SCOTT FAZEKAS AND ASSOCIATES INC.

Home Browse Search

DATE ACOBDM CERTIFICATE OF LIABILITY INSURANCE 05/29/2009) PRODUCER (619) 574-6220 FAX (619) 574-6288 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DBA IOA Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1775 Hancock Street, Ste. 180 San Diego, CA 92110 INSURERS AFFORDING COVERAGE NAIC # INSURED Scott Fazekas & Associates, Inc. INSURERA: Travelers P&C Co. of America 25674 9 Corporate Park Drive INSURERB. One Beacon America Ins. Co. Irvine, CA 92606 INSURERc: Beazley Ins Co 37540 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDfYYI 06/05/2010 LIMITS GENERAL LIABILITY 680225ZL18A 06/05/2009 EACH OCCURRENCE $ 1,000,000 X1 COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX OCCUR DAMAGE TO RENTED IR $ 300,000 MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT El PRODUCTS - COMP/OP AGG $ 2 , 000 : 00 AUTOMOBILE LIABILITY ANY AUTO 68022 52 L18A 06/05/2009 06/05/2010 COMBINED SINGLE LIMIT (Ea accident) $ Included BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X No Co. Owned Autos X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO HAUTO OTHER THAN EA ACC ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE CUP6527Y301 06/05/2009 06/05/2010 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A $ $ DEDUCTIBLE X RETENTION $ 0 $ WORKERS COMPENSATION AND 406017268 06/05/2009 06/05/2010 X WC STATU- OTH- TORY LIMITS FR- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS be!ovr i E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. D13EASI: - POLICY LIMIT $ 1,000,000 C i�essional Liability r1aimsMade V15THZ09PNPA 06/05/2009 06/05/2010 $1,000,000 each claim $1,000,000 aggregate $20,000 deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e: All Operations of the Named Insured Aty of Santa Ana, its officers, employees, volunteers, representatives and agents are :ertificate holders and additional insured per the attached endorsment. '10 day notice of cancellation applies for non payment of premium. City of Santa Ana Tonia Zerba 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 (M20PWVED AS 1 64? SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, FQJ?XURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE —I— Ka ly HOwell/HOWELK ACORD 25 (2001/08) C iei Assi-,tailt Ci'/ ,'3lorney ©ACORD CORPORATION 1988