Laserfiche WebLink
F, ry Dana Cable At Hylant Group, Inc TSAI D Hylant Group To Karla <br />Date: 12x0006 0199 PM Page. 2 AT 5 <br />?CORD CERTIFICATE OF LIABILITY INSURANCE e oP!D 1d ° "TE` "M ^ °° <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hylant Group - Toledo HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Ell Madison Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Toledo OH 43604 <br />7tore:419- 255 -1020 Fax:419- 255 -7557 INSURERS AFFORDING COVERAGE NAIL9 <br />'s.eEV, m:awrRa enu.a.LPn ma.,n.,Ler roar co 1805 <br />N- 2oo4 - o3� o <br />-s _ <br />SOHFR 9 <br />Co n <br />say Broderick dba science --- -- -- - <br />of West Orange Ave. uastREF- <br />3501 W. Moore ve. Ste J INSURE +n <br />Santa Ana CA 99702 - - -.._ <br />INSURER E <br />` =l _ IF MSURAN'E LI-TED BELOW HAVE BEEN SSJFD TO FPS 'NQ L?D NAI ED PROVE FOP THE MI 1, F IFPI,-D IKFIYA7F1 J TNIUl F <br />..V,F ]L M_N,1trUa R Al ) VF ANY NIH41 19_Tt F LMLHIIII -HR I 1 TIC VaHeF F /IHVVMM BE ULFF? <br />VAY PERTAIN , THE INSLPAH E AWORDED BY THE POLICIES LESCUBED Fe FIN IS SUB EC T ACDOTERN C LL _91GN- JL ETILA o CF SUCH <br />99C'FSA ,i FFATFI IUll l,D'NIJ MAY IWVF PF- NRIFL -F P, AT- fI AIAAF <br />POLICY NUMBER LIMIT3 <br />!TP ,NERD TYPE OF INSURANCE BATE IMMIDDhYI oATE (MMrDO,v'R <br />GENERAL LIABILIFY CY.,I I0CCJW.LNC <br />¢1,000,000 <br />NVtALi T_PElEF <br />A x �NMMERCIAL GENERAL JnewTl PMPK187988 10/15/06 10/15/07 11 -11 sr ' <br />b300,000 <br />CLAIMS VA E LX] OCCUN <br />?'15,000 <br />x Abuse /Molestation PHPKI87988 10/15/06 10/15/07 F EYGVHAL G IF L IJJJP Y <br />T1,000,000 <br />NEA ATE <br />Y2,000,000 <br />F_1__N THFORl LOU FEEL A PEP PI, P`_ CO tP F A d <br />7 2,OD0,D0 0 <br />FOLIC° F LC A S M <br />500,000 <br />AIffOMOBILE LIPBILITY <br />' J. �AN -?Urn <br />PHPK187988 <br />TAE NFH SUru urnlT <br />10/15/06. 10/15/07 r- `I I <br />1 00(),000 <br />ALL JwNmAllps <br />'__IL T u._DO'I <br />s '1 Dlt AI.R -s <br />F •� <br />X <br />DDLYN IN YV <br />X Jomneu AU ros <br />F� �._} <br />i Peco�� wnroor <br />I way a,�a.m1 <br />Y, <br />.?RAPE LIABILITY <br />AL "9ML IFFIJ <br />aNrU,I <br />VFFEPTHTN EPA y` <br />"Ir.ONIY <br />6 <br />FXCFSSiLJMRRFI I A I ITY <br />rySY GC C'J3RRt F <br />1 N <br />Cp.R U.LNSMA", <br />.GREGATF <br />___ <br />Y <br />DED.ICRPL.F <br />�K <br />I RETENTION <br />W09NER C COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />T^FI_IMI3 rF' <br />{i <br />'ANPHOPRI °IOWYAHIVLWt}Y LL IVL <br />I ALI <br />L'1 PF <br />F =" I <br />I I'VI AQ MILL I . LW_LAll Y <br />KF FA � <br />' FNPP <br />- ,r I, PVIRI <br />AL F. VIS.ON.S'oomry <br />_ DSL '> 10 LIMI- <br />D1HER <br />DESCRIPTION OF OPERATIONS D <br />LOCATIONS I VEHICLES I EXCLUSIONS? ED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Medical Payments excludes Participants. City of Santa Ana Parks, <br />-_.ra_ien, 5 Community Services Agency, its officers, agents, employees, <br />::eoresentatives and volunteers are included as an Additional Insured ATIMA <br />=r Form CG2010. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WFITEN <br />ATtn: Dolores Ramos NOTICE TO THE CERTIHCATE HOLDER NAMED TO THE LEFT, GET FAILURE TO DO SO SD ALL <br />888 W Santa Ana Blvd., STe 200 IMPOSE NO OBLIGATON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />P.O. Box 1988 M -23 <br />Santa Ana CA 92702 REPRESENTATIVES. <br />1L3 TO F+ RI DREPRESENTATIVk / <br />/`(/i <br />/ / B 1—.3 ! © ACORD QORPORATION 1988 <br />t0l Hoy <br />/ (/. <br />_I I <br />