Laserfiche WebLink
r'1- X07- D 8 i <br />A- aoo�- -cZ7 <br />ACORD.. C R T1I1CATJ90 iLMLM- <br />�i�f'lki �.. .:. �� ... _ 06/25/2008 <br />. �y �i DATE 06/25 /2008 <br />PRODUCER <br />AGO Risk Insurance Services West, Inc. <br />fka AGO Risk Services, Inc. of WA <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONI A <br />AND CONFERS NO RIGHTS UPON THE CERITFICATE HOLDER. THIS <br />1420 Fifth Avenue <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Suite 1200 <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Seattle WA 98101 -4030 USA <br />INSURERS AFFORDING COVERAGE <br />NAICIt <br />PHONE -(206) 749 -4800 FAX -(206) 749 -4860 <br />INSURED <br />INSURERA Greenwich Insurance Company <br />22322 <br />.. <br />w <br />INSURERS XL Specialty Insurance Co <br />37885 <br />T- Mobile USA, Inc. <br />its subsidiaries and Affiliates <br />- <br />- <br />INSURER C. National union Fire ins Co of Pittsburgh <br />19445 <br />12920 SE 38th street <br />Bellevue WA 98006 USA <br />s` <br />INSURER D <br />w <br />a_ <br />INSURER <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 MAY <br />PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INS R <br />LINK <br />ADD' <br />195R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MMWMYV) <br />POLICY EXPIRATION <br />DATE(MMIDD\YY) <br />LIMITS <br />A <br />LIABILITY <br />RGD500006402 <br />05/01/08 <br />05/01/09 <br />EACH OCCURRENCE <br />$1,000,000 <br />DAMAGE TO RENTED <br />$1,000,000 <br />COMMERCIALGENERALLLABILITY <br />NENFILkI, <br />CLOMS M1I.4DE ® OCCLR <br />contractual Liability Incl. <br />rN <br />N <br />—.7 <br />Am one Oer�A <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />ElGENERAL <br />AGGREGATE <br />§2,000,000 <br />GF,N'L AGGREGATE LMT APPLIES PER'. <br />❑X POLICY ❑ PRO ❑ LOU <br />NO <br />E` <br />PRODUCTS - COMPIOP.4GG <br />§2,000,000 <br />A <br />A <br />ALTOMOBILF <br />X <br />LIABILITY <br />ANY AUTO <br />RAD500006602 <br />ADS <br />RADS00006702 <br />05/01/08 <br />05/01/08 <br />05/01/09 <br />05/01/09 <br />COMBINED SINGLE LIMIT <br />(Ee azedem) <br />$1,000,000 <br />Z <br />BODILYINIURY <br />ALL OWNED AUTOS <br />MA <br />A <br />SCHEDULED AUTOS <br />( Per person) <br />L <br />HIRED AUTOS <br />' <br />(, <br />BODILY INJURY <br />NON OWNED AUTOS <br />`,. e ( *. <br />_� \,i 3'. �5. <br />(Perwrrdeml <br />PROPERTY DAMAGE <br />(Per eccrdam) <br />GARAGE LIABILITY <br />_ <br />AUTO ONLY - EA ACCIDENT <br />ANY ALTO <br />.... <br />U V' ..r. <br />OTHER THAN EA.ACC <br />e <br />AUTO ONLY <br />AGO <br />C <br />EXCESS /UMBRELLA LIABILITY <br />5443136 <br />05/01/08 <br />05/01769 <br />EACHOCCURRENCE <br />OCCUR ❑ CLAIMS MADE <br />AGGREGATE <br />§5,000,000 <br />®DEDUCTIBLE <br />RETENUON $25,000 <br />B RWD X 0C STATU- 10111- <br />WORKERS COMPENSATION AND AOS Y LIMITS E <br />B EMPLOYERS LIABILITY RWR500012401 05/01/08 05/01/09 EL EACH ACCIDENT $1,000,000 <br />ANYPROPRIFTOR: PARTNER/EXECUTIVE WI <br />OFFICEKNWMBFRFXCLUDED" EL. DISEASE -EA EMPLOYEE $1,000,000 <br />If,., describe wde, SPECIAL PROVISIONS E. L. DISEASE - POLICY LIMIT $1,000,000 <br />Mbw <br />OTHER <br />DFSCRIPTION OF OPERATIONSIOC:ATIONS'V FI)ICLES %EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Site Number: LA028990D, Site Name: Fire Station. city Of Santa Ana is an Additional insured for General <br />Liability solely as respect to operations of the Named insured at the above location if required by contract. The <br />policies certified hereon are Primary to other insurance available to the certificate Holder, but only to the <br />NO <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Attn: Sandi Gottlieb, community Dev. DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />2D Civic center Plaza M -25 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Santa Ana CA 92701 USA OF ANY KIN D UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. <br />�1 <br />AUTHORIZED REPRESENTATIVE. <br />... lW liWi�41._ r ', .. <,. ,.. "'�'. S'... _. .: {P'VSRV£»t,".....- <br />hC.yt.�yi�YyK�4}M8gt� <br />