Laserfiche WebLink
ACORO CERTIFICATE OF LIABILITY INSURANCE <br />iaE3o"�"' a o <br />PRODUCER (949) 852-0909 FAX. (949) 852-1131 <br />THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION <br />Milestone Riak Mama sment & Inauranca A as <br />g g Cy <br />License No. OB72766 <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 />8 Corporate Park, ata 130 <br />Irvine CA 92606 <br />INSURERS AFFORDING COVERAGE NAIC # <br />ml B m <br />INSURER A: Hartford CaLaualt:y 29424 <br />Pacific Advamcad Civii Sagineering, Imc. <br />INSURERB:NatiOnal IImion Fire 6. 19445 <br />DBA. PACS <br />INSURER C: <br />17520 Newhope street, Su1te 200INSURER <br />D: <br />Fountain valley CA 92708 <br />INSURERF <br />THE PDLICIE9 OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />iNBR D'L <br />TYPE OF WSURANCE PGUCV NUIBiER POLICYDTE EFFECCT DATE �— YION LafTa <br />GENERAL LIASLL <br />$ <br />DAMAGE TO RENTED <br />s <br />COMMERCIAL GENERAL LIABILITY <br />— $ <br />CLAIMS MADE OCCUR <br />PERSONAL A ADV IWURY E <br />GENERAL AGGREGATE s <br />G ENL AGGREGATE LMR APPLIES PER: <br />POLICY PR LAC <br />P S <br />Totel r ate <br />AUl'OMO BILE LIABILITY <br />X ANY AUTO <br />(OM ecCl0I SINGLE LIMIT S 1,000,000 <br />Ee tlant) <br />BODILY INJURY <br />(Peri—) S <br />A <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />72DRCTR2380 (G) <br />72UNCTR5063 (AZ) <br />11/16/2009 <br />11/16/2009 <br />11/16/2010 <br />11/16/2010 <br />BODILY INJURY 5 <br />(Pore¢Itlant) <br />X HIRED AUTOS <br />X NON UD AUTOS <br />PROPERTYDA"'E $ <br />(Por eaMent) <br />X Comp. Dad. $500 <br />T� T� <br />APPROVE <br />AS T <br />j q <br />FO+�lYl <br />_ <br />X <br />Co11. Ded. 1,000 <br />GARAGE LIABILITY <br />ANY AUTO <br />P.I� <br />—' <br />AUTOONLY-EAACCIDENT S <br />OTHER THAN <br />ONLY: <br />EXCEBBNMBRELLA LIABILITY <br />OCCUR F-1 C—MS MADE <br />ASS1St <br />t City Att <br />T _ , <br />DEDUCIBLE <br />- <br />B <br />WORIW iS COMPENSATION AND <br />E.IPLOVELS' LIABILITY <br />ANY PROPRETTOR)PARTNER/ ECUTNE <br />099-89-56 (G) <br />1/1/2010 <br />1/1/2011 <br />X WC TAT O <br />LVt <br />E.L. EACH ACCIDENT E 1,000.000 <br />Et DISEA4E-EA EM YE 1r 000, 000 <br />OFFICER/MEMBEREXCLUD EDT <br />ffy—, 6iim D wEei <br />099-89-57 (OTHHIR THAN G) <br />1/1/2010 <br />1/1/2011 <br />EL DISEASE -POLCY LIMITIs 1,000.000 <br />OTHER <br />DEBCRVTION OF OPQiAT10NSILOCATR]NBA/EHCLERMXCLUIN]NS ADDED BY EiDORHEMENTMPEC1AL PROM IONS <br />Waiver or subrogation aPP11as wham required by writtaa contract. Waiver endow—t: forma HA99161299 4 WC040306, <br />attaohad. -10 days notion o! cancallatloa Por non -Payment or premium. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br />City Of Banta Ana <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL,�MM� <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />'t3O pgYB RnIRITI@I NOTICE TO THE CERTRCATE HOLDER NANEO TO THE LEFT, <br />AUTHO.— —SENTATRVE _ <br />Catherine <br />ACORD 25 (2001108) a ACORD CORPORATION 1968 <br />INS025 (ot0e).0 Pegg 1 o 2 <br />