|
- bb?`Lb /117 r)/ lo: Y� LYI JJ J�
<br />Q6/26/2007 14:08 7141-5(-43565
<br />TUSTIN REDHIL.L LNFJR PAG_ D2/103
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE i DATEIMPAICIOWN)
<br />-�! 0/26107
<br />raoa'JC><R THIS CERTIFICAT4 IS ISSUW AS A MATTMIR Oil INFORMATION
<br />Tltetin RCdhl11 Insurance HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOSS N07 AMEND, EXTEND OP.
<br />PO Sox S40 ALTER rHK cOVwtAGE A CORDED BY THE POL�ICI,ES SI =LOW.
<br />Tustin CA 92741 _ _ INURERS AFFORDIIN_G COVEP,AraE — NAIC 0
<br />fNSaseu LuE.s E IRlvere, MD, Inc. wsuAaRA- SEQUOIA INSURANCE
<br />2292 S, Mein Street )NguRemq, _
<br />Santa Ana, Ca 92TO? 101,1PER -c,^_„
<br />Fax! 714 751 -9050 INSURER D:
<br />COVERAGES
<br />THF_ 'C'.IC1 "s5 Olr INSURANCE LISTED 812LOIN NAVE SVEN ISSUE!) 'Cl HE INSURED NAMED ABOVE FOR THE ROLMY OP-010C IKDI ^A ?1110, NOTWI" I•IATANC,NG
<br />ANIY RtOUIP,EdENT, TEPIV OR CO-110710r OP AW CbNTRAG' OR 074ER DOCJMENT vut;;I RESPECT TO WHI04 THIS r-MR717r:ATE MAY 9E ISBUTD OR
<br />MAY PBRTA•N, THE INAI)PANCE AFFORDED BY THE 1<112CIES DESGR1I3;D N$FSIN IS SUBJECT TO ALL TH5 TERA1; ExCLUSIOPI`.q amo CONDITIONS OR SUC+4 fll
<br />70LIOIES. ACaRE4AT -e LIMITS S_HOVVN KAY HAVV, IBPEN REDLIC9C 9" PAID CLAIMS. „-
<br />IN. ^,j{ 00' P9L FP TJVG POLICY EKPIRATiON
<br />Lu> t POLICY NtJIn6EP MATE t mn _� I.IMSTS
<br />J.; .��TYPI -OG !l J/• F.
<br />CIENI;P.AL LIAEIIUTY -R ETCH OCCUA E P N ,_ li 1100b,QOQ
<br />on w�Ta , NTrr�
<br />A X GGNERALLIABILlT 'se�aa�i61s7 7H 912006 7f1912o07 P_�+�y,1 5_CI;0.vw.Irfl ' 300,0m
<br />_,.CCOOMME4CIA- _, �..._
<br />�i GI.Albl9 NA,, 17 gGCUR I �11L XP (1rY awn E^ vn _... ? 10,004
<br />I t.oa [Nm:aY 7,800000
<br />H—" �
<br />GF.VF_RAI. app pCG{)�r 2,°oorDOO
<br />_
<br />(;CMI,AC'mR °,ATG.IMITnpP aSFE ?I ' ?R2WL,-- COMPI. M36 20D0.0()0
<br />61S FeT LC::
<br />pp
<br />AUTONOSILE
<br />LIADIU"
<br />I
<br />OC:MDhIGJ 6INA11 LINIIT S 7,000,000
<br />A x
<br />AN" AUTO
<br />1$ f*204G 161 07119f2008
<br />OVI W2+007
<br />(r:', Mdew) — .. ,. -
<br />r._L Ol^! +I• ^.D A 1040
<br />00DILY IWI)RV r'
<br />(Pr ,, pcmrn; i
<br />�C1-150111.E6AUTdg
<br />-,
<br />-- '
<br />%
<br />1-181 411 nuras
<br />RY
<br />!
<br />(P�Ir m glgrii
<br />(P- Ynoo!tl4nU ��-
<br />X
<br />NoN.QVVN77 WU"OQ>'
<br />�FERTY DA MAW!
<br />s
<br />^r exlderl)
<br />f�
<br />6ARAQE4gg141TY
<br />F�CCDNT
<br />r'ro0NLV.._ L
<br />S
<br />AVf00K'.Y;
<br />-
<br />'
<br />' EKCE55IGMBRKI,I.IIi4 1.�7.91LITY
<br />I
<br />I Cjhr,'.N OGURRENCG
<br />-�- -- `•` '
<br />OCCLN 1 „i 'AlmswIE
<br />AGOREOATE.__ S ..
<br />1 ?S0VCTI'LE
<br />R'TEIJ'0h L
<br />wORKERS OCMpf?NSATION AND
<br />��
<br />I we sTgTJ- ?� o7r II
<br />•�..17R -�
<br />^ � l
<br />EVINLOY914M LIAMP.ITY
<br />A n ��`.,
<br />HA-
<br />I Lj f , y i
<br />' �L. EACH ACCIDEAT i
<br />A`IY 080PR:ETORPA-4TN9RXXfiG'.JTIVP
<br />ppFICEmNiEpAE,R PY.CLLID2137
<br />Fes, 9f5J45E_7- A ;JPI
<br />V c% Jrceg6n unnq;
<br />, pISL-A?£. POLICY t
<br />L i
<br />saL As ' 'ity At1or:.ey.
<br />CS$CRIFTION OP OrrP.AT'OH __ - ,._- ._. -._
<br />Intprest will rej.-OV9 a ten -day cancellation notice In the event of Non - Payment bf premium
<br />E
<br />The City of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />o�CORLT 25 (2001108)
<br />SHOULD ANY OATH[ ABOVE DEWRIF.mp+ oLIPGR Eft CANCK.L20 9EFORE THE EXIFMATIM
<br />IpATr, 7NCf1¢0F, THE I08U'NGI INSURER 00ILL ENDEAVOR TO MAIL 30 7AYS WMITTR_N
<br />NOTICi TO TIir CERTIPICATIE HOI.UcR NAMF.0 Td Trip LRFT. RUT T'AILURE TO 00 SO 3HA:L
<br />IMAOOE 140 OoLIGATION 7R 0AN0.fTV d1+ ANY KING UPON "Is INSUP'"' 1" An2N•PG OR
<br />RR.I PALINTATIVI , .+ --�- --
<br />AUrAaAVF „r1 9L1IVAr0SNTAYVE
<br />v. ACORD CORPORATION 1083
<br />
|