Laserfiche WebLink
ACO M CERTIFICATE OF LIABILITY INSURANCE <br />DATE' <br />PRODUCER (603) 742-1616 FAX (603) 749-6884 <br />Wells Fargo Special Risks, Inc. <br />34 Dover Point Road <br />Dover, NH 03820-9145 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Konstant n Hockey School, LLC <br />dba KHS Ice Arena <br />1000 E. Cerritos Ave. <br />Anaheim, CA 92805 <br />INBuRERA: Great American Assurance Co. <br />INSURER B: <br />INSURERC: <br />INSURER D: <br />INSURER E <br />rnU=0Ar=c <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 />ADIrt <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY F=R <br />POLICY EXPIRATI N <br />04/01/2010 <br />LIMITS <br />GENERAL LIABILITY <br />GL0226669401 <br />04/01/2009 <br />EACH OCCURRENCE s 1,000,0001 <br />X 1 COMMERCIAL GENERAL LIABILITY <br />DAMAOETo RENTED $ 300,000 <br />BLWA <br />CLAIMS MADE a OCCUR <br />MED EXP (Any one paean) i . EXcl Ude <br />Aff:__ <br />PERSONAL &ADV INJURY $ 1,000,00( <br />GENERAL AGGREGATE $ Non <br />GENLA REGATE LIMITAPPUES PER: <br />PRODUCTS - COMPIOP AGO ti 2 , 00Q 00 <br />POLICY PRO El LOC <br />!ECT <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />ANY AUTO <br />(En °ddenI) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Perper-n) = <br />HIRED AUTOS <br />BODILY INJURY <br />S <br />NON•OWNEDAUTOS <br />(PeracckWa) <br />PROPERTYDAMAGE $ <br />(PeracakWtt) <br />GARAGE LIABILITY <br />AUTO ONLY-FAACCIDENT $ <br />OTHERTHAN EAACC t <br />ANYAUTO <br />AUTO ONLY: AGO $ <br />EX09SWUMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR F-1 CLAIMS MADE <br />i <br />DEDUCTIBLE <br />ARP <br />q TO F <br />RM <br />$ <br />S <br />RETENTION S <br />WORKERS COMPENSATION AND <br />WC STATU. Oi H - <br />EMPLOYER <br />ma..• <br />C <br />ER <br />E.L. EACH <br />I TORLIABILITYPAR <br />ANY PROPRIETOROpARTNERlEXECUTIVE <br />ACCIDENT S <br />DISEASE - EA <br />OFFICERIMEMSER EXCLUDED? <br />ATTORNEY <br />"s>LOYEEI <br />P OVIsONSbelow <br />CYUMIT <br />EdIAt° <br />E,L.DISEASE-POLIEL <br />I : <br />OTHER <br />DESCRIP N OF OPERATIONS J LOCATIONS! VE ICL EM <br />S I EXCLUSIONS ADDED BY ENDORSENT! SPECIAL PROVISIONS <br />erti icate holder is incluec as Additional Insured solely as respects their interest in the <br />kating programs held at the insured's premises. This insurance will be primary to and <br />on-contributin with any other insurance available to the Certificate Holder. <br />10 days notice of cancellation applies for non-payment of premium. <br />City of Santa Ana <br />20, Civic Center Plaza <br />Santa Ana, CA 92702 <br />ACORD 25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, TNN ISSUING INSURER WILL ENDEAVOR TO MAK. <br />30* DAYS W WTTBN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T HU LEFT, <br />BUT FAILURE TO MNL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR Lmamr Y <br />_-- OP ANY KIND UPON THE INSURER, ITS ADINTS OR REPRESENTATIVES, <br />CORPORATION 1988 <br />