Laserfiche WebLink
,yV <br />DATE (MMlDDlYYYYI <br />Y t''r <br />CERTIFICATE OF LIABILITY INSURANCE s1512ogs <br />r" ACORD <br />ON <br />~, O <br />I <br />I <br />PRODUCeRLicense # 0650501 (530J 868.2777 ICATE <br />CONFERS NO RIGHTS U ON THE CERTIF <br />LY AND <br />~N <br />Armstrong 8. Associates Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />License # OB50501 ~ ~ ~ ~ ,r ~ 5 <br />70 ~ C AL <br />~ <br />P.O. Box 12 <br />Woodland, CA 95778-1270 NAIC # <br />~ INSURERS AFFORDING COVERAGE <br /> INSURER A: Bel'1(IBy IosMranCe GTOUp <br />INSURED Midori Gardens URER S: Delos Insurance Company <br />3231 South Main Street INS <br />LibertyMutuallnsuranceCa. i <br />I Santa Ana, CA 92707- INSURERC <br /> INSURER O- <br /> INSU0.ER E: <br />COVERAGES <br />ACTOR OTHER DOCUMENTT WISH RESPEC OTO WHIPCOHLT IS CERTDFICATE MAD BE ISSUED ORNDIN <br />TIONS OF SUCH <br />ANY REQUIREMENT, TERM OR CONDITION DF ANY CONTR <br />DED BY THE POLICIES DESCR IBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSION3 AND CONDI <br />MAY PERTAIN, THE INSURANCE AFFOR <br />MITS SHOWN MAY HAVE BEEN REDUCED BV PAID <br />-~ -- <br />pOLICIES_AGGREGATE CI ~OLICV EFFECTIVE a0ucr ExPIRATION I <br />uMns <br />INER DO'L - POLICY NUMBER 1rOgg~gl <br />EACH OCCURRENCE S __ <br />GENERAL 4ABILITY <br />ALLIABILITV PSP000621700 <br />i 61112006 6f1l2UD9 PREMISES Eaexurenm IS 50,01 <br />01 <br />5 <br />COMMERCMLGENER <br />iA X X <br />OCCUR <br />CLAIMS MADE , <br />MED E%P (MYC^e Penang $ _ <br />$ 1,000,OI <br />RY <br /> <br />. ~ <br />PERSONAL 8 ADV INJU <br />GENERAL AGGREGATE f 3,000,OI <br />_ .PRODUCTS-COMPlOPAGG E 2,000,Di <br />GENL AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- ~ LOC ~' <br />COMBINED SINGLE LIMIT $ 1,000,0 <br />AUTDM081LE LIABILITY <br />DPA5502317 611!2008 611/2009 IEa acudenq <br />B X AYY AUTO <br />~BODILV INJURY E <br />' ~ ALL OWNED AUTOS ' (Per penan} <br />~ <br />X SCHEDULED AUTOS <br />~' HIRED AUCOS BODILY INJURY <br />(Per ecdtlenq $ <br />NON-OriNED AUTOS <br />' <br />PROPERTY DAMAGE E <br /> (Per awtlanq <br /> AUTO ONLY•EA ACCIDENT E <br /> GARAGE LIABILITY <br />~ <br />- EA ACC <br />N ~ S <br /> - <br />T ANY AUTO ~ OTHER THA <br />AUTO ONLY: AGG $ <br />(~` I 5 MADE I <br />i OEDUCTISLE <br />RETEN-ION E <br />WORKERS COMPENSATION AND ' <br />EMPLOYERS' LIABIDTY <br />OFyyeeF CERIMEMBER EXCLUOEDP ECUTIVE <br />SPECIALSP0.0VISIONS below <br />OTHER <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR ~ CLAIM <br />g 811!2008 i 671!2009 <br />EL. DISEASE-EA EMPLOYEE~$ __~ <br />:RIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f areuw~ rnw,w..~~ <br />City of Santa Ana, its officers, employees, agents, volunteers, and representatives are listed as additional insured per the attached <br />Drsement in regards to the general liability policy. <br />All California Operations 10 day notice of cancellation vrill <br />apply fw non-payment of premium <br />City of Santa Ana <br />Attn: Jerry Jeffries <br />20 Civic Center Plaza -Ross Annex (M•21} <br />Santa Ana, CA 92701- - T:(; <br />SHOULD ANV OF THE ABOVE DESCRIeEO POLICIES eE CANCELLED BEFORE THE EXPIRATIOI <br />DATETHEREOF, TXEISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LUU71LffY OF ANY KIND UPON THE INSURER, ITS AGENTS DR <br />c~ o.~'.vti Lbw-•ail..-., <br />© ACORD CORPORATION <br />ACORD 25 (2001!08) '~' , , (' - ~ . . <br />, ....;i. ..'... .,,,.., .. <br />