Laserfiche WebLink
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LD <br />DATE(MMIDWYYY) <br />KOODE-1 <br />09/17/09 <br />PRODUCER <br />Clifford & Bradford Ins Agency <br />1515 20th Street <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLYAND 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 />Bakersfield CA 93301 <br />POLICY NUMBER <br />Phone: 661-283-8100 Fax: 661-283-8111 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />f <br />KOQ Devegpment Inc A % I <br />Kr s SanddeQrs <br />10 Sunrise Way 92TM53 <br />Palm Springs CA <br />INSURERA Hartford Casualty Insurance Co <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />Isisl'1 =4 :,_xtl =K1 <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 DR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRBED 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 />NSR <br />TYPE OF IMSURANCE <br />POLICY NUMBER <br />DATE Y <br />TEM <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE 32,000,000 <br />A <br />X <br />X COMMERCIAL GENERALLIABLITY <br />51SBANY1446 <br />10/26/09 <br />10/26/10 <br />PREMISES(EsooLLo'nce) $300,000 <br />CLAL48 MADE DX OCCUR <br />- <br />MED EXP (Any one person) $10,000 <br />PERSONAL & ADV INJURY $ 2 000 000 <br />X HIred & Non Owned <br />GENERAL AGGREGATE s4,000,000 <br />GEN'LAGGREGATE LIMIT APPLIES PER- <br />PRODUCTS -COMP/OPAGO $4,000,000 <br />POLICY F7 JELOC <br />AUTOMOBILE <br />UABIUTY <br />COMBINEDLEUMIT s2,000,000 <br />A <br />ANY AUTO <br />51SBANY1446 <br />10/26/09 <br />10/26/10 <br />(Eaaedderd) <br />aed) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per pew) $ <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />X <br />NON -OWNED AUTOS <br />(Per acddsnt) S <br />PROPERTY DAMAGE S <br />(Per noddent) <br />GARAGE LIABKJTY <br />(y <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />'ry <br />AUTO ONLY: AGG S <br />EKCESSNMBRELLA LL481LITY <br />y <br />EACH OCCURRENCE S <br />OCCUR CLAIMS MADE <br />V-0 <br />AGGREGATE S <br />1�e <br />DEDUCTIBLE <br />fit` "si <br />RETENTION $ <br />WORKERS COMPENSATION ANDSb <br />TORY LIMfT3 ER <br />EMPLOYERS LIA11110-trY <br />E.L. EACH ACCIDENT S <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OyFFaKRIMEMBER EXCLUDED? <br />E.L. DISEASE- EA EMPLOYEE1 S <br />describe under <br />SPECIAL PROVISK)NS <br />E.L DISEASE - POLICY LIMIT i <br />below <br />I <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are named additional insured with regard to liability and <br />suits arising from the operations and uses performed by or on behalf of the <br />named insured, this policy is primary and waiver of subrogation applies if <br />required by written contract per attached form SS0008 04 05.(Revises 11/2/07 <br />CITSANA SHOULD ANY OF TM ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXMRATIDI <br />DATE THEREOF, THE ISSIIING SrSURER WILL ENDEAVOR TO MNL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 30 SHALL <br />CITY OF SANTA ANA <br />20 CIVIC C8NTER PLAZA, M-21 IMPOSE NO OBLIGATION OR LWEd <br />STY OF ANY BOND UPON THE INSURER, ITS AGENTS OR <br />SANTA ANA CA 92702 REPRESENTATNES. <br />(2001108) W 0 ACORD CORPORATION I ORR <br />