Laserfiche WebLink
<br />ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID NK DATE(MMIDD/YYYY) <br />MGTOF-1 06 30 08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Earl Bacon Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />3131 Lonnbladh Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . O. Box 12039 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Tallahassee FL 32317 <br />Phone: 850-878-2121 Fax: 850-878-2128 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />MGT <br />f A <br />i <br />I INSURER A: Valle FOr a Ins Co. 20443 <br />mer <br />nc. <br />o <br />ca, <br />and Public Resourse Management <br />INSURER B: Continental Casualty <br />20443 <br />Gfoup a wholly owned subsidiar <br />INSURER C <br />20443 <br />o <br />M T : American Cas.CO.of reading PA <br />2123 Centre Point B1Vd. <br />Tallahassee FL 32308 INSURER D: Travelers Cas6Surety Co of Ame 25623 <br /> <br /> INSURER 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 W ITH 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 /> <br />LTR <br />NSR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YY POLICY EXPIRATION <br />DATE MM/DDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ $1 , 000 , 000 <br />A X X COMMERCIAL GENERAL LIABILITY 2093390918 07/01/08 07/01/09 PREMISES (Eaoccurence) $$ 300,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ ~ 5 , Q Q Q <br /> Blanket Add'1 InS PERSONAL&ADVINJURY $$1,000,ODO <br /> Blkt Waiver Of Su GENERAL AGGREGATE $$2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ $2 , 000 , Q Q Q <br /> X POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> ' <br />id <br />(Ea <br />t $ 1 QOQ QQQ <br />i i <br />C X ANY AUTO 2093563501 07/01/08 ]/01/09 <br />Q acc <br />en <br />) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br /> $ <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GA RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO EA ACC <br />OTHER THAN $ <br /> <br />AUTO ONLY: AGG _ <br />$ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4 ,QQQ ,QQQ <br />$ OCCUR ~ CLAIMS MADE 2093563496 07/01/08 07/01/09 AGGREGATE $ Q ~ QQQ ~ QQQ <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10 ,QQQ $ <br /> WORKERS COMPENSATION AND <br />' X TORY LIMITS ER <br />A EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE 2093390921 07/01/08 07/01/09 E.L. EACH ACCIDENT $SQQQQQ <br /> OFFICER/MEMBER EXCLUDED? <br /> <br />If <br />d <br />ib <br />d <br />E.L. DISEASE-EA EMPLOYEE <br />$ 500000 <br /> yes, <br />escr <br />e un <br />er <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ cj Q Q Q Q Q <br /> OTHER <br />B Workers Comp - CA 2098117826 07/01/08 07/01/09 Empl Liab $1,000,000 <br />D Prof Liab-Clm Made 104968324 07/01/08 07/01/09 Liab/A r $3,000,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS! VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS rlii~i3t1 <br />Y ED AS TO FUi4 <br />1~1I <br />* <br />. <br />, <br />45 Days Written Notice of Canc-Nonrenewal. *10 Days Written Notice oT C:anc- <br />~ <br />~ <br />Nonpayment. Certificate holder included as an additional insured u er the <br />;~ <br />r <br />general liability. - ~ ~ - <br />j BFNJA I ICAU>=r~'.AN <br />iei Assistant City Atiorney <br />~. C.K I IrwAl t rtv<_utK CANCELLATION <br />SAANSA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />The C1 ty Of Santa Ana PBA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn.: Toni Zerba <br />20 C1ViC Center Plaza, M-20 REPRESENTATIVES. <br />Santa Ana CA 92701 AUTHOR RE ES TA E <br />AI.VKU L, ILUVI/Uifl ©ACORD CORPORATION 1988 <br />