Laserfiche WebLink
DATE <br />CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 1 <br />3.0/03/2007 <br />ODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HIS CERTIFICATE DOES OT AMENDEXTEND OR <br />willis North America, Inc. ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />26 Century Blvd. <br />P. O. Box 305191 Nashville, TN 372305191 A-2008'"S <br />SUREO ,zones A Stokes Associates, Inc- <br />Attn: Pam-Lampkin <br />2600 V Street <br />Sacramento, CA 95818 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:American International specialty Lines in 26B83-003 <br />INSURERB:commerce and Industry Insurance Company 19410-004 <br />INSUIAmerican International Specialty Lines In 26883-002 <br />INSURII hmerican Home Assurance Company 19380-001 <br />INSURER E. <br />WV r-ntnu.-,., <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <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 SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C PO ICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />5RIADD' TYPEOFINSURANCE POLICY NUMBER <br />GENERAL LIABILITY PROP2027883 10/1/2007 �10/1/2008 EACHOCCURRENCE $ 1 000,00( <br />DAMAGE±ORENTED $ 500,00I <br />ll X I COMMERCIAL GENERAL LIABILITY PRE ES Ea occurence <br />I---� CLAIMS MADE 5] OCCUR ` MED EXP (Any one person) S 5,00( <br />Y $ 1 ODD 00(, <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY X . FR� LOC <br />AUTOMOBILE LIABILITY CA5054198 <br />X ANY AUTO <br />ALLOWNEDAUTOS <br />SCHEDULEDAUTOS <br />HIRED AUTOS <br />I NON -OWNED AUTOS <br />GARAGE LIABILITY <br />ANY AUTO <br />EXCESS/UMBRE' I A LIABILITY PROU8 0 8 5 6 4 6 <br />X OCCUR CLAIM5MADE <br />HDEDUCTIBLE <br />X RETENTION S 10.00( <br />WORKERS COMPENSATION AND <br />CA WC3426107 <br />EMPLOYERS' LIABILITY <br />AID wC3425106 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />if yes, describe under <br />SPECIAL PROVISIONSbelow <br />OTHER <br />PROP2027883 <br />A <br />Professional Liability <br />Claims )Fade <br />PERSONALBADV IN,1UR <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS -COMPIOP AGO $ 1,000,000 <br />10/1/2007 10/1/2008 COMBINED SINGLE LIMIT $ 1,000,000 <br />(Ea accident) <br />L4jj <br />:i .1 <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Peraccident) <br />PROPERTYDAMAGE $ <br />(Per accident) <br />AUTO ONLY -EA ACCIDENT $ <br />OTHERTHAN EAACC $ <br />AUTO ONLY: AGG $ <br />10/l/2007 10/1/2008 EACHOCCURRENCE S <br />AGGREGATE S <br />S <br />10/1/2007 10/1/2008 X T P IMIT5 Y R <br />10/l/2007 10/1/2008 E.L. EACH ACCIDENT S <br />E.LDISEASE- EAEMPLOYEE $ <br />E.LDISEASE- POLICY LIMIT S <br />10 1 2007 I10/l/2008 1$3,000,000 <br />I` Each Loss <br />$3,000,000 Aggregate <br />)ESCRIPTION OF OPERATION5ILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />te: On -Call Services <br />0 <br />0 <br />the City of Santa Ana, its officers, agents, employees, volunteers and representatives are <br />Lncluded as Additional Insured as respects General Liability, as required by written contract. if <br />:squired by insured contract, such insurance as is afforded by this policy is primary and no other <br />insurance of the Additional Insured will be called upon to contribute to a loss. <br />TF HOLDER <br />City of Santa Ana <br />Planning and Building Agency <br />20 Civic Center Plaza, Roes Annex M-20 <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />;ANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />25(2001/08) <br />Coll:2129470 Tpl:690109 Cert:96 <br />90 <br />®ACORD CORPORATION 1988 <br />