Laserfiche WebLink
<br /> <br /> M25,PP2-1 DATE (Iiati YCERTIFICATE OF LIABILITY INSURANCE OP ID C 09/22/3.0 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Leonard Adams 2nsuranCe, =nc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 5201 SW westgata Dr, Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Portland OR 97221 <br /> Phone: 503-296-0077 Fax: 503-296-0044 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A: Maryland Casualty 2ns__Co 19356 <br /> INSURER B: <br /> Mapp 1n $01u t10nS TnC _INSURER C <br /> 19p1p44 Mo1a11a <br /> Oregon City OR 97045 INSURER D. <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 /> P6Li6Y JDDf <br /> LTRNSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/WW DATE C(MM/DD/YYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> Al X COMMERCIAL GENERAL LIABILITY PPS43008706 02/06/10 02/06/11 _ PREMISES(Eaoc_curenca) $ 1,000_,_0_00 <br /> CLAIMS MADE X] OCCUR <br /> MED EXP (Any one person) $ 10, 000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE s2.000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 <br /> X POLICY PRO- - <br /> JECT LOG - <br /> AUTOMOBILE LIABILITY <br /> A X ANY AUTO PPS43008706 02/06/10 02/06/11 COMBINED SINGLE LIMIT $ 1,000,000 <br /> (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> X NON-OWNED AUTOS (Per accitlen) <br /> X Hired A ltO Phys_ PROPERTY DAMAGE <br /> Daa a $50,000 (Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> A X OCCUR _ CLAIMS MADE PPS43008706 02/06/10 02/06/11 AGGREGATE $ 1,0001000 <br /> DEDUCTIBLE <br /> X RETENTION $ 0 $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS' LIABILITY Y / N TORY T_ IMITSER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE[= E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory In NH) EL DISEASE EA EMPLOYEE $ <br /> 11 es, describe untler <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br /> S 2 <br /> -L -j DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMEN S NS <br /> Joseph Straka[ <br /> ]INt City Attorney <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> C1 ty o£ Santa Ana Fire Dept . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> Lori Smith <br /> 1439 S, Broadway REPRESENTATIVES. <br /> Santa Ana CA 97207 AUTHORIZED REPRESENTATIVE <br /> ACORD 25 (2009/01) © 1988-2009 AC D CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />