS) ISSUF.O TO REPLACE IT <br /> <br />LIMITS OF LIABILITY: <br />$' ,000,000 <br />$' ,000,000 <br /> <br />DEDUCTIBLE.: <br /> <br />PREMIUM AND FEES: <br /> <br />COJNSUAANCE; <br /> <br />TERMS / CONDITIONS: <br /> <br />Per Claim <br />Aggregete limit <br /> <br />$5,000 <br />$2,7BO.00 <br /> <br />Pe( Claim <br /> <br />APPROVED AS TO FORM <br /> <br />~~, <br />;/ Laura Stitt ~y <br />Assistant City Attorney <br /> <br /> <br />ENDORSEMENTS I N <br /> <br />~: <br /> <br />ONDITIONS APPLY PEA FOAM <br />CANC':El.l.ATION: THIS POUCY I SUl3JECT TO THE CANCELlATION PROVISIONS AS FOUNO IN THe POUCY(IES) OR CEA1"IFICATE(S) <br />CURRENTLY IN USE BY THE -U~ER. rHE' INSURANCE EFFECTED UllIDER THE INSURER'S BINDER CAN BE CANCELLED BY THE <br />INWAER (SUBJECT TO STATUT RY REGULATIONS) BY MAIUN . TO . I~ INSURED AT THE ADDRESS STATF.O ON THE FACE OF THIS <br />CONFIAMATION OF INSURANCE WRITTeN NOTICE STATING e UCH CANCI;LLATION SHALL BE EFFECTIVE. IN UU: EVENT OF <br />CANr.ElLATION BV THE INSUR 0, THE EARNEO FlFlEMIUM OU'8E SUBJECT TO THE MINIMUM PREMIUM IF APPUCAElLE. THIS <br />CONFIRMATION OF INSURANCE S ISSUED BASED UPON . _IN ER'S AGREEMENT TO BIND AND IS ISSUED BY THE UNDt:R8IGN~D <br />WITHOUT ANY LIABILITY WHArS L:.VeA AS AN INSURE <br /> <br />. <br />I <br /> <br />