Laserfiche WebLink
<br />j <br /> <br />~J~ <br /> ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR RD I DATE(MMIDDIYYYY) <br /> 10/23/06 <br />----=:- - SKIDM-1 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Cheval Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIACATE <br />Lie. OC94257 HOLDER. THIS CERTIACATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 2933 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Fullerton CA 92837 <br />Phone: 714-447-9191 Fax: 714-525-9191 INSURERS AFFORDING COVERAGE NAIe. <br />INSURED INSURER 1.:. American Bankers <br /> INSURER B: <br /> Che'11 Skidmore INSURER c: <br /> Fun i th Horses <br /> 187 E. Wilson St. INSURER 0: <br /> Costa Mesa CA 92627 <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LiSTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR me 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 AFFORCED BY THE POLICIES DESCRISED HEREIN IS SUB..ECT TO AlL THE TERMS, EXCLUSIONS AND CONomONS OF SUCH <br />:is. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~~ <br />..!:!!. SR TYPE OF INSURANCE POLICY NUMBER DATE UMITS <br /> ~NERAL UA8Il.JTY EACH OCCURRENCE .1,000,000 <br />A X X COMMERCIAl GENERAL LIABILITY SLll03177 08/31/06 08/31/07 PREMlSES';'~~1 .50.000 <br /> I CLAIMS MADE ~ OCCUR MtOO EXP (Anyone persoo) $ 5,000 <br /> - PERSONAL & ADV INJURY .2,000,000 <br /> - GENERAL AGGREGATE .2 000,000 <br /> ~'LA~r~!r WAtT APnSPER: PRODUCTS-COM~OPAGG .2,000,000 <br /> X POLICY ~~gT LOC <br /> ~TOMOBLE LIABILITY COMBINED SINGLE LIMIT . <br /> ANY AUTO NONE (Ea acddent) <br /> - <br /> -- ALL OWNED AUTOS BODlL Y INJURY <br /> (Per person) . <br /> - SCHEDULED AUTOS <br /> - HtRED AUTOS BODILY INJURY <br /> . <br /> NQN..OWNED AUTOS (Per accident) <br /> - -- <br /> - PROPERTY DAMAGE . <br /> (Perac:ddent) <br /> =r~ AUTO ONLY - EA ACCIDENT . <br /> ANY AUTO NONE OTHER THAN EA ACC . <br /> AUTO ONLY: AGG . <br /> EXCESSIUMBREUA UABlLITY EACH OCCURRENCE . <br /> ~TOCCUR D CLAIMS MADE NONE AGGREGATE . <br /> . <br /> ~ DEDUCTIBLE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND . i...,; ITDRYLlMITS I IOJ~- <br /> EMPLOYERS' LIABILITY -' <br /> ANY PROPR1ETORIPARTNERlEXECUTIVE NONE /?)~~j E.L EACH ACCIDENT . <br /> OFF1CERlMEMBER EXCLUDED? {J /1 <:".~ E.l. DISEASE - EA EMPLOYEE $ <br /> If yes, describe uncIer <br /> SPECIAL PROVISIONS below ...~._,~- E.L DISEASE - POLICY LIMIT . <br /> OTHER '7 , <br /> NONE i ,"- <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSfONS ADDED BY ENDORSEMENT I SPEcw.. PROVISIONS <br />Certificate holder is additional insured as sponsor of recreational program <br />but onl.y insofar as insured operations in connection with said insured <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />CITYSA <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCJES BE CANCELJ.ED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WlLJ.,ENDEAVOR TO MAIL !..!!.- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NffD TO THE LEFT, BUT FAILURE TO DO so SHAll <br />IMPOSE NO OBLIGATION OR UABIUTY Of~Y KtND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES- <br />AUTHORIZED REPRESEN~ <br /> <br /> <br />ices <br /> <br />City of Santa Ana <br />Parks & Recreation <br />Peggy Calvert <br />888 W Santa Ana Blvd. #200 <br />Santa Ana CA 92701 <br /> <br />Cheval Insurance S <br /> <br />ACORD 25 (2001/08) <br /> <br />@ACORDCORPORATION1988 <br />