Laserfiche WebLink
Uct 2'JI 20L16 11:54AM LAKL MIJKAKC A6,N;:Y <br />No.G/41 P. 2 <br />,AQ CERTIFICATE OF LIABILITY INSURANCE <br />ioi2M3/z s' <br />PnooucER (714) 838-1912 FAX (714) 838-7568 <br />Lake Insurance Agency <br />9 y <br />13891 Newport Ave., Suite 295 <br />Lit #0747473 <br />Tustin. CA 92780 <br />TENS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLIG9E6 BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />mmv Orange Courrty Children•s TherapeMIC Art Cente <br />2215 North Broadway #100 n A•�j-_ Ztic <br />Santa Ana, CA 92706 di <br />Ft . -zoo (v 2y • <br />A2t7o(p • aU •aL <br />NIGIINERA: Chaix/1Yestern Heritage Iris. Co <br />N+5MRa: Philadelphia Insurance Co. <br />u c' <br />msNJSURERD <br />M5{MERE <br />COYERAUS U <br />THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVwTHSTANDINO <br />ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICIN THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURAHCEAFFORDED BY THE POLICIES DESCMIMO HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF 6" <br />POUOES. AGGREGATE LlATS SHovo MAY HAVE BEEN REDUCED BY PAID CIAIMS- <br />MMIR <br />OF YlLIIRAIICE <br />POiICYMIMBFA <br />E <br />POLICY ESPMATION <br />D8/02/2007 <br />UMMTb <br />ILMMTYPE <br />oEFtTaL LLMOY <br />X fJ]MMERCML 6ENERAI,LwmLITY <br />SCP0616374 <br />08/02/2006 <br />EACH OCCIRRENCE <br />5 1.000,000 <br />DAMAGE TO RENTED <br />5 50•000 <br />MEOGXP(A,y P,nP ) <br />d SIODO <br />GINMa MADE 1XI00CIM <br />PERSONAL b ADV WIRY <br />5 1, ()DO <br />A <br />EYIS <br />MIS <br />w <br />.) <br />GENERALAGGREoATE <br />5 2.000 00 <br />- <br />■f) <br />OENLIKiGREGATE OMO APPLIES PER <br />PAODMT3-COMPAPAGG <br />S 2,000 DD <br />POLICY M P LOG <br />AUTOMOBILE <br />UAIMLITY <br />CMIDINEOSINGL£LMNT <br />(Ee actlOPM) <br />S <br />ANTAUTO <br />MOAT INJURY <br />(va: perNNy <br />5 <br />ALLOIMiEDAUfOS <br />sOHEwtEDAUros <br />BODILY INJURY <br />iPE. ridE.A) <br />a <br />HREDAfROS <br />MDN-0Y1N£DAVIDP <br />�� <br />AAny i <br />GARAGE LNMILM <br />NY AAUTD <br />.6 <br />- _:rj y�0 _ <br />S <br />/ S'(�^_y, <br />r�- <br />:•� <br />AUTOONLY-EAACCIOEW <br />5 <br />AUTO GGG <br />s <br />EJICOMMMNELU LIABILITY <br />OCCUR CWNIG--NNEt� <br />t <br />A <br />l/ <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />S <br />S <br />DEDUCTIBLE <br />S <br />RTENTION 5 <br />WCSTATU. OTFL <br />TMONIENS OOMPENNATION AND <br />E.L. EACH AOCIOENT <br />S <br />EMPLOYP 11UAMLIAbIL11Y <br />AW OFRCEWNEMBER GCLUDED?ECVDVE <br />. <br />E.L DISEASE-EAENPLOY <br />b <br />ELOMEASE-POLIGYUMO 5 <br />Limit - E500,000 Policy Period <br />Limit - $500.000 Aggregate <br />8 <br />6YOB NanAMDE <br />IOM <br />PAR <br />Irectors & Officers <br />lability <br />PHSD205384 <br />08/07/2006 <br />08/07/2007 <br />Of3m" OFOPERATONSILDCARMIVFJSa.TEi LylaNs BY ENOOASEAIENTl SPEWLLPRO N7Ns <br />Ity ofi Saria Ana is named as aAy"iMrWiinsured per form attacaed. Primary and non-contributory <br />ording applies per attached form. N10 day notice of cancellation applies if for non-payment <br />f premium. ***THIS CERTIFICATE SUPERCEDES CERTIFICATE ISSUED ON 8/7/06*'* <br />THE CITY OF SANTA ANA <br />Attn: Frances Cadenas <br />PO BOX 1988 <br />Santa Ana, CA 92702 <br />------ ,.,ten„ne. FAX' f7141R35-7330 <br />GHOULO ANYOF TN£ ABOVE DE6CRIBEO POLICIES BE OANCELLEU DEFORETME <br />EX TON DATE THEREOF, THE ISSUING INOUMB PALL MW MAR <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TOTHE LEFT. <br />OACORD CORPORATION 1886 <br />