Laserfiche WebLink
~4~rQRD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />04/25/2009 <br />PRODUCER (509) 735-5335 FAX (909) 735-3758 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />DFI ~ Preferred Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2027 Hamner Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Norco, CA 92860-2604 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED PRESTIGE STRIPING SERVICES INC. INSURER A: AMERICAN STATE INSURANCE COMPANY <br />1054 RAILROAD STREET INSURER B: MERCURY CASUALTY INSURANCE COMPA Y <br />CORONA, CA 92882 ~I " ~ G~)`-1 - ~ 2 Z INSURER c: CALIFORNIA INSURANCE COMPANY <br />INSURER D: -~--- <br />INSURER E: <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 />VSR DD' TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY O1 CG 768379-4 03/22/2008 03/22/2009 EACH OCCURRENCE $ <br />1,000,00 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1, 000, OOI <br />CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , OOI <br />GEN'I_ AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED AUTOS <br />B SCHEDULED AUTOS <br />X HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR ~ CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />C ANY PROPRIETOR/PARTNk=R'EXECUTIVC <br />Of-FICF ~1ME~dBER v;CL'UDE~'+ <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />PERSONAL & ADV INJURY $ 1 , 000 , OO <br />GENERAL AGGREGATE $ 2 , OOO , OO' <br />PRODUCTS -COMP/OP AGG $ 2 , OOO , OOI <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />BODILY INJURY $ <br />AC11071675 04/29/2008 04/29/2009 (Per person> <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />5 EACH OCCURRENCE $ <br />~ AGGREGATE $ <br />>.c?G j <br />$ <br />$ <br />1.000 <br />46-006122-03 07~ 06/01/2007 06/01/2008 E.L. EACH ACCIDENT $ 1 000 001 <br />E L DISEASE - EA EMPLOYEE $ _1 , OOO , O_OI <br />F L DISEASE -POLICY LIMIT $ 1 , OOO , OOI <br />)ESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />0 DAYS NOTICE WILL BE SENT FOR NON PAYMENT OF PREMIUM. <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. COVERAGE IS PRIMARY & NON CONTRIBUTORY. <br />OB: VARIOUS JOB LOCATIONS <br />EVISING CERTIFICATE ISSUED 4/17/08 <br />CITY OF SANTA ANA <br />ATTN: ROCI( GARCIA <br />305 E. 4TH STREET, SUITE 201 <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL )(lXl MAIL <br />3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />X D(X~('aXdOQd(XIII~SY~(6Jf~(N~ILNrXXX <br />r , <br />l~,'J I F ~ ), 9 <br />'+.......~ ~~ ~~w uvo~ ©ACORD CORPORATION 1988 <br />