Laserfiche WebLink
<br />U-I L~ i~10S 1 1 ~4AM <br /> <br />lAKl i!~UkANC: AG:NCY <br /> <br />i1cUI4, <br /> <br />r i <br /> <br />~J2B.Q. CERTIFICATE OF LIABILITY INSURANCE r DATE (I/IMlODIYYYYJ <br /> 10/23/2006 <br />PRODUCEJl (714)838-1912 FAX (714)838-7568 THIS CERTIFICA TE IS ISSUED AS A MATTER OF INFORMATION <br />, Lake Insurance Agency ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NDT AMEND, EXTEND OR <br />13891 Newport Ave, 5u i te 285 ALTER THE COYERAGE AFFORDED BY THE POLICIES BELOW. <br />LJc #0747473 <br />TUSeln, CA 927~0 INSURERS AFFORDING COVERAGE NAICII <br />,"'"RED Ocange County Ch i J dren' s Therapeue I c Art Cent INSURER A GnaJx/Western Heritage Ins. Co <br /> 2115 North Broadway #100 Phi ladelnhia Insurance Co. -- <br /> INSUflERIl <br /> Santa Ana. CA 92706 A-2006-239-01 INSU~ERC <br /> INSURER D <br /> JNSVRER~ <br /> <br />THE PD'~ICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLlRED NAMED ABOVE FDR THE POliCY PERIOD INDICAtED NOlWlTHSTANDlNG <br />ANY REDUIREMENT, TERM OR CONDmON OF ANY CONTRA.CT OR OHlER DOCUMENTVVlTH RESPECilO WtlICHTHJS CERTIFICATE MAY BE ISSU5D OR <br />MAY PERTA:/-.', THE IfIlSURANCEAfFORDEDBYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUGH <br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDLJCED BY PAID ClAIMS. <br /> <br />I,..SR DO'''' TYPE O~ INSURANCE !'OlleY NUMBER I" Y EC11ViE ,"OllCY EXPIRATION <br /> <br />oENERA'"0Bll'" SGP0618374 08/02/2006 08/02/2007 <br /> <br />Xl. C COOMMMl;:RC1A'. G~NEAAL.LIABIUj)' <br /> <br />=r::J CLAIMS ~AOE 0 occv~ <br /> <br />~ <br /> <br />. ' I <br /> <br />WORP(EJt:l COMPENSA.nO~' AND <br />EM~LOYEIUi' LIA&:ILITY <br />ANY PROPRIE10RlP.AR.TNEI'lIEXEcunve <br />OFFIC!:R.!MEM!lER EXCLUDED? <br />~~~'Ml'~:OY~6~"gNS bilW/ <br />OTH~R <br />IDlrectors & Officers <br />B ILi.bll ity <br /> <br />OpCRlPTIQN Of OflEMTlDNS I LOCATIONS J VEHIC~.E51 ~Cl.lJS10N5 rOQED 8Y fNDO,UEME,..T J SPECIAL PROVjlilO/iS <br />Ity ot Santa Ana is named as addlttona Insured per form at.t.acheO. Primary and non-contributory <br />wording ~ppJ ies per attached form. *lD day notIce of cancellation appl ies it for non-payment <br />f premium. '''THIS CERTIFICATE SUPERCEDES CERTIFICATE ISSUED ON 817/06'" <br /> <br />COVERAGES <br /> <br />A <br /> <br />REVIS ~D <br /> <br />oeNLAI3GR,r=EGAH1: LIMIT lIP, n-PUE5 PER <br />]-, '"0- <br />I I PUder JEC1 LOG <br /> <br />~TOMOBll~ LIAIIIU,...,.. <br /> <br />_ ANY~UTO <br /> <br />"'~l OlM'llEDAUfOS <br />- <br />r-- 5CHEOULi;D AUTOS <br />t--- HIREDAUTQS <br />~ NQIJ.Q'MIED AVTOS <br /> <br />~ 1'-~ ;() <j~L.. <br />N'V~ ~C, <br />_-2.eJ v......... ....)' " <br />'0~j(~'1J,;" ~ . S~~~,'1I~< <br />()V\.:~f;'c \./ (~M) <br />/' ~ss ~OK <br /> <br />GARAGi" l1,UI)lITY <br />~-m"AuTO <br /> <br />~E5~UM8Pi.ELL" 1.101l.5iLlTY. <br />-1 OCCUR C C~MSi~OE <br /> <br />IDEDUC1IRl.5: <br />I/iETENTION $ <br /> <br />PHSD205384 08/07/2006 08/07/2007 <br /> <br />LIMiTe <br /> <br />EACH OCCURRE~CE , 1.000,00 <br />DAMAGE TO ReNTED , 50.00 <br />M~D EX? (:"'y on. plmcn) , 5 oor <br />PE.RSOrw. L A!JV INJURY , 1 .000 oor <br />GEN~~~AGGREO.TE , 2.000.000 <br />f'AOolfCT8 - COMPIOP AGG l 2.00000 <br /> <br />COMBINED SINGLE LIMIT l <br />(EllItidd!lll) <br />eoOll Y INJURY l <br />rp,rpefwn) <br />BDOll'" INJU~Y , <br />lPerlltc.idErll) <br />PROPI<I:tTY DAMAGE , <br />{perll~nl) <br />"VYO ONLY' EAACCIDfNT , <br />OTHERTHAI\ EAOCC , <br />^\JTOONLY AGG , <br />EACH OCCURRENCE:. , <br />AGGREGATE . <br /> , <br /> . <br /> <br />. <br /> <br />I T~~;~~~:QI IOJ~' <br /> <br />E.L. f..ACH ACCIOfNT $ <br />E.L DISEASE - SA EMPLOYE :; <br /> <br />E,L. DlS~AS(; - pOLICy LIMIT ~ <br />Limle - $500,000 Pol iCy Period <br />Limit, $500.000 Aggregate <br /> <br />NCE LA TION <br />!SHOULD ANY O~ THE ABOVE OE6CRIIJ.~P I'OLICIE.5 BE I;;JV~I;;ELlr:O IHifOKE TUE <br />E)[ptf\ATJO,.. DAiE THEREOF, 'niE ISSUING It:I'URERWlLl ~~.M MAil <br />-1Q...... DAYS" WRlrrEN NOTICE TO il1E Cfl\nFlCATE HOlOE~ NAMED TO THE LHT_ <br />HIOOOOtJ(=Iliol_X~XX <br />li9\ll~IIIlil(XXXXXXXX <br /> <br />C <br /> <br />THE CITY OF SANTA ANA <br />A~tn: Frances Cadenas <br />PO BOX 1988 <br />Sane" Ana, CA 92702 <br /> <br />AUTMOR!ZfDJ:l <br /> <br /> <br />ACORD 25 (2001108) FAX. (714) 635-7330 <br /> <br />-L- <br /> <br />@ACORD CORPORATION 1988 <br />