WESTFALL, MATTHEW - 2009 - Laserfiche WebLink

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-- - CERTIFICATE OF LIABILITY INSUDJ RANCE0A All PROD(ICER M 22 USAA INSURANCE AGENCY INC/pHS ONLY THIS gNDIFICATE IS ISSUED ACON ERS NO RIGHTS UP AT ER OF NFORMAT ON 812846 P.(888)242-143() F : OLDER. THIS CERTIFICATE DOES NOT EXTEND OR PO BOX 33015 ($ 7 7 9 0 5 - 04 5 7 ALTER THEC OVERAAFFORDED BY THE PO SAN ANTONIO TX 78265 LI:IES BELOW INSLIREv -' t INSURERS AFFORDING COVERAGE MATTHEW WESTFALL- INSURER 1707 ORANGE AVE INSURER C: SANTA ANA CA 92707 wsuRER D: COVERAGES ELO III I I' ANY REQUIREMENT, TERM OR CONOITBION OF ANY ECONTRACT OR OTHER DOCUMENTT WITH RESPECT TO WHICH THIS CERTIFICATE M OR MAY PERTAIN, THE [NSURAN CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CO POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By pglD CLAIMS. OR THE POLICY PERIOD 1NDlCATED. NOTWITHSTANDIP (,`- INSR MAY BE CONDITIONS SUCH nPEOFINSURANCF NDITIONS OF SUCH GENERAL LIABIL/Ty POLICY Nf/iMRER P LI£YFAECTR/E p0�yFXpy�ATpN A COMMERCIAL GENERAL LIABILITY 6 5 Lail SBM NW4998 06/01/09 06 EACH OCCURRENCE 41 000 0()0CLAIMS MADE � OCCUR � 01 10 FIRE D X General Li ab AMAGE IAny one fuel S3 O O 000 M DEDUCTIBLE .�asc�K DATE S RETENTION $ S WOR,YERS COMLlAPENSATION AND --- - A p� $ EMPLOYERS' BIL?Y I E.L. EACH ACCIDENT S OTNER KjrICC DttOj E.L. DISEASE • ce I . OFSC/PIpT/ON Of OPFRAT/ONS2OCA T/ONS/yEH/CLFS/FrXCLLR4p/yS Pg ADIWO 6EN®ORSFMFNT/SPELYA'WIThose usual to Ythe Insuredls Operations. agents, employees, representatives City of Santa Ana, its officers, the Business Liabilit • and volunteers are Additional Insured per non -contributor y Coverage Form SS0008. Coverage is attached cover y per the Business Liabilit primary & a e for complete wordin �T Coverage Form SS0008. Please see CERTIFICATE HOLDER f, ,DDIT101VA City of Santa Ana - . �„�rrE� A CANCELLATION Parks, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Recreation, & Community EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Agency y Services 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE P-0- BOX 1.988 M-23 HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO Santa OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ana • CA 92 702 REPRESENTATIVES. ACORD 5M ® ACORD CORPORATION 1981 ED EXP IAny a,,,n1` 51 0 000 GENII. AGGREGATE LIMIT APPLIES PER: PERSONAL & AOV INJURY $1 000 000 POLICY PRO- I X LOC GENERAL AGGREGATE $2 0 0 O 000 AI?OMOBRELIABB/Ty '' PRODUCTS -COMP/OP aG $2 000,000 ANY AUTO ALL OWNED AUTOS COMBINEDSINGLELIMIT SCHEDULED AUTOS S HIRED AUTOS BODILY INJURY — �T NON•OWNED AUTOS fPer Person) $ BODILY INJURY Per occident) S IRAGELL imffy— PROPERTY DAMAGE ANY AUTO ��` (Par accident) S AUTO ONLY - EA ACCIDENT S --•. --- ----- CESS LIA&Wy OTHER TNAN EA ACC $ OCCUR Ll CLAIMS MADE _ AUTO ONLY: _ AGG S DEDUCTIBLE .�asc�K DATE S RETENTION $ S WOR,YERS COMLlAPENSATION AND --- - A p� $ EMPLOYERS' BIL?Y I E.L. EACH ACCIDENT S OTNER KjrICC DttOj E.L. DISEASE • ce I . OFSC/PIpT/ON Of OPFRAT/ONS2OCA T/ONS/yEH/CLFS/FrXCLLR4p/yS Pg ADIWO 6EN®ORSFMFNT/SPELYA'WIThose usual to Ythe Insuredls Operations. agents, employees, representatives City of Santa Ana, its officers, the Business Liabilit • and volunteers are Additional Insured per non -contributor y Coverage Form SS0008. Coverage is attached cover y per the Business Liabilit primary & a e for complete wordin �T Coverage Form SS0008. Please see CERTIFICATE HOLDER f, ,DDIT101VA City of Santa Ana - . �„�rrE� A CANCELLATION Parks, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Recreation, & Community EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Agency y Services 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE P-0- BOX 1.988 M-23 HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO Santa OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ana • CA 92 702 REPRESENTATIVES. ACORD 5M ® ACORD CORPORATION 1981