|
ICJ - _'t ( I. I ,
<br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE
<br />"I
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />09/18/08
<br />PRODUCER LIC #0867768 1 -925- 416 -7862
<br />IOA Insurance services
<br />3875 Bopyard Road, Ste. 240
<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 />INSURERS AFFORDING COVERAGE
<br />oCaldwe A 94588
<br />Ren a Caldwell
<br />8901110 AssOCiate9, Inc.
<br />INSURERA-Valley Forge Insurance Company
<br />INSURERB:U -S. SPOCialty Insurance Company
<br />12 J Nauchly, Suite 100
<br />INSURER C. --
<br />EACH OCCURRENCE S 1, 000.000
<br />Irvine, CA 92618
<br />INSURER D:
<br />INSURER E:
<br />rnveewr_ec
<br />FIRE DAMAGE IMryone iva) f 300,000
<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 OOCUMENT 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 />INSR
<br />LTR
<br />TYPE pi INSURANCE
<br />POLICY NUMBER
<br />POLICY EFFECTIVE
<br />07/25/00
<br />POLICY EXPIRATION
<br />07/25/09
<br />LIMNS
<br />A
<br />GENERAL LIABILITY
<br />82099527251
<br />EACH OCCURRENCE S 1, 000.000
<br />NOTICE TO THE CERTIFICATE HOLDER #AMID TO THE LEFT,
<br />X COMMERC L GENERAL LIABILITY
<br />IJ/J�,/
<br />20 Civic Center Plaza
<br />FIRE DAMAGE IMryone iva) f 300,000
<br />MED EXP M one arson) S 10, 000
<br />Banta Ana, G 91701
<br />CLAIMS MADE � OCCUR
<br />AUTXORVC^REPRESENTA7NE
<br />PERSONAL a ADV INJURY_
<br />S 1,000,000
<br />ernnn sc c rvray. .
<br />--
<br />GENERAL AGGREGATE
<br />32.000,000
<br />-
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />PRO-
<br />PRODUCTS- COMPIOPAGG
<br />52,000,000
<br />POLICY X LOC
<br />A
<br />wTOMOBILl LIABILITY 602099527251
<br />07/25/06 07/25/09
<br />ANY AUTO
<br />COMBINED SINGLE LIMIT
<br />IRS aoctleTl)
<br />f1, 000, 000
<br />ALLOWNEDAUTOS
<br />SCHEDULED AUTOS
<br />r
<br />BODILY INJURY
<br />(Perperecn)
<br />S
<br />X 1 HIRED AUTOS
<br />X NONI NEDALTOS
<br />IP*re mdwI)
<br />f
<br />DAMAGE
<br />3
<br />(PS, aaxiwo
<br />"RAGE LIABILITY
<br />FOTHER
<br />AUTO ONLY ACCIDENT
<br />f
<br />ANY AUTO
<br />N EAACC
<br />f
<br />f
<br />: A00 I
<br />EXCESS UABEITY
<br />OCCUR CLAIMS
<br />EACH OCCURRENCE
<br />f
<br />A
<br />f
<br />M40E
<br />—'-
<br />s
<br />f
<br />RETENTION f
<br />RETENTION
<br />f
<br />WORIfERB COMPENSATION AND
<br />TU- OTH-
<br />EMPLOYERS' LIABILITY
<br />_ -
<br />CIDENT f _
<br />E.L. DISEASE- EA EMPLOYEE_ f
<br />E.L. DISEASE -POLICY LIMIT $
<br />OTHER
<br />B Profeesionel Liability
<br />OS OB 12423 03
<br />09/22/08
<br />09/22/09 Per Claim $1,000,000
<br />Annual Aggregate $1,000,000
<br />s
<br />DEiCRIPTION OF OPERATN)N W LO CATIONSNENICLES,EXCLUMONSADDED BY ENDOR3UN;NTMPEGAL PRONMON6
<br />All operations Of the XazI Insured, including project referenced baba, if any.
<br />General Liability) Sea Additional Insured mdorsemant attached.
<br />General Liability Additional Iasoredt City of Santa Ana
<br />Rat Agrement A -2007 -045
<br />9793051
<br />Certificate Delivery by CartificatesNow - vmv.ConlirmNw,mm - 877.669.8600
<br />0 ACORD CORPORATION 1988
<br />- -------- •----- •— ••�•••
<br />......... -rr.. nvn - +v —y- xvcaca -or mon-waymaimt or Premium
<br />y• •'3 "j l'I
<br />'i 1 • r l, FI
<br />I SHOULD ANY OF THE ABOVE DESCRIBED POLJCIESBE CANCELLED BEFORE THE EXPIRATION
<br />City of Santa Ana
<br />DATE THEREOF, THE ISSUNG INSURER WILL 0=1449 Y�MAIL 30 DAYS WRRTEN
<br />Building
<br />ag Maintenance, M -11
<br />I�
<br />NOTICE TO THE CERTIFICATE HOLDER #AMID TO THE LEFT,
<br />Attm,
<br />I75ao W
<br />IJ/J�,/
<br />20 Civic Center Plaza
<br />- -i ! _.
<br />Banta Ana, G 91701
<br />r ya,.i...il i .:r ., Li,.: ..
<br />AUTXORVC^REPRESENTA7NE
<br />138A
<br />ernnn sc c rvray. .
<br />9793051
<br />Certificate Delivery by CartificatesNow - vmv.ConlirmNw,mm - 877.669.8600
<br />0 ACORD CORPORATION 1988
<br />
|