Laserfiche WebLink
AGUKU,. CERTIFICATE Ur' LIABILITY <br />INSURANCE 06/30/2009 <br />PRODUCER <br />An Risk Services South, Inc. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Atlanta anta GA Office i ce <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />3565 Piedmont Rd NE, Blgl,;i7O0 <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Atlanta GA 30305 USA <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAICB <br />PHONI. 866 283 -7122 PAx• 847 953 -5390 <br />INSURED <br />sapphire Technologies, LP <br />60 Harvard Mill Square <br />Wakefield mA 01880 USA - <br />INSURER& ACE American insurance Company <br />22667 <br />e <br />INSURER R' Travelers Property Cas CD of America <br />25674 <br />INSURERC Charter Oak Fire Ins Co <br />25615 <br />9 <br />INSURER D: The Travelers Indemnity Co. <br />25658 <br />INSURER E: <br />O <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 HE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS 017 SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR <br />LTR <br />ADDrt <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />DATX(MMWMYY) <br />POLICY EX�.LTION <br />DATIIMIADEAVY) <br />UMT15 <br />A <br />ERAL LIABHL <br />HDOG24876470 <br />01/01/09 <br />01/01/10 <br />EACHOCCURRENCE <br />$2,000,000 <br />DAMAGE TO RENTED <br />$100,000 <br />X CIMIMF.RCW,GENFRAI. DAOtUTY <br />CLAIMS MADE ® OCCUR <br />PREMISES (E. oaurt �] <br />ti <br />rn <br />� <br />ry <br />one lNron <br />PERSONAL A ADV INNRY <br />$2,000,000 <br />GENERAL AGGREGATE <br />$4,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />❑X POLICY ❑ PRO- ❑ LOC <br />fECI <br />en <br />O <br />� <br />PRODUCIS- COMPMP AGO <br />$4,000,000 <br />g <br />AUTOMOBWI LIABILITY <br />ANY AUTO <br />T]RAP100D6518TILO8 <br />05/01/08 <br />10/01/09 <br />COMBINED SINGLE LIMIT <br />(I. .0dRK) <br />$1,00D,000 <br />z <br />BODB.Y INAMY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HDIED AUTOS <br />Y <br />U <br />BODILY IU URY <br />NON OWNED AUTOS <br />(P. dm) <br />PROPERTY DAMAGE <br />OP wsi t) <br />U WT <br />GARAGR LIABILITY <br />AUIDONLY - EA ACCIDENT <br />OTHER THAN EA ACC <br />ANY AUTO <br />H <br />AUTOONLY: <br />AGO <br />IRCISS IUMBRILLA LIABILITY <br />EACH OCCURRENCE <br />AGGREGATE <br />❑ OCCUR ❑ CLAIMS MADE <br />1HDEDLX-IBLF. <br />RETENTION <br />C <br />g <br />D <br />g <br />WORKERS COMIINSAnON AND <br />EMPLOYEES LIABILITY <br />ANY PROPRIETOR] PARTNFR /EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />TC JUB <br />TR3UB101D2967 <br />TC2HUBIO102943 <br />TCbuS10102931 <br />05101/09 <br />05101/09 <br />05/01/09 <br />01 <br />10/01/09 <br />10/01/04 <br />X <br />STATU- <br />WC p9Y$, <br />OTH- <br />FEE <br />E.L EACH ACCIDENT <br />$110001000 <br />EL. DISEAS>rEA EMPIAYEE <br />$110001000 <br />E.LDTSEASE- POLICYLIMU <br />$1,000,000 <br />HBas, dmribee SPECLU. PROVISIONS <br />Wow <br />OTHER <br />DFSCRIPTION OF OPFRAnONSM1OCAT1ONS ENICIESIF.XCLUSWNS ADDED BY ENDORSFMEN T9PECLAL PROVISIONS <br />THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS AND <br />REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH REGARDS TO LIABILITY AND DEFENSE OF SUITS ARISING FROM THE <br />OPERATIONS AND USES PERFORMED BY OR ON BEHALF OF THE NAMED INSURED PER ATTACHED CG2010 FORM. <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />ATTN: LORI SMITH <br />1439 S. BROADWAY ]O <br />SANTA ANA CA 92707 USA <br />,ROVED AS TO FORM <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />DAYS WRITEN NOTICE TO THE CERTDICATE HOLDER NAMED TO THE LEFT, <br />BUT 1UNDD UUPPONN THE INNSURER,PREOBLIGATION rS PRRESEENTAL REPRESENTATIVES. <br />AUTHORIZED REPRESENTAnvE <br />ArYTnn 14 PlM1MRl Term Judd Arnvnt'"UNTMATIrm <br />/I - �200$ " / b 0 Deputy City Attorney <br />