Laserfiche WebLink
OP ID JR <br />ACORD CERTIFICATE OF LIABILITY INSURANCE PAULU-1 <br />DATE (MM/DDlYYYY) <br />1 05/01/09 <br />PRODUCER <br />The Wooditch Company Insurance <br />Services, Inc. <br />1 Park Plaza, Suite 400 <br />Irvine CA 92614 <br />Phone: 949-553-9800 Fax:949-553-0670 <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 />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED <br />Paulus Engineering, Inc. <br />P.O. Box b216 <br />Anaheim, CA 92816-0216 <br />INSURER A: Old IM c 35 <br />24139 <br />INSURER B: <br />INSURERC: PITr <br />INSURER D: <br />INSURER E: <br />COVERAGES <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 <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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATEYMMlDDlY) <br />POLICY MM%DDIY N <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1 , 000 , 000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />AJCG94840900 <br />05/01/09 <br />05/01/10 <br />PREMISES(Eaoccurence) <br />$ 100,000 <br />CLAIMS MADE 7 OCCUR <br />MED EXP (Any one person) <br />s5,000 <br />PERSONAL & ADV INJURY <br />$ 1 , 000 , 000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />s2,000,000 <br />POLICY X PRO LOC <br />JECT <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />AlCA94840900 <br />05/01/09 <br />05/01/10 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 1 ,OOO iOOO <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />APPROVED <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />Assistant Cl ` <br />y <br />Attorney <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />A <br />WOAlURKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />AlCK94840900 <br />05/01/09 <br />05/01/10 <br />X TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1i OOO, 000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1 , 0 00 , 000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 1 , 000 , 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*Except 10 Days Notice of Cancellation for Non -Payment of Premium. <br />City Of Santa Ana, its officers, employees, agents, volunteers and <br />representatives are Named as Additional Insureds as respects General <br />Liability per Attached Endorsement. RE: Santa Ana Emergency Work. <br />**SEE NOTES** glaip <br />CERTIFICATE HOLDER CANCELLATION <br />SANTAAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />City Of Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />220 S. Daisy Ave. , M-85 REPRESENTATIVES. <br />Santa Ana CA 92702 AUTH I EPRESE$j�E <br />ACORD 25 (2001108) V v I CE) ACC]R❑ C(ARPnPAT1nN 1QRR <br />