Laserfiche WebLink
.DATE-M420~Og8 ~i <br />BACORD,e <br />Aon Risk Services ,Inc. of Washington, O.C./ Hunti ~~~ 3,ggU®ASADSAI'TER OF INFORMATION ONLY <br />CONFERS NO RIGHTS -PON'f'AE CERTTFICAI'E HOTDIgi. 7RI8 <br />1120 20th Street Nw CAOE-OES NOTAhffi'1-, EX7EN-OB'i1.TBR 1?IE _ <br />Washington DC 20036 USA VEgAOE AFFORpRD BY Ti~POLIClFS BELOW <br />RYSURERS AFPORDRiG COVERAGE NA[C # <br />moxs. 866 283-7122 >•~- 847 453-5390 10172 0 <br />Drsemea A: Westchester Surplus Lines ins Co G <br />msoeaD - <br />Rebuilding Together Orange County e+suxEaa e <br />F.O. sox 329 - <br />7us71x CA 92781-0329 u5A Bawuac. ~ <br />DausExo: '~ <br />0 <br />..,..~RF. CI <br />BCF B~HORANC6I]SIIDBBIAWFIAV688IIllSSU®701H6- ~NA ~ABO <br />' .ro N'HICHI7R. YC~TIFICA7fiNAYBE <br />:BdaNl'. ffiIMOR COLR)171W7OF ANY ODNIBACI'~OII~tIfOC <br />NL4 IBR <br />iNt <br />3UB18CT 711 AI17 <br />'HBIIa7Al5. FACLUS <br />iONS AND CONDIIIlRL40F SUCI[POiICD'~. <br />0? A'SORANCBAtFOR-PD SY7IRi7'012C8'B-BHCR~ Iffitffi <br />i]IIdrlSg-pWNMAYRAVHBffi7affi7tIL4+D BYPAIDCLAA6. <br /> rOLCY MiiCYLXr®AtiON <br />~~ <br />tvn or usoxAxce' , eoucY wAmeR DAlrina,DDmYYI DAnpA+IalDmm 000 <br />Si <br />624011720001 03/15/08 03/15/09 , <br />FACNOCCVAeeNCP <br />uAaafn'- DAMAGE TO Aexr® 1100, <br />crA,o~ew.oamul.LUeam mre.DSrs o mere <br />aAa+sAace ®occua u,e oecm <br /> esasoNALAADV anDrr sl,ODo <br /> 000 <br />(2 <br /> GBiEeAl AGGAEOAIB , <br />OEN'L AO0RC611E1.a07 APP118S PBR: lApplKTS-COl~IOY ACA 52,000 <br />P01.>LY ® JaCI ~ LOC <br />70MO~LIABDALY _ WiABII16n3WQELMR <br />0?acddam) <br />ANY AVID <br />ALLOWNID AUTQI BpDG.Y INIURY <br />(Pe Dece) <br />SC®VfIDAV7V6 <br />}aAID AVNS <br />aODILYINIIMY <br />Qr r<idmt) <br />NON OM1bn AEll'OS <br />Oa ni2m0 <br />ANYAUIO <br />SS/OMAtI2.ALIABIId7Y <br />x:g7A ~ CLAIMS AfADE <br />tY0RI08P8L'QY1PeNSAtxxi AND <br />LMPI-0YteS LIA9IISrY <br />ANY PLOra1G7Oa/PAaTNE0./DOiLVII <br />p}f1~4h¢]GttR 6xQ.UD9D? <br />1(Indem,UeeWe 8PE©AL PADVISIWIS <br />Etlve <br />078CR <br />anais indudetl az <br />City of Santa Ana <br />Attn: Frank Hernandez ,. <br />20 Civic center Dr. <br />Comunity DeveloPmeni Agency <br />Santa Ana CA 92702 USA <br />AUTO ONLY- EA ACCmEtfl ~1!' <br />OTHxt THAN EA ACC <br />AUtO ONLY: 0.W <br />/ ~.. ~. ': I EEL DISFASEPOL~La.GT <br />isAOOmeYamoRSO.~Hnsettw.eao`rmoNS lily, See Attached <br />onal insured with res ect to the General Liability po <br />SxOVID ANVar txs Aaove cesGltieFV POS.ICG'.SS ea:cANLffs.ED aseGxE nn; txi mnnoN <br />DA7e rHeaEw, 7He Issuaac ouuxmwaL eNOeAVOaro HAe. <br />. .. woArswxm'rN NO7I~roTxamc7Dlu~rz xolDex xAA>eDmrt¢LLr•'r. <br />avrYAnvaslvmsG sxw.IMPOSE NooaucanoN ox LUHalCY <br />OFANY xmo UPONTiB LLiSURFR n5 AGENIS ~ xepxESENIATNEa <br />AU7fa1x12ED aEVRE4SNrw7rve /b~JH•LL.Sa,,..r .Y..a. g8'!M~!d~°"~AHL <br />N <br />N <br />N <br />n <br />O <br />n <br />N <br />O <br />ti <br />O <br />U <br />