Laserfiche WebLink
Policy Number: Date Entered: 8/10/2009 <br />(MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE DATE ATE 2/2009 <br />PRODUCER RISKPRO Insurance Agency, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />901 Waterfall Way, Suite 407 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Richardson, Texas 75080 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone: (972)235-3030 <br />Fax: ( ) - <br />INSURED PDS Tech, Inc. <br />P.O. Box 619820 <br />Dallas, TX 75261-9820 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Zurich American Insurance Company 16535 <br />INSURER C: <br />INSURER D: <br />INSURER E: <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 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 />ADDT <br />P INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVEDATE IMWDDMM <br />POLICY EXPIRATION DATE (MM1DD`YYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE FX1 OCCUR <br />GLO 9298949-09 <br />9/l/2009 <br />9/1/2010 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />50 000 <br />$ r <br />MED EXP (Anyone person) <br />$2,500 <br />PERSONAL & ADV INJURY <br />$1 , 000 , 000 <br />GENERAL AGGREGATE <br />$2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2 r 000 , 000 <br />POLICY PRO LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />Es accident) SINGLE LIMIT <br />$ 1 , 000 , 000 <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BAP 9298947-09 <br />9/l/2009 <br />9/1/2010 <br />PROPERTYDAMAGE <br />(Per accident) <br />$ <br />r_fNiia AA <br />GARAGE LIABIUTY <br />�1v �-i <br />A <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EAACC <br />AUTO ONLY: AGG <br />$ <br />ANY AUTO <br />AUTO <br />f'1 �Pn <br />.-/ <br />$ <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />LaUTa t, t�edy <br />ASsistan Ity <br />tOfT1CV <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />X TORY LIMIT ER <br />A <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICERIMEMBEREXCLUDED? ❑ <br />(Mandatory In NH) <br />C 9298950-09 <br />9/1/2009 <br />9/1/2010 <br />E.L. EACH ACCIDENT <br />$ 1 , 000 , 000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1 , 000 , 000 <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1 $1 r000 r 000 <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Certificate Holder as additional insured as may be required by written contract but only as respects <br />operations of the named insured. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL DO MAI 3L 0 DAYS WRITTEN <br />20 Civic Center Plaza, M-36 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />Santa Ana CA 92701 <br />Attn: Taig Higgins <br />AUTHORIZED REPRESENTATIVE run er <br />ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />Produced using Forms Boss Plus software. www.FormsBoss.com, Impressive Publishing 800-208-1977 <br />