Laserfiche WebLink
-solo o yy , <br />MACIGIN-01 <br />ACOW. CERTIFICATE OF LIABILITY INSURANCE DAT <br />5 <br />D,YYYY) <br /> 5 <br />1 <br />12 <br />/Srzoo9 <br />PRODUCER Commercial Lines - (916) 231-1741 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Wells Fargo of California Insurance Services Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />11017 Cobblerock Drive <br />Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />Rancho Cordova, CA 95670-6049 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Macias Gini 8 O'Connell LLP INSURER A: American Automobile Insurance Company 21849 <br />Macias Consulting Group & Macias Gini Investments INSURER B: Cypress Insurance Company 10855 <br /> <br />Moreland Tem <br />orar <br />Services <br />a division <br />f MGOCPA INSURER C: <br />p <br />y <br />, <br />o INSURER D: <br />3000 S St Sle 300, Sacramento, CA 95816 INSURER E <br />l wvcrcntaca <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 />LTR DO" <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE IMMIDDIM POLICY EXPIRATION <br />DATE MMIDblYY <br />LIMITS <br />A GENERAL LIABILITY AZC80825971 04/30/2009 04130/2010 EACH OCCURRENCE 5 2,000,000 <br /> M MERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />nce <br />PREMISES (Ea oceme I <br />S 1,000,000 <br /> N CLAIMS MADE X OCCUR MED EXP Any one person) 5 10,000 <br /> PERSONAL d AOV INJURY 5 2.000,000 <br /> <br /> GENERAL AGGREGATE S 4,000.000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 4.000.000 <br /> X POLICY JEC7 LOC <br />A AUT OMOBILE LIABILITY AZC80825971 0413012009 0413012010 COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) S 2.000.000 <br /> ALL OWNED AUTOS <br /> BODILY INJURY 5 <br /> SCHEDULED AUTOS L,? <br />A y.]f <br />1 A tiC?iJ TO <br />1 ll a7 d?A qlY? (Per person) <br /> X HIRED AUTOS . <br /> Z BODILY INJURY 5 <br /> X NON-OWNED AUTOS ?? (Par accdenl) <br /> , <br /> PROPERTY DAMAGE 5 <br /> r Laura t Sheed (Peraccidenl) <br /> GARAGE LIABILITY Assistant City Attor e AUTO ONLY - EA ACCIDENT S <br /> ANYAUTO EAACC <br />OTHER THAN 5 <br /> ALTO ONLY: AGG 5 <br />A EXCESSAIMBRELLA LIABILITY AZC80825971 0413012009 04130/2010 EACH OCCURRENCE s 1,DO0,000 <br /> X OCCUR a CLAIMS MADE AGGREGATE 5 1,000,000 <br /> S <br /> DEDUCTIBLE 5 <br /> X RETENTION 5 S <br /> <br />B WORKERS COMPENSATION AND <br />' <br />3300055235-09I <br />0413012009 <br />0413012010 X WC STATU- OTH <br /> EAIPLDYERS <br />UABILITY <br />ANY PROPRIETORIPARTNERlEXECLTIV£ <br />E.L. EACH ACCIDENT <br />S 1.000,000 <br /> OFFICERIMEMSER EXCLUDED7 E.L. DISEASE - EA EMPLOYEE 5 1,ODD.ODD <br /> Des. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 5 1,000.000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate holder is named additional insured per the attached AB 9189 08107 form. <br />7i -I el <br />LaKIIt-IGAIIt HULUkK - I if a GANGELLATION -11 -y I.UUw wr r1UrrrayUlcrl <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />n ]F DATE THEREOF, THE ISSUING INSURER WILL BN08001URI XXMAIL 70 DAYS WRITTEN <br />City of Santa Ana E U >•+ i i1 T 176 6 9 ai U,U;4 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />20 Civic Center Plaza I <br />Santa Ana, CA 92701 Flf2ppgi1plr?a?111gJpc <br />AUTHORIZED REPRESENTATIVE / <br />6Cr1Rr1 95 /9mmilmRl s a 517Ra4 c. er+nnn rnnenn wt,nu •nee <br />This certificate replaces certificate# 515728 Issued an 5/412009