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TIBURON, INC. 3B - 2011
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TIBURON, INC. 3B - 2011
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Last modified
1/3/2012 1:59:58 PM
Creation date
3/16/2011 9:03:30 AM
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Contracts
Company Name
TIBURON, INC.
Contract #
N-2009-146-002
Agency
FIRE
Expiration Date
3/14/2012
Insurance Exp Date
9/1/2011
Destruction Year
2018
Notes
N-2009-146-001
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'`'?°!?°® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />12/02/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poliey(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain polieles may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsements . <br />PRODUCER ONTA T <br />MARSH USA INC. NAME: <br />99 HIGH STREET PHONE FAX <br />BOSTON, MA 02110 E-MAIL A/G No <br />INSURED <br />STRATUS TECHNOLOGIES <br />BERMUDA HOLDINGS LTD. <br />CHRISTINE LEE <br />111 POWDERMILL ROAD <br />MAYNARD, MA 01754 <br />Vigilant Insurance Co <br />Federal Insurance Co <br />f?AV FR Al?FC rFOTtFtr Arc wtl twwtaco. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE L UBR POLICY NUMBER PO DD/YYYY NM%OD/YYYY LIMITS <br />A GENERAL LIABILITY 35387363 12/01/2010 12/01/2011 EACH OCCURRENCE $ 1,000.000 <br /> X COMMERCIAL GENERAL LIABILITY PREMI E ENTEr n $ 1000 000 <br /> CLAIMS-MADE ? OCCUR MED EXP An one person) $ 10,000 <br /> PERSONAL S ADV INJURY $ 1,000.000 <br /> <br /> GENERAL AGGREGATE $ 2.000,000 <br /> <br /> G EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> X POLICY PRO LOG $ <br />B AUT OMOBILE LIABILITY 73265218 12/01/2010 12/01/2011 COMBINED SINGLE LIMIT $ 1 <br />000 <br />000 <br /> X A <br />Y <br />T (Ee accitlent) , <br />, <br /> N <br />AU <br />O <br />ALL <br />WNED A <br />T BODILY INJURY (Per person) $ <br /> O <br />U <br />OS <br />C <br />A??OV? AS ??? <br />BODILY INJURY (Per accitlent) <br />$ <br /> <br />X HEDULED AUTOS <br />S PROPERTY DAMAGE <br />$ <br /> HIRED AUTOS (Per accitlent) <br /> X NON-OWNED AUTOS PHYSICAL DAMAGE $ <br /> COMP & COLL $ 500 <br /> UMBRELLA LIAB OCCUR ???A M, ? A='jt'!I' EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE Dlejpaty City A AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> <br /> RETENTION <br /> WORKERS COMPENSATON <br />AND EMPLOYERS' LIABILITY X WC STATU- OTH- <br />C ANY PROPRIETOR/PARTNER/EX ECUTIVE Y/N <br />OFFICER/ <br />? <br />E <br />R <br />N / A 71655229 12/01/2010 12/01/2011 E.L. EACH ACCIDENT $ 1,000,000 <br /> M <br />MBE <br />EXCLUDED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1.000,000 <br /> It yes, describe untler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT 1,000,000 <br />$ <br />A ERROR 8 OMISSIONS 35387363 12/01/2010 12/01/2011 CLAIM/AGGREGATE 10,000,000 <br /> CLAIMS MADE POLICY RETRO DATE: 05/05/1980 DED (PER CLAIM) 100,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 1 Ot, Additional Remarks Schedule, I} more space is required) <br />a..Cn 1 rrwH I C nVLVtI't GANGCLLA TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Lori Smith, Administrative Chief/Fire Marshall ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana Fire Department <br />1439 S. BfOadWay AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92707 of Marah USA Inc. <br />Edward R Ford ?Q' L? -? -? ? - - - <br />® 7988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
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