Laserfiche WebLink
el~~i~i~~te of ~n~ux;ante <br />TINS CEItTII?ICATE I55UI'WI) AS A 1wiATTE~ OI" INFORI~IATIQ~T. ~~'~,~' AhTD COi~'FIRS i~TO RIGHT UFON YOU TIIE C[iRTIFICATIa 1-iOLDER. THIS CERTIFICATE IS I1DT A1~~ <br />INSURA~iC~ POLICY Ar~'D DOES SOT AI4~END, EXTEND, OIZ A[.TI?R Tl-Il~ CO~IJEtAGE AI{FDRDED BY THE POLICIES LISTED BELOW. <br />Tht~ is f~ ex'tif~r Thal <br />~T OAST AI~~~Rl~'S, INC ~ <br />~~00 BAST VIA BURTON ~I~I~~ItJss <br />~~' INSUI~D <br />~~ ~ <br />ANAW~IIVI ~A ~8QD <br />is, at the issue date of this certificate, insured by tie Company under the Paiie}~~ies~ listed. Bela;~`. The insu~ncc aftordcd by tl~e lined paiicy~#es} is subject to all tl~:ir te~t~s, exclusions and <br />Conditions and is rmt altered by and` re~uiretncnt, terns or Condition of any contract ur otl~r document with respect to u'hlch. this certificate may be issued. <br /> ~~I' DATA <br />T~'P U~' P~~I~~ ^ co~rrl~IUO~IS <br />^ EXTE~'DED I'O~TC'Y l~~]i~~I~~I~ LI1-'IIT ~F LI~BILYTi~ <br /> ® POLICY TEItI~i <br />~~'QR~~RS <br />'~~~ ~~QQ~ A~-D6D-D39~99"~~ CO~FRAGIJ A~'I~ORD~~ UNDER WC <br />LAW OF THE F'OLLOWI~rU STATES: E~iPLQYER~ LIABI~,Y'i'Y <br />~1~IPI~~N~~~TIQ~ ~IUA~~DDD~D3949-D7D ~~ Bodily In'~ry try Accident <br />STATUTORY ~ ODD ~~~EaehArri~e~t <br /> Bodily Injury By Disease <br /> DDD ~~~ <br /> I3od~1y Injury By Disease <br /> ~~~ ~~~ <br />~EN~~~L LI~~BILIT~' ~~~ j~~ ~ ~ T~~"~~ ~ -~~~~"~ ~ General Aggregatt;--0thcr than Products 1 Com~lzted O~eratians <br /> ~ ~~~ ~~~ <br />^ CCCURI~Ei~~CE Products # Completed Operations Aggregate <br /> ~~~ QDO <br />^ Ci.rtlA~4 A~IADE Bodily Injuryand PrupertyDamage Liability <br /> ~ DDD DaD ~~~ ~~~~~~~~ <br /> METRO DATE I'ersorral Injury <br /> ~ ~~~ ~~~ Per Person! Organisation <br /> Or~ t ~ <br /> ~ DAMAGES ~~~,000 DICAI. PAYMENT 5,~~~ <br />A.UTtai~I~BYL~ <br />LI <br />iBILIT'~ ~~,~ ~~~,~ ~ A~~~ ~ ~~~~~~-~~~ <br />~~--qq EaGh Aecident~ingle Limit <br />~I,DD~,DD~ B,I. AndP.D, Cam~ined <br />~ <br />~~ <br />' <br />Each Person <br />OWNI;I~ ~ <br /> <br />NON-OWNED F <br />~ <br />pack Accident or Occurrence <br /> <br />HIRED ~ 3 •~ <br />'~ <br /> ~ $ <br />s~,~ ~I~~ ~~~'~ <br />,. ~, Pack Accident or Occurrence <br />OTHEII S <br />~11~2~~9 1~I~20~~ tS~~.~ I <br />TU2-~6~-039499-049 <br />~,~Q~,~~~ PER OGCURR~~~EIAGGR~GAT~ <br />U1~BR~~LA E~(CE~ <br />~[ABjE.ITY <br />ADp1TIONAL C01~Il~iE~TS <br />~~; All fobs performed Icy the named inured du~ing the policy #erm. Additional Insured: City of Santa Ana, Its o~fcer, <br />employees, agents, volunteers and ~epre~entattves, on the general l.lability policy listed above ~pe~ attached 2D~ D <br />D704 & G CDT endvrsernen~. This Insurance is primary and non-~ontributo~y. <br />* iftl}e certificate expiration dat4 is Co~ttinuous ur extended terra, you ~~~ill ire notilied ifco~'erage is terl~it~ated or reduced before the CcrtifiCate expiration date. <br />,~PEL4~' 1, lti~~'~~`~r~~i~Q: Ai~~' PERSON WHIG, ~4~IH ~iTENT T~ DEFi~~UD OR ~~'~~~~t~ T~~~IT ~~~' ~~ FAO[t.ITrITING ~ FRAUD t~Gr~'5T~N tNSIJREI~, SUBMITS <br />e1N r1PPLICe1TIt~~i OR FILFS A CLA[1~i C4N~'AR+fR~C A FALS>a OR DECEPTt4~E STATEMENT IS fisBILTY OF tNStJIiA,~'C>: FRAEii~. <br />L1iPURT~IT' 1UTtC~: TO FLORIll,~ POI~~CYHOLDE~S x1,ll) CERTtFIC~TE HOLDERS:IN Tt~ ~VEh'T YDU ftAV~ ANY ~i~EST[UNS DR NEE~~iFOI~'IIe1TII)\ ~~BOEiT <br />T~.S CER~'~FtCrIT~ FOR A~IYREAS~~I, PLEt~.SE CONTACT YOEtRLOCAL Sr1LE5 PRDOiIOER ~4'~tOS~ ~.t-1'i~ Ati'D TELEFHQ;lE 1~11'~BERr4PPE~RS L~ THE LU14'Ek <br />R#Iif~T ~~A~\'U COR~'~R OF Tf[IS CEI~TFFIt~ATE, THE 11PPR~PRI~TI; LOCAL SA#,ES 4FFIC~ ~AI[.ING ADD~t~SS AfAY ALSO ~E ~~Tr1~D B~' C'~Ii.LI,~Cr'TI~fS NL~a~i3ER. Ll~~l'#~' i4lltfll~~ <br />11'OTICE QF CAs~CELLATI4Ik: (TOT APPLICAI31'r~ UNIJ~SS A NU14gBER OF DAYS IS E~TEEED BELOW.) ~nsnran~e Group <br />BEIiORE THE STATED EXPIRATION DATE TII COh4PANY 1'dIIJi, ~`OT CANCEL QR REDUCE THE <br />INSURA~'CI:a AI*~`O~DEO UNTDEII THE ABOVE POLICIES UI~ITII. AT LEAN ~~ Dr~YS NOTICE <br />DF SUCH CANCELLATIO~~ IIAS BEEN h4AILED T4: <br />i of Santa Ana <br />Pu IIc VVo~ks Agency M8~ Sandy Fox <br />~ ; EI~~IBWDDd ~ ~~~~ AUTI~ORILED REPRESENTATNE <br />2~0 South Daisy Avenue Building-A ~~~'~ c~~#e~et; 5t, ~u`r~e ~t~o <br />Santa Ana A ~7D~ aI~I~lCla Px~ul DATE ISSUF!) <br />Tl~~s ce~ti~cate is exec~~t~d ~y ~,IBE~T~ M~T€~AL IN~RANC~ GI~~UP as respects suc~~ insilrar~e~ is ~ff~rded ~y those ompa~~es ~M'~'~2 <br />