|
<br />,
<br />
<br />I
<br />ACORDTM
<br />
<br />CERTIFICATE OF LIABILITY INSURANCE
<br />
<br />TRUEX INS AGCY A CALIF
<br />129006 P: (866)467-8730
<br />PO BOX 33015
<br />SAN ANTONIO TX 78265
<br />
<br />CORP/PHS
<br />F: (877) 905-0457
<br />
<br />ATH DATE
<br />R022, 01-15 2008
<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 />
<br />INSURED
<br />
<br />INSURERS AFFORDING COVERAGE
<br />INSURERA:Hartford Casualty Ins Co
<br />
<br />SANTA ANA HISTORICAL
<br />
<br />SOCIETY
<br />
<br />120 W CIVIC CENTER DR.
<br />
<br />SANTA ANA _ Cl1_jl_~7_01
<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 REOUIREMENT, 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 />
<br />'fM TYPE OF INSURANCE POLICY NUMBER ~~LIVJffEgT~1I,f
<br />
<br />PRESERVATION ! INSURER B:
<br />A - ~OO '1- 106 -Qj~: INSURER c:
<br />A -tR008- OdO
<br />
<br />INSURER D:
<br />
<br />INSURER E:
<br />
<br />GENERAL LIABILITY
<br />A f C:OMMERCIAL GENERA~ LIABILITY
<br />L-l--, CLAIMS MAD" tlli OCCUR
<br />i X i General Liab
<br />
<br />
<br />LIMITS
<br />
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />
<br />=]f'OllC~,[J ~~8L -)(,1 LaC;
<br />AUTOMOBILE LIABILITY
<br />] ANY AUTO
<br />_~ ALL OWNED AUTOS
<br />
<br />57 SBA AW4648
<br />
<br />I
<br />I
<br />
<br />107/30/07
<br />
<br />~ACH OCCURRENCE , $1 , 000 , 000
<br />07/3 0/07 I 07 / 3 0/08 IFIHEIJ!'MAGE IAny one ~If') $)00_,,0,09_, . _
<br />i MED EXP IAny one pelS on) . $1 0 , 0 0.0 J
<br />
<br />r ::::::~~:;~~~U~, :;: ~ ~~: ~If1
<br />
<br />lPRO~-UC~~~ CO-MPIOP AGG$2,O 00, 0 061
<br />r-=------ - --- -,-' - =-, - - ~=:J
<br />07/ 3 0/08 f ~:~:::~,'.","M" , d~ O~ 0, OO() I
<br />] ~p~~:~~~}.~~URY $
<br />
<br />57 SBA AW4648
<br />
<br />A
<br />
<br />C~'-'!r:[" '! r::r; /.1 -
<br />
<br />X HIRED AUTOS
<br />X NON-OWNED AUTOS
<br />
<br />J---
<br />I
<br />
<br />I
<br />----1---
<br />
<br />BODILY INJURY
<br />(Per accident)
<br />
<br />, $
<br />
<br />GARA GE LIABILITY
<br />ANY AUTO
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />AUTO ONLY EA ACCIDENT i
<br />
<br />OTHER THAN EA ACC $ ----J
<br />,AUTO ONLY: - AGG ~---- I
<br />
<br />l::;:~~~~R~~CL,- ~
<br />r'-~==-_- . n ----'--1
<br />m'l
<br />
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />
<br />EXCESS LIABILITY
<br />. -l OCCUR D CLAIMS MADE
<br />
<br />DEDUCTIBLE
<br />
<br />RETENTION
<br />
<br />WORKERS COMPENSA TlON AND
<br />EMPLOYERS' LIABILITY
<br />
<br />
<br />, $
<br />
<br />E,L. EACH ACCIDENT
<br />
<br />E,L. DISEASE - EA EMPLOYEE $
<br />E,L. DISEASE, POliCY LIMIT $
<br />
<br />OTHER
<br />
<br />DESCI/IPTION OF OPERA TIONSlLOCA TIONSNEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
<br />
<br />Those usual to the Insured's Operations. See cover page for additional
<br />wording. "THE HARTFORD WILL NOT AMEND THE CANCELLATION WORDING"
<br />
<br />CERTIFICATE HOLDER
<br />
<br />The City Of Santa Ana
<br />20 Civic Center Plaza
<br />Santa Ana, CA, 92701
<br />
<br />XffY/ /1<
<br />
<br />/ ~--,-,-
<br />
<br />CANCELLATION
<br />
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />,EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />130 DAYS WRITTEN NOTICE /10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
<br />,HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
<br />!OBLlGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
<br />!REPRESENT A TIVES,
<br />
<br />ADDITIONAL INSUREO; INSURER LETTER:
<br />
<br />ACORD 25-S (7/97)
<br />
<br />! AUTHORIZED REPRESENTATIVE
<br />
<br />i ~,-~--==,_
<br />@ ACORD CORPORATION 1988
<br />
|