Laserfiche WebLink
JCE4!0?JRW CERTIFICATE OF LIABILITY INSURANCE OP ID PC DATE(MM/DD/YYYY) <br />F <br />CHILD-1 <br />07/27/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0. Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91117-0455 <br />Phone: 626-405-8031 Fax : 626-405-0585 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Riverport Insurance Company 36684 <br />Child <br />' INSURERB: Fidelity 6 Deposit Co Maryland 39306 <br />ren <br />s Bureau <br />of Southern California INSURER C: <br />1910 Magnolia Avenue INSURER D <br /> <br />Los Angeles CA 90007 : <br /> INSURER E: <br />(;L)Vr_KAUtb <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 NSR TYPE OF INSURANCE POLICY NUMBER DATE MWDDlYYYY DATE MM/DD/YYYY LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1000000 <br />A X X COMMERCIAL GENERAL LIABILITY <br />_ RI00010666 11/27/09 11/27/10 PREMISES(Eaoccurence) $ 100000 <br /> CLAIMS MADE Fx <br />1OCCUR MED EXP (Any one person) $ 5000 <br /> PERSONAL & ADV INJURY $ 1000000 <br /> X Professional GENERAL AGGREGATE $ 3000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3000000 <br /> POLICY PRO- <br />JECT LOC <br />Ben. <br />1000000. <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1000000 <br />A X ANY AUTO RI00010666 11/27/09 11/27/10 (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />voo <br /> NON-OWNED AUTOS <br />?!. <br />TO <br />(Per accident) <br />$ <br /> Y <br /> <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY - CjA ?• rney <br />AttO AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO t C <br />n ty EA ACC $ <br /> gIsta ?j OTHER THAN <br /> f AUTO ONLY: <br /> AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5000000 <br />A X OCCUR 1:1 CLAIMSMADE REL0010667 11/27/09 11/27/10 AGGREGATE $ 5000000 <br /> <br /> H DEDUCTIBLE $ <br /> X RETENTION $ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVEM <br />OFFICERIMEMBER EXCLUDED' E.L. EACH ACCIDENT $ <br /> u <br />(Mandatory in NH) <br /> <br />describe under <br />es <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> D <br />EC, <br />SP IAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />B Crime CCP0062476 08/01/09 08/01/10 Empl Dish 500000 <br /> Forgery 500000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: Children's Bureau Programs, 1901 E. 4th St., Suite 310, Santa Ana, <br />CA 92705. City of Santa Ana and its officers, agents and employees are named <br />additional insured with respect to the operations of the named insured. Such <br />insurance is primary and non-contributory. 10 days notice of cancellation <br />for non-payment of premium. <br />t;trs 1 IricA I t nuL_utti CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITYSAT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2009/01) <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />©1 <br />PORATION. All riahts <br />The ACORD name and logo are registered marks of ACORD