Laserfiche WebLink
n CERTIFICATE_OF LIABILITY INSURANCE CALIF-1 S DATE ( /19/Y06 <br />—4 CALIF -1 12 19 06 <br />PROOUCE� �' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />A. I .M. , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Associated Insurance Managers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 70517 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Reno NV 89570 -0517 <br />Phone:775 -827 -1400 Fax:775- 827 -1501 INSURERS AFFORDING COVERAGE NAIC# <br />iusuRFD INSURER A. Hartford Insurance Group <br />INSURER B: Hartford Fire <br />California Property INSURER C. <br />Specialists` Inc <br />124 East F Street �1 INSURER D <br />Y : <br />Ontario CA 91764 -, ?0062 -04? <br />/, INSURER E. <br />I Uv CK UCD <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />mm <br />HER <br />TYPE OF NPP <br />POLICY NUMBER <br />DATE MMIDD/YV E <br />DATE MMIDDIYY N <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000, 000 <br />PREMISES(EaoccE`Tce) <br />$1,000,000 <br />A <br />X COMMERCIAL GENERALLIABILITY <br />53SBATQ5714 <br />12/20/06 <br />12/20/07 <br />MED EXP (Any one person) <br />$ 10,000 <br />CLAIMS MADE E] OCCUR <br />PERSONAL B ADV INJURY <br />$1,000,000 <br />X <br />HNO I million <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS- COMPIOP AGG <br />$2,000,000 <br />POLICY ECT LOG <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />(Ea aocident) <br />$ <br />ANY AUTO <br />ALL OWNED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per aocident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per awdent) <br />$ <br />GARAGE <br />LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />ANY AUTO <br />$ <br />AUTO ONLY: AGG <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />OCCUR F_1 CLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />TORY LIMITS X ER <br />E.L.EACHACCDENT <br />$1000000 <br />B <br />EMPLOYERS'LIABILITV <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />53WECYG0516 <br />03/01/06 <br />03/01/07 <br />E. L. DISEASE- EA EMPLOYEE$ <br />1000000___ _ <br />IfyECIAL PROVISIONS <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />CERTIFICATE AS PROOF OF INSURANCE. <br />Terms, Conditions, Limitations and Exclusions apply as per policy. <br />ACORD 25 (2001/08) / / /y/ / - ^"" ^" —1. „... <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana ,gig <br />Public Works Agency <br />Attn: Souri Amirani <br />c y a <br />DAj� THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />Santa Ana, CA 927'— <br />` <br />- <br />r Z <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENT <br />Stacy Fox <br />ACORD 25 (2001/08) / / /y/ / - ^"" ^" —1. „... <br />