|
DIGIT -3 OP ID• NS
<br />'4�� °� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM /DD/YYYV]
<br />OS/1 OF11
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certifleate holder is an ADDITIONAL INSTIRED ;;�h6�p�oliGy(ieg)�anust ba endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and eondltlons of the policy, eertaln policies may require an endorsement. `A "statement on this certifleate does not confer rights to the
<br />certificate holder in Ileu of such endorsement(s).
<br />PRODUCER 6fi1; 263 -8100
<br />Clifford 8 Bradford Ins Agency 66.'1r 283 -8111
<br />1515 20th Street
<br />Bakersfield, CA 93301
<br />Herb Cierley
<br />NAME: CT Janice Diehl
<br />P,,N/�NN° E�t,b61- 283 -8100 Fav°'XC No:661- 283 -8111
<br />nooRless: diehl cliffordandbradford . com
<br />GENERAL LIABILITY
<br />��j� i��„i�
<br />INSURER 5 AFFORDING COVERAGE
<br />NAIC f1
<br />INSURER A: TraVelerS PrOpe Casual
<br />36151
<br />EACH OCCURRENCE
<br />INSURED Digital Map Products, InC.
<br />INSURER B :The Hartford
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />18831 Von Kerman Avenue #200
<br />Irvine, CA 92612
<br />INSURER C : LIO ds of London
<br />51 UUNVX3967
<br />07/26/11
<br />07/26/12
<br />PREMISES Ea occurrence
<br />INSURER D
<br />MED EXP (Any one parson)
<br />INSURER E
<br />PERSONAL B ADV INJURY
<br />$ 1,000,00
<br />INSURER F
<br />COVERAGES CERTIFICATE NLIMHER_ REVIA IffN NIIMRFRr
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />ILTR
<br />TYPE OF INSURANCE
<br />TERI CABLE
<br />POLICY NUMBER
<br />MM /ODY/YYYY
<br />MM DD/WYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />��j� i��„i�
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />B
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE � OCCUR
<br />X
<br />51 UUNVX3967
<br />07/26/11
<br />07/26/12
<br />PREMISES Ea occurrence
<br />$ 300,00
<br />MED EXP (Any one parson)
<br />$ 1 0,000
<br />PERSONAL B ADV INJURY
<br />$ 1,000,00
<br />GENERAL AGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP /OP AGG
<br />$ 2,000,00
<br />POLICY PRO LOC
<br />Emp Ben.
<br />$ 1,000,00
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ee accident
<br />$ 1,000,00
<br />BODILY INJURY (Per person)
<br />$
<br />B
<br />ANY AUTO
<br />51 UUNVX3967
<br />0%/26/11
<br />07/26/12
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Par accident
<br />$
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />$
<br />UMBRELLA LIAR
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 5,000,00
<br />AGGREGATE
<br />$ 5,000.00
<br />B
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />51RHUVX4078
<br />07/26/11
<br />07/26/12
<br />DED X RETENTION $ 1 0,000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER /EXECUTIVE Y/N
<br />OFFICER/MEM BER EXGLU DED r �
<br />(Mandatory In NH)
<br />N / A
<br />HJU68092L41711
<br />01/01/11
<br />01/01/12
<br />WC STATU- OTH-
<br />T RY LIMIT ER
<br />_E- L._EACH_ACCIDE_NT _
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,00
<br />$ 1,000,00
<br />Ii yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$ 1,000,00
<br />C
<br />Professional E &O
<br />453529
<br />07/26/11
<br />07/26/12
<br />Limit 5,000,00
<br />DESCRIPTION OF OPERATIONS / LOCATONS /VEHICLES (Attach ACORD 101, Atltlltlonel Remerke Schedule, H more apace la raqulnetl)
<br />THE CITY OF SANTA ANA, ITS OFFICER, EMPLOYEES AGENTS VOLUNTEERS AND
<br />REPRESENTATIVES ARE INCLUDED AS ADDITIONAL INSURED �JNDER THE GENERAL
<br />LIABILITY POLICY PER HG0001 06/05 (PAGE 12 OF 181 WITH RESPECTS TO THE
<br />OPERATIONS OF THE NAMED INSURED PER WRITTE CONTRACT IN PLACE PRIOR TO LOSS.
<br />rl1?°I'Ii.(�'V 1 i.e «.tom , , Ai {_
<br />(_F RTI FI(_ATF Nrll IIFR r7 . i . r•:ANf_FI 1 ATIf1N
<br />—' L:l l:[ _� �, �
<br />_.
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />CITY OF SANTA ANA .h SS1SLd L1L �.: t y
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />TERI CABLE
<br />20 CIVIC CENTER PLAZA
<br />AUTHORIZED REPRESENTATIVE
<br />ROSS ANNEX M -21
<br />SANTA ANA, CA 92701
<br />��j� i��„i�
<br />® 1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo era registered marks of ACORD
<br />
|