My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
25B - SANTA ANA BLVD GRADE SEPARATION_ Exhibit A_Color
Clerk
>
Agenda Packets / Staff Reports
>
City Council (2004 - Present)
>
2011
>
01/18/2011
>
25B - SANTA ANA BLVD GRADE SEPARATION_ Exhibit A_Color
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/26/2016 2:35:02 PM
Creation date
1/3/2011 12:58:03 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Item #
25G
Date
1/4/2011
Destruction Year
2016
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
52
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORDTm CERTIFICATE OF LIABILITY INSURANCE <br />DATE {M 00� <br />0113112001Y} <br />PRODUCER <br />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 />INSURERS AFFORDING COVERAGE <br />INSURED <br />INSURER A: <br />INSURER B: <br />INSURER C: <br />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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE Fx_]OCCUR <br />X 1 1 1 1 1 1 1 1 1 <br />01/01/2001 <br />0 1 10 1 12002 <br />EACH OCCURRENCE <br />$ 1;000;000 <br />FIRE DAMAGE (Anyone fire) <br />$ 50,000 <br />MED EXP (Any one person) <br />$5,000 <br />PERSONAL & ADV INJURY <br />$ 1;000;000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />X222222222 01/01/2001 0 1 10 1 12002 <br />SEE A ADDITIONAL <br />INSURED ENDORSEMENT <br />COVERAGES DEPEND ON TYPE <br />OF AGREEMENT/CONTRACT <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ � �������� <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />BODILY INJURY <br />(Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />GARAGE <br />LIABILITY <br />ANY AUTO <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />EXCESS LIABILITY <br />OCCUR EICLAIMS MADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />$ <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />XXX333333333 <br />01/01/2001 <br />0 1 10 1 12002 <br />TORY L IM OER <br />E.L. EACH ACCIDENT <br />$ 1;000;000 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1;000;000 <br />E.L. DISEASE - POLICY LIMIT <br />$ 1;000;000 <br />OTHER <br />Professional Liability <br />PL444444 <br />01/01/2001 <br />0 1 10 1 12002 <br />Each Occurrence 1;000;000 <br />DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Certificate Holder is additional insured per attached. <br />Project No. <br />CERTIFICATE HI)LDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL MAIL 30 DAYS WRITTEN <br />29 Civic Center Plaza - Ross Annex (M— NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Santa Ana, CA 92791 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 -S (7197) O ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.