Laserfiche WebLink
<br />From: Jessica..~aya-Ellis At: Olapman & Associates FaxlD: Olapman Associates To: Laura Sheedy <br />- <br /> <br />Date: 712312007 11 :35 AM Page: 2 of 4 <br /> <br />ACORD~ <br /> <br />CERTIFICATE OF LIABILITY INSURANCE <br /> <br />OP ID DATE (MMIOOIYYYY) <br />MERCY-2 07 23/07 <br />THIS 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 POLICIES BELOW. <br /> <br />PRODUCER <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Fax:626-405-0585 <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />INSURER A <br /> <br />Philadelphia Insurance Ccmpany <br /> <br />INSURER B. <br /> <br />Mercy House <br />P.O. Box 1905 <br />Santa Ana CA 92702 <br /> <br />1!\'SlIRFR C <br />INSURER D <br /> <br />INSURER E. <br /> <br />COVERAGES <br /> <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 />'N~K ~~~ TYPE OF INSURANCE POlICY NUMBER 'riMiti~~~ P~k~Y{~~'l:~N L1MrTS <br />LTR <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> - <br />A X ~ CC>MMERCIAL GENERAL LIABILITY PHPK2312S9 05/02/07 05/02/08 PREMISES lEa oceursnee) $100,000 <br /> - :J CLAIMS MADE [!] OCCUR MEO EXP {Anyone person) $ 5,000 <br /> ~ Professional PERSONAL & M)V INJURY $ 1, OO~ ,000 <br /> __-0.- <br /> _ 2mil agg/lmil occ GEftRAL AGGREGATE $2,000,000 <br /> i <br /> GENl. AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AGG $2,000,000 <br /> I POLICY II ~~g;. n LOC <br /> ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 <br />A ANY AUTO PHPK2312S9 05/02/07 05/02/08 lEe aCCIdent) <br /> >-- <br /> AlL OWNE D AUTOS BODILY INJURY <br /> >-- $ <br /> ".':HEDUlED AUTOS I (Per person) <br /> f-- <br /> X HIRED AUTOS BODIL Y INJURY <br /> $ <br /> ~ Ne'N-OWNED AUTOS (Per aCCident) <br /> >-- -.---- PROPERTY DAMAGE $ <br /> (Per eccident) <br /> GARAGE LIABILITY AUTO ONL y. EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONL Y: AGG $ <br /> EXCESSJUMBRELLA LIABILITY PC l\M EACH OCCURRENCE $ <br /> b OCCUR D CLAIMS MADE API'ROV.E.D AS 10 AGGREGATE $ <br /> / (is $ <br /> R DEDUCTiBlE '~-~~I . /JI ~ J $ <br /> RETENTION $ ".' $ <br /> WORKERS CO....ENSATlON AND - , -uA~ra ;~~r~~to;nei ITO'R'vt:CI'fs I IVE~ <br /> EMPlOYERS' L1ABLITY <br /> ANY PROPRIETORIPAATNERlEXECUTIVE Assistant EL EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ <br /> ~~~21~~~~~)t~~~s ootow EL DISEASE. POLICY LIMIT $ <br /> OTHER <br />A Sexual Abuse PHPK231259 05/02/07 05/02/08 Aggregate 300,000 <br /> ea Abuse 100,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: CDBG and ESG grants. City of Santa Ana, its officers, employees, agents, <br />volunteers and representatives are named additional insureds <br />with respect to the operations of the namea insured & this pOlicy is primary <br />per the attached Exhibit B endorsement. 10 days notice of cancellation for <br />non-payment of premium. <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />city of Santa Ana <br />Frank Hernandez <br />20 Civic Center Plaza <br />P.o. Box 1988 <br />Santa Ana CA 92702 <br /> <br />CJ:TYSAN SHOULD /W'( OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABLITY OF /W'( KIND UPON THE INSURER, rrs AGENTS OR <br />REPRESENTATIVES. <br />A D REPR <br /> <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />