Laserfiche WebLink
ACORD,,,, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD,YYY`n <br />02/03/2010 <br />PRODUCER (g49) 218-0840 <br />Global Program Managers & Ins . Srves . , Inc . <br /> <br />t Office Box 7119 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 />Ca istrano Beach GA 92624-7119 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: PHILADELPHIA INDEMNITY 18058 <br />El Puente CDC / Kidworks INSURER B: EVEREST NATIONAL 10120 <br />1902 West Chestnut Avenue INSURER C: <br /> INSURER D: <br />Santa Ana CA 92703- INSURER E: <br />CAVFRAC;FR <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANp CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR ADD'L <br />INSR TYPE OF INSURANCE POLICY NUMBER PDATE MEIAppryyE PDpT~E MM/DDnON LIMITS <br />A GENERAL LIABILITY / / / / EACH OCCURRENCE 3 1, 000, 000 <br /> 7C COMMERCUIL GENERAL LIABILITY PRE~NI SES Ea ~r ante s 100, 000 <br /> CLAIMS MADE ~ OCCUR PHPK 514 833 01/07/2010 01/07/2011 MEDEXP one arson s 5,000 <br /> PERSONAL 8 ADV INJURY s 1 , 000, 000 <br /> / / / / GENERAL AGGREGATE S 3, 000, 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 3 , 000 , 000 <br /> X POLICY JEC LOC / / / / <br /> AUTOMOBILE LIABILITY <br />ANY AUTO / / / / COMBINED SINGLE LIMIT <br />(Eaeccident) <br />s <br /> All OWNED AUTOS / / / / BODILY INJURY <br /> SCHEDULED AUTOS O FO (Per person] s <br /> HIRED AUTOS ~p R <br />NON-0WNED AUTOS ++^ ~ / ~ T <br />ED A <br />J<'~4~- /~ <br />1I-l/~i~"l ~-- <br />~ / / / / BODILY INJURY <br />(Per acddeM) <br />s <br /> ~ <br />r ~ PROPERTY DAMAGE <br /> gTORGK (Perecci~nq s <br /> GARAGE LIABILITY tant Ci'hl AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO Sis <br />, / / / / OTHER THAN EA ACC S <br /> ~ AUTOONLV: AGG S <br /> EXCESSNMBRELLA LIABILJTY / / / / EACH OCCURRENCE 9 <br /> OCCUR ~ CWMS MADE AGGREGATE S <br /> s <br /> DEDUCTIBLE / / / / 9 <br /> RETENTION $ S <br />$ WORKERS COMPENSATION AND <br />' 59000012671-01 02/01/2010 02/01/2011 X TORYLIM~ITS ER <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRlETORlPARTNERIEXECUTNE <br />E.L EACH ACCIDENT <br />9 ~- r 000 , 000 <br /> OFFICER/MEMBEREXCLUDED9 / / / / E.LDISEASE-EAEMPLOYEE B 1,000,000 <br /> If yes, describe urger <br />SPECIAL PROVISIONS below <br />E.L DISEASE -POLICY LIMIT <br />s 1, 000 , 000 <br /> <br />A OTHER <br />PROFESSIONAL LL98 <br />pHPK 514 833 <br />01/07/2010 <br />01/07/2011 <br />SACS INCw~rrT $1, 000, 000 <br />POLICY AGGREGATE $1, 000, 000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLEStEXCLUS10N8 ADDED BY ENDORSEMENTlSPECIAL PROVISIONS <br />RE: FUNDING GRANT <br />CERTIFICATE HOLDER NAND AS ADDITIONAL INSURED PER ATTACHED MANUSCRIPT FORM FR~i THE CITY OF SANTA ANA, CA <br />IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN (10) DAYS NOTICE WILL BE GIVEN. <br />THE SANTA ANA EMPOWERMENT CORPORATION <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA (M-21) <br />SANTA ANA CA 92701- <br />~ ~s ronnvna~ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />030 DAYS WRITTEN NOTICE TO THE CERTIFlCATB HOLDER NAMED TO THE LEFT, BUT <br />FAILURE 70 DO SO SHALL NAPOSE NO OBLIGATK)N OR LIABILITY OF ANY KIND UPON THE <br />Flo yak 8" ~ <br />nn ernon rnoonLaeTlnN 4oRA <br />~.~ ~nl$025 (0108).01 ELECTRONIC LASER FORMS, INC. - (800)327.0545 Page 7 of 2 <br />