Laserfiche WebLink
Client#: 158 <br />PAULMAUR <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE <br />DATE Y) <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />3/23/2010 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Haas & Wilkerson Insurance <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />4300 Shawnee Mission Parkway <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fairway, KS 66205 <br />A <br />913 432-4400 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />Paul Maurer dba Paul Maurer <br />INSURER A: ACE American Insurance Co 22667 <br />04/01/11 <br />Shows, Paul Maurer Shows LLC <br />PO Box 3211 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />HuntingtonBeach, CA 92605 <br />INSURER E: <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 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 />LTR <br />INSRE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY <br />POLICY EXPIRATION <br />DATE (MM/DDIYYI <br />LIMITS <br />A <br />GENERAL LIABILITY <br />G20496496 <br />04/01/10 <br />04/01/11 <br />EACH OCCURRENCE $1,000,000 <br />MERCIAL GENERAL LIABILITY <br />DAMAGE TO RCE.ENTEDREMISES $100,000 <br />MED EXP (Any one person) $Excluded <br />NCOM <br />CLAIMS MADE 7 OCCUR <br />PERSONAL & ADV INJURY $1,000,000 <br />GENERAL AGGREGATE s2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />POLICY PRO- <br />JECT X LOC <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />H08133268 <br />02/05/10 <br />02/05/11 <br />COMBINED SINGLE LIMIT <br />(Ea accident) $1 x000,000 <br />BODILY INJURY $ <br />(Per person) <br />X <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />APP <br />OV AS <br />FORM <br />BODILY INJURY $ <br />(Per accident) <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />ANY AUTO <br />JOSEPH <br />W. F <br />TOR <br />CHER <br />FY <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OCCUR FICLAIMS MADE <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WC STATULIMIT- OTH- <br />I ER <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. DISEASE - EA EMPLOYEE $ <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT 1 $ <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Additional Insured: City of Santa Ana, it's officers, agents and employees <br />Event Dates: April 16-18, 2010, May 28-31, 2010, June 11-13, 2010, <br />October 8-10, 2010 and October 22-24, 2010 -0 ,_ O Q <br />SEE ATTACHED GENERAL ENDORSEMENT �C> <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana, <br />Parks, Recreation & <br />Community Services Agency <br />PO Box 1988 M-23 <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLRWDAMjtjtgt MAIL -10_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)pjlxRAlkpHQAWQ(9E)RCx <br />AUTHORIZED REPRESENTATIVE <br />ACURD 25 (2007/08) 1 of 2 #S463471M40627 SALAK © ACORD CORPORATION 1988 <br />