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THE PETERSON GROUP - 2008
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THE PETERSON GROUP - 2008
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Entry Properties
Last modified
1/3/2012 1:58:50 PM
Creation date
12/8/2008 5:10:18 PM
Metadata
Fields
Template:
Contracts
Company Name
THE PETERSON GROUP
Contract #
A-2008-305
Agency
PUBLIC WORKS
Council Approval Date
11/17/2008
Expiration Date
12/31/2009
Insurance Exp Date
1/29/2012
Destruction Year
2013
Notes
WC EXP 4/2011
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A? I?' CERTIFICATE OF LIABILITY INSURANCE °A <br />G' <br /> ? <br />THIS CERTIFICATE IS ISSUED AS A BATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ! n„ <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must he endorsed. 1 5 B ATiON IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such andorsement(s). <br />PRODUCER CONTACT <br />NAME At< DREV+1 W MORRIS,„ p? <br />(94%470-2111, Fax (949)470-2220 z <br /> <br />l Na 3d(- ?j <br />Fjj {71 kid 391A <br />SUPERIOR ACCESS INSURANCE SERVICES IN(, EMAIL <br />ADDRESS .?RTOrr"s_c,¢lfarrtt?L58gERLC#ft71 <br />5 OLDFIELI3 INSllRE 5 A£FORI3FNG COVEIiACsE _?iAID aI <br />. .. <br />IRVINE CA 92618 <br />.._.... ... ... ..._. ....- .................. INSURER A: HARTFORD CASUALTY INC CO 29424 <br />L*ISURED <br />THE PETERSON GROUP INC INSURER a : <br />........... ..._--, - .. ....._. .,.. _ _....... - , ...._..? <br />RPORATE PLA <br />ITE <br />0 MUAER C <br />2 CO <br />ZA DR SU <br />15 <br />NEWPORT BEACH, CA 92660 INSURER D _---- _._...._..._ .......... <br />A-2008-305 INSURER <br /> IN5lIRER F <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO LWCH THIS <br />CERTIFICATE MAY HE ISSUED OR F,4AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOVI,, I MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> <br />tr€SR' .?__.... n[stu,SUBR <br />LTR TI PE t tIaSURANC> <br />iTtStICYEi POLICY lap <br />POLICY NUMBER M YYYY MMJ?DQNYYY _.,...._...- ..._....._.... <br /> <br />+ LIMITS <br />GENERAL LIABILITY <br />rC^ OCCURREICE <br />S 000,000 <br /> E? <br />. c0 <br /> <br />" <br />? ; .._SI'Eacra.ta'3 30{I,0{}t <br />I <br />: ?r? <br />..... <br />A <br />..... 72SBAAA1945 01I29i2011 0112912012 5 Zfl00,4? <br /> s4,000,000 <br />.......... <br /> S 4,000 <br />000 <br />wC+- <br />r' :C'f .' ECT. '. LOC , <br />c <br />AUTOMOBILE LIABILITY <br />S 2. <br />............. L _. <br />A .? ....__... S 'S'3'. 72SBAAA1945 0112312011 4112912012 ...._ .......... _.. .,..... ??.. <br />., <br />} <br /> <br />UMBRELLA LIAR .: C-CC€:R <br />r <br />v r; `E <br />zS <br />EXCESS LIA$ MS-MACE <br />3 <br />._..- ...._.... ._ .................,_ <br /> <br />i <br />k.._ <br />........ <br />?_D RETE iTZNS S <br />. WOR'RERSCOMPENSATION '-- C--, <br />AND ENPLDYERS LUteIUTY <br />Y N <br />... <br />ANY b-R RTNE2-Y;GLMVC - ?' <br />I2xaizuy m}i H} - .E E. t4'-L <br /> <br />- - 3EASE-PO zCY Y i s <br /> <br /> -UFQRM <br />DESCRIPTION OF OPERATIONS I LOCATIONS i VEItICLES {Attach A CORD,a? H nwm spate i3 m pfirsd) <br />Certificate Holder added as Additional Insured <br />?,ttL* ??3c:e <br />aU G <br />••. J <br />f; <br /> _ <br />fCl <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92741 <br />SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES aS CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />REPFIESE2iTATNE <br />0 1 988-201 0 ACOR€) CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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