PELLETIER & ASSOCIATES - 2008 - Laserfiche WebLink

Home Browse Search

ACORD,,, CERTIFICATE OF LIABILITY INSURANCE PRODUCER 949.348.7400 Insurance Solutions License #0746539 26522 La Alameda, Suite 190 Mission Viejo, CA 92691 INSURED PELLETIER & ASSOCIATES PO BOX 388 EL TORO, CA 92609 FAX 949.348.2373 DATE (MMMDMYY) 07/31/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INC INSURER A: Hartford Casualty Ins Co 29424 INSURER B: Hartford Fi re Ins Co 19682 INSURERC: Mount Vernon Fire Ins Company 26522 INSURER D: INSURER E: COVERAGES rums -------- ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTTO THE WHICHITHIS CERTIFICATE TE MAY BE ISSUED OR DING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DDlYYYY POLICY EXPIRATION DATE(MWDDNYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 72SBATU8130 07/0312009 0710312010 EACH OCCURRENCE $ 1, 000, PREMISES bEa occurrence $ 300, MED EXP (Any one person) $. 10 PERSONAL & ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000 OO GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 2,000,00C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 72SBATUB130 07/03/2009 07/03/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1, OOO, WC BODILY INJURY (Per person) $ A SCHEDULED AUTOS HIRED AUTOS X NON -OWNED AUTOS APPROVED AS O FORM BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO E Laura St' S �ssxstant ity I eedy ttorne Y. AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 72WECLP3277 ANY PER/MEMB R/PARTNER/EXECUTIVEEl B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) R SPECIAL under IAL PROVISIONS below �t C PrOTessional Liability SP2009690 $ $ 08/01/2009 08/01/2010 X WC srnru- orH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,= E.L. DISEASE - EA EMPLOYE $ 1,000, E.L DISEASE - POLICY LIMIT $ 1,000, 06/25/2009 06/2512010 LIMIT: $2,000,000 PER CLAIM AGG: $2,000,000 PER CLAIM DESCRIPTION OF OPERATIONS! LOCATIONS /VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! ity of Santa Ana, 20 Civic Center Plaza, California nd representatives are named as additional insured ttached to the policy. SPECIAL PROVISIONS DEDUCTIBLE: $1,000 92701; its officers, employees, agents, volunteers per the Business Liability Coverage From SS0008 4'10 Days written notice fnr nnn— nnumont nF ....e...�.... CERTIFICATE HOLDER City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 25 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL N/A DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Tony Alessandra /THERES "'^ 4 The ACORD name and logo are registered marks of ACORD All rights reserved.