CAPOUYA, LYNN-2009 - Laserfiche WebLink

Home Browse Search

Gllent;7: 1271727 305LYNNCAP CO,M CERTIFICATE OF LIABILITY INSURANCE 3/11/09 DD/YY) I RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BB &T Insurance Svcs of CA,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 680 Langsdorf Drive #100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 34009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fullerton, CA 92834 -9409 INSURERS AFFORDING COVERAGE - - - INSURED —- __ - - - -. LYNN CAPOUYA INC. INSURER A: Hartford Casualty Insurance Company - 17992 Mitchell South #110 INSURER 8 Hartford Insurance Co of the Midwest INSURER c: Property & Casualty Ins Co _of Hartfo Irvine, Ca. 92614 - - -- - — INSURER D. INSURER E COVERAGFR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER INSURED NAMED DOCUMENT WITH ABOVE FOR THE POLICY RESPECT TO PERIOD INDICATED. NOTWITHSTANDING WHICH THIS CERTIFICATE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HEREIN IS SUBJECT TO ALL THE TERMS, MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH - - ILTR TYPE OF INSURANCE POLICY NUMBER �POLIbY POLICY EXPIRATION DATE MM/DD/YY _ -- - LIMITS EFFECTIVE DATE MM/DD/YY A GENERAL LIABILITY 72SBAKN6524 COMMERCIAL GENERAL 07/10/08 07/10/09 EACH OCCURRENCE $2 OOO 000 FIREDAMAGE (Any one fire) �$300LO LM �X CLAIMS MADE J OCCUR D EXP (Any one person) $10 000 �� — - = -- - - PERSONAL & ADV INJURY $20 - 00,000 - - [GENERAL AGGREGATE_ $- O,OOO- GEN'LAGGREGATELIMITAPPLIESPER: 'PRODUCTS •C OMP /OP AGG - -- - - -- - - $4 000,000 POLICY JECT LOC C AUTOMOBILE LIABILITY 72UECAH1867 07/20/0$ 07/20/09 �ANY AUTO ALL COMBINED SINGLE LIMIT L(Ea accident) — -- $1,000,000 -- OWNED AUTOS - SCHEDULED AUTOS BODILY INJURY (Per - -- $ X HIRED AUTOS person) -- — — -- NON -OWNED AUTOS BODILY INJURY i (Per accident) $ -X 1 APPROVEI) A _ - TO FOR - -� PROPERTY - DAMAGE (Per accident) $ GARAGE LIABILITY �$ ANY AUTO AUTO ONLY - EA ACCIDENT L$llI$ St' heed OTHER THAN EA ACC _ AUTO ONLY: j $ -_ . -- AGG $ EXCESS LIABILITY_ Y OTllej EACH OCCURRENCE $ OCCUR L J CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ — - -.. — -- - -- - -- $ - -- - B 'WORKERS COMPENSATION AND 72WECRRO814 Q$ /01/08 EMPLOYERS' 08/01/09 i WC uTATU• 0TH- LIABILITY TQRY LIMITS _ER - -- _ - E.L. EACH ACCIDENT $1,000,000 E.L. OTHER II i I DISEASE -EA EMPLOYEE $1,000,000 0 -- - E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is added as Additional Insured per pages 10 -17 of Coverage form SS0008 0405 attached. Cancellation clause is completed as follows: except in the event of Non Payment when a 10 day notice will be provided. (See Attached Descriptions) CFRTICl/`ATC Ur%1 nec i i ■ City of Santa Ana Public Works Agency M -36 P.O. Box 988 Santa Ana, CA 92702 ACORD 25 -S (7/97) 1 of 3 #S3222969/M2655148 SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL MAIL 3V DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT L AUTHORIZED REPRESENTATIVE TLAMS © ACORD CORPORATION 1988