|
<br />t ~.~
<br />
<br /> -ACORD. CERTIFICATE OF LIABILITY INSURANCE OPID LV I DATE (MMIDOiYYYYI
<br /> LEETE-1 07/30/0B
<br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> Alliant Insurance Services Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> Franey Muha commercial Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> 4530 Wa1ney Road - Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> Chantilly VA 20151 ,
<br />'- Phone: 703-397-0977 Fax:703-397-0995 INSURERS AFFORDING COVERAGE NAIC#
<br /> INSURED I~SUPERA
<br /> Lee Technologies Group, Inc. THE IlAIl.TFOf:O INS GROUP '02239
<br /> Lee Technolog1es, Inc. Ir,SURERE 1\.tIMIRAL IHSlfllAllcr co '03026 24B56
<br /> Lee Technologies Services, Inc Ir,~,URER c
<br /> Andrae Electric Inc.
<br /> 12150 Monument Dr, #150 IrjSUR:;:RD
<br /> Fairfax VA 22033
<br /> I'JSeJR=-PE
<br />
<br />COVERAGES
<br />
<br /> THE ~r:t1CIES OF 1"J:iIJ~:NK:E ~ISTED BELO'l\' HiWE BEElj ISSUED 1(1 TrE I\JSURED ~..AIv:ED Il,SOVE FUR ~HE POLICY PERIOD INDICATEC' NonVITHS1A,rmING
<br /> ANY RE,)IJIF:EMEr'H, TE",',1 (lR ~mJDITION OF MY CONTRArT nR em-iEF< COr:! IMENT WITH RE~PE'T TO WH ,~:r-< THIS CERTIFICATE IMY EE ISSUFn OF'
<br /> MAY F'EP'"AN, Tf-E l\r"J~A.N(":E AFFORDED 31' THE POllCl:::; OESCRI[iCO HERElrJ IS SU3J:::CTTO ALL THE TEF:MS, EXCLLSIONS AND CONDITI\lrjS 0" ~;:JCH
<br /> POLICIES. A'(,('REGf'T LIMITS SHOWN MAY HAVE [<EEr-, R[D'JCED DV FAID CLAIMS
<br />LTR NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MMlDD.,y:;{= DATE fMMIDDJYY) LIMITS
<br /> GENERAL. LIABILITY EACH :JCCURRENCE $1,000,000
<br /> ~
<br />A X X "~NMERCIAL G=-'JERAL L1A3ILI'Y 42UUNAC69B7 11/01/07 11/01/0B rREMIGEG(El:Joccurencp) $300,000
<br /> -r-- [ii]
<br /> ...:LA M:;;; MADE X OCCU~ MED EYF (My one person) $10,000
<br /> --
<br /> - PER:;iUr4\!. & A.QV INJUFiY $ 1,000,000
<br /> - GENER;.1 AGGREGATE '2,000,000
<br /> GEN'L AGGPEGA~E LIMIT Il,PPLIES PtR PRODUCTS COMP/OP AGG .2,000,000
<br /> i I . Xl PRO- nLOC ~- -
<br /> POLl::Y X JE''::T
<br />Alx AUTOMOBILE LIABIL.ITY C:JMBINED SINGLE LIMIT
<br />~ $1,000,000
<br />~ANYAII1V 42UUNAC69B7 11/01/07 11/01/0B (Eaaccda1t)
<br /> X i AL I-'\'VNE[' AI.'T')S A BODIL Y Ir-,JURY
<br /> -"- FO\t I='erperson) $
<br /> - ::;CHEDULE[ AU uS ro
<br /> i HIREOAIJT:'C' ...,,,... ' ~~ ~ I i, '
<br /> , BODILY IrjeURY $
<br /> NOr, ""1\NrJED A.LITOS \ - '-,/IdA (d i?--- I='eraccico;nt)
<br /> ~~L -
<br /> f- PROPERTY DAMIl.GE ,
<br /> '1 ' iP"ra<.:cidpnt)
<br />,.. ~ ,_ ' \ J
<br /> , GARAGE lIABILlTl' -' '7 ~ ,,'d J.! :\tH':I,-,r:" ALiTO O~JLY =A,Il,CrlDEr-lT $
<br /> R""AL"' '~~, ,~ ty f-----
<br /> r " OTHER l:if'..N dlA.o,x $
<br /> AUTO or.IL Y AGC; ,
<br /> EXCESS/UMBREL.LA LlABIL.1TY EACH OCCURRENCE $10 I 000 I 000
<br />A X tI VI.. '.UP D '..:LAIIv'S MADE 42RHlJAC7126 , 11/01/07 11/01/0B $10,000,000
<br /> , AGGREGATE
<br /> b DEO:I::;THL::: I
<br /> ,
<br /> X I :;:'ETErmON 10 I
<br /> WORKERS COMPENSATION AND X I T~'~'y 1~t'1i IUE8"
<br /> EMPL.OYERS' LIABILITY 42WBRI3755 11/01/07 11/01/0B
<br />A ANY F'ROPRIET":>iPAf:=ThEI<IE.xECL T \,iE E L Etl.CH,;CClCENT $1,000,000
<br /> "FFICER/\1EMRFR F',CII I,JE['';' E.L. DISEASE- EA. EMPLOYEE $ 1,000,000
<br /> ;r~"s, dc,swoeund8r $ 1,000,000
<br /> 3PEi..:IAL PPOVI:":IO'j~, t'elY" EL DISE."'-GE POLICY LIMIT
<br /> OTHER
<br />B Professional Liab EOOOOO039BB02 11/01/07 11/01/0B Per Claim $2,000,000
<br /> Claims made OED: $20,000 Aggregate $2,000,000
<br />DESCRIPTlON OF OPERA TlONS I LOCATIONS r VEHICL.ES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS
<br />The City of Santa Ana, its officers, employees, agents, volunteers and
<br />representatives are named as additional insureds on all liability policies
<br />listed above.
<br />
<br />CERTIFICATE HOLDER
<br />
<br />CANCELLATION
<br />
<br />CITYOFS
<br />
<br />SHOUL.D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />
<br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL. 30
<br />
<br />DAYS WRITTEN
<br />
<br />City of Santa Ana
<br />Mr. Mario Ghizzi
<br />20 Civic Center Plaza
<br />Santa Ana CA 92701
<br />
<br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
<br />IMPOSE NO OBLIGATION OR L1ABILlT'1' OF ANY KINO UPON THE INSURER, ITS AGENTS OR
<br />REPRESENTATIVES
<br />
<br />AUTH R~;,~i:rm.,
<br />
<br />
<br />ACORD 2512001108)
<br />
<br />@ACORDCORPORATION1988
<br />
|