Laserfiche WebLink
DATE (MMIDDIYYYY) <br />' ALDRD, CERTIFICATE OF LIABILITY INSURANCE 01/23/2008 <br />PRODUCER (213) SS3 -8400 FAX (213) SS3 -8466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wilshire Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />835 Wilshire Blvd 4th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Los Angeles, CA 90017 -2603 <br />INSURERS AFFORDING COVERAGE NAIC p <br />INSURED United Storm Water, Inc. INSURERA Nautilus Insurance Co. <br />14000 East Valley Blvd. INSURERS: Great Divide Ins. Co. - <br />City of Industry, CA 91746 INSURER C: <br />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 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 />W R <br />D' <br />TYPE OFINSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS MADE OOCCIIR <br />ECPCO20D00411 <br />11/16/2007 <br />11/16/2008 <br />EACH OCCURRENCE <br />S 1,000,00 <br />DAMAGETORENTED <br />ARFMIRFS OF, <br />5 50,00( <br />MEO E%P (Any a n. PAj <br />5 5100 <br />PERSONAL B ADV INJURY <br />S 1,000,00C <br />A <br />GENERAL AGGREGATE <br />5 1,000,00C <br />PRODUCTS • COMP/OP AGG <br />S 11000 QQ <br />GENL AGGREGATE LIMIT APPLIES PER <br />X POLICY r7 MO. LOC <br />JECT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BAP020000311 <br />11/16/2007 <br />11/16/2008 <br />��� yy <br />.,_.;2.�VT <br />COMBINED SINGLE LIMIT <br />(Eascod nt) <br />S <br />1.000,00 <br />X <br />BODILY INJURY <br />IPUro N <br />S <br />B <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-0WNED ALn03 <br />I <br />-..'S <br />".,. <br />i "� <br />BODILY INJURY <br />S <br />X <br />X <br />X <br />MCS -90 <br />PROPERTY DAMAGE <br />(P.,AwaAm) <br />S <br />X <br />EA-9948 <br />GARAGE LIABILITY <br />,% <br />- <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />AUTO ONLY: AGO <br />S <br />ANY AUTO <br />S <br />EXCESSNMBRELLALIABILITY <br />X OCCUR ❑ CLAIMS MADE <br />FFX020000511 <br />11/16/2007 <br />11716/2008 <br />EACH OCCURRENCE <br />S 5,000'00 <br />AGGREGATE <br />5 5,000,000 <br />S <br />A <br />5 <br />DEDUCTIBLE <br />X WC STA U• 01 H• <br />S <br />X RETENTION 5 10.00 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />WCA020001811 <br />01/01/2Q08 <br />Q1/01/2009 <br />E.L. EACH ACCIDENT <br />5 1 . QQQ, OO <br />B <br />OPFICERIMEMSERf EXCLUDED? ECIffNE <br />El DISEASE - EA EMPLOYE <br />5 1.000,00 <br />E.A. DISEASE- POUCYI.]MIT S 1, QQQ, OQ <br />51,000,000 total limit & <br />Annual Agg S/T $25,000 Ded <br />A <br />0 Taa, dm tx Vn001 <br />SPECIAL PROVISIONS bYoM <br />ro�`Liability/ <br />&0 (Claims Made) <br />POL <br />ECPCO20000411 <br />UTION LIAR (OCC FORM) <br />11/16/2007 <br />11/16/2008 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />HE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, VOLUNTEERS AND EMPLOYEES ARE NAMED AS <br />ODITIONAL INSUREDS WITH RESPECTS TO ALL 706 OPERATIONS PERFORMED BY THE NAMED INSUREDS. <br />HIS INSURANCE IS PRIMARY TO ANY INSURANCE. <br />`EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OF PREMIUM. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL K4=00W)i MAIL <br />'30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />CITY OF SANTA ANA i( IXrXXO( dfAR75�X�dK% yd4XeXitX' 14XW} IYXIQ1fif AGXi'LBiCk,1( %�6d(�(IXDHG)hXXX) <br />20 CIVIC CENTER PLAZA M -93 KMdNfrUMXil(LW(%#€7W61NMKXY,5mx*WM)(*Xx*xokmxXXXXXXX) <br />SANTA ANA, CA 92701 AUTHORIZED RP. V NT "`E I f/n r11 in nn <br />,._... 1 OACORD CORPORATION 1988 <br />