Laserfiche WebLink
co/2v® CERTIFICATE OF LIABILITY INSURANCE OP ID JW TE(MM/DD/YYYY) <br />7 <br /> <br />PLANK-1 06/29/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Alliant Insurance Services, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />(Lic-OC36861) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />735 Carnegie Drive, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Bernardino CA 92408 <br />Phone: 909-886-9861 Fax: 909-886-2013 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER A: Travelers Property Casualty <br />25674 <br /> INSURER B: Travelers Casualty & Surety 19038 <br />Planning Center Inc INSURER C: Evanston Insurance Co (PTN) <br />1580 McLTo Drive <br />t <br />M <br />CA 92626 <br />C INSURER D: <br />esa <br />os <br />a <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 /> <br />LTR <br />NSR <br />TYPE OF INSURANCE POLICY NUMBER POLI Y EFFE TIVE <br />DATE MM/DD/YYYY P LI Y EXPIRATI N <br />DATE MMIDDIYYYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $5,000,000 <br />C X X COMMERCIAL GENERAL LIABILITY <br />- 10 PKGM00041 07/01/10 07/01/11 PREMISES (Ea occurence) $ 50 , 00 0 <br /> F v <br />? <br />CLAIMS MADE L°J OCCUR <br />MED EXP (Any one person) <br />s5,000 <br /> PERSONAL & ADV INJURY $5,000,000 <br /> GENERAL AGGREGATE $5,000,000 <br /> t GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s5,000,000 <br /> POLICY P JECT RO LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />(Ea accident) $1,000,000 <br />A X ANY AUTO BA6884N32410CAG 07/01/10 07/01/11 <br /> ALL OWNED AUTOS <br />? <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />P <br />id $ <br /> X NON-OWNED AUTOS <br />RO <br />VED A?T <br />ORM <br />er acc <br />ent <br /> t PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY ,I OS L C ER AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO Y T N E OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br />A OCCUR CLAIMSMADE <br />171 PFSEX6806N611TIL10 07/01/10 07/01/11 AGGREGATE $4,000,000 <br /> OVER AUTO $ <br /> DEDUCTIBLE & EL ONLY $ <br /> X RETENTION $Nil $ <br /> WORKERS COMPENSATION <br /> <br />AND EMPLOYERS' LIABILITY <br />MITi ER <br />X TORY TH- <br />B ANYF'ROPRIETOR/PARTNER/EXECUTIV?j <br />OFFICER/MEMBER EXCLUDED? PACRUB6804N41A10 07/01/10 07/01/11 E.L. EACH ACCIDENT $1,000,000 <br /> l-1 <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br /> OTHER <br />A Property Section P6606806N611TIL10 07/01/10 07/01/11 Pollution $5,000,000 <br />C Pollution/Prof 1OPKGM00041 07/01/10 07/01/11 Prof $5,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Operations pertaining to named insured for certholder; Professional Liab <br />includes E&O Coverage. Certholder its officers, agents, employees and <br />volunteers are add'1 insd/prim wrdg/waiver as respect gen'l liab per IE0036 <br />4/04 & IE0054 4/04 as required by written contract. *30 day N O C except 10 <br />day for non-payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Melanie McCann <br />20 Civic Center Plaza, M-20 <br />Santa Ana CA 92701 <br />ACORD 25 (2009101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP <br />CITYSAO 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 />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE » <br />©1988-2009 ACORD CORP'ORATION-All riahts reserved <br />The ACORD name and logo are registered marks of ACORD