Laserfiche WebLink
ACn ® e+F—..a,e.. <br />ik.� MICR I irn,H i t ur LIABILITY <br />INSURANCE DATEIMMND Yyy) <br />r <br />PRODUCER TechServe Alliance Business Services <br />6301 Ivy Lane, Suite 506 <br />Greenbelt, MD 20770 <br />800.222.4664 <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 />www.techservealliance.o <br />INSURED The Comdyn Group Inc. <br />INSURERS AFFORDING COVERAGE Nalc # <br />5743 Corsa Avenue <br />Suite 209 <br />INSURER A: Tr V91 rs InSUr ripCO en <br />INSURER B: <br />Westlake Village CA 91362 <br />INSURER C: <br />INSURER D: <br />N <br />SURER 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 />IN$R 0' <br />POLICY NUMBER <br />POLKIYEFFECTIVE <br />6/15/2009 <br />POLICYEXPIRATION <br />6/15/2010 <br />LIMITS <br />GENERAL LIABILITY <br />✓ COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />TT05801148 <br />EACH OCCURRENCE <br />$ $1 DDD DDD <br />PREM Es ee occurrence <br />MED EXP An one person <br />$ $250 DDD <br />$ 10 000 <br />PERSONAL & ADV INJURY <br />$ $1 000 000 <br />A <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOC <br />AUTOMOBILE LIABILITY <br />GENERAL AGGREGATE <br />$ $2 000 000 <br />PRODUCTS - COMPIOP AGO <br />$ $2,000000 <br />ANYAUTO <br />ALL OWNED AUTOS <br />TT05801148 <br />6/15/2009 <br />6/15/2010 <br />(Ee sect 7eD SINGLE LIMIT <br />$ <br />$1 000000 <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per perecn) <br />$ <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />BODILY INJURY(Pe <br />$ <br />PROPERTY DAMAGE <br />(Permadi nt) <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />EACH OCCURRENCE <br />$ <br />A <br />EXCESS I UMBRELLA LIABILITY <br />OCCUR Z CLAIMS MADE <br />TT05801148 <br />6/15/2009 <br />6/15/2010 <br />S <br />$ $30000DD <br />AGGREGATE <br />$ 300 0OO <br />DEDUCTIBLE <br />E <br />RETENTION $10,000 <br />T/ WCSTATU- OTH. <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIA LITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICEWMEMBER EXCLUDED'/ ❑ <br />(Mandatory In NH) <br />4382M136UB <br />6/15/2009 <br />6/15/2010 <br />E.L. EACH ACCIDENT <br />$ 00000 <br />E.L. DISEASE - EA EMPLOYE <br />$ 1 00000 <br />A <br />SyPECIAL.PROVIS er below <br />OTHER <br />E&O Claims Made <br />TT05801148 <br />6/15/2009 <br />6/15/201D <br />E.L. DISEASE. POLICY LIMIT <br />2,000,000 <br />S 1 000 000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />City of Santa Ana, its officers, empployees, agents, volunteers & representative are Additional Insured as respects <br />General Liability per attached CG2010 1185 Additional Insured Endorsement. 10 day notice of cancellation <br />for non-payment of premium. <br />CERTIFICATE Hnl nFR <br />Client <br />SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana APPROVED AS TO FOR ATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />20 Civic Center Plaza NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Santa Ana CA 92702 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />aura Stilt Sheed PRESENTATIVE& <br />_ Y AUTNORQED RE PRESENTATIVE <br />Assistant City Attorney �^ <br />Peter J. Elliott \61 <br />ACORD 26 (2009/01) <br />CERT MO.: 5107754 Chris Herald 6/10/2009 7:24:59 AM Page 1 of <br />© 1988.2009 ACORD CORPORATION. All rights reserved. <br />