Laserfiche WebLink
DATE (MM /DD /VVVY) <br />ACORQ RTIFI ATE OF LIABILITY INSURANCE 04/28/2011 <br />PRODUCER g18. 316.0999 FAX 818. 316.0990 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Scanlon, Guerra, Burke Ins. Brokers ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License# 0782266 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br />P.O. Box 749 <br />Woodl and Hills, CA 91365 -0749 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED DOWney Vendors O � � INSURER A: Phll adel phla Ins. COmpanle5 <br />6814 Suva Street INSURER B: <br />Bell Gardens, CA 90201 011/ INSURER C: <br />N � � INSURER D: <br />VVV INSURER E: <br />r, -,,,v e n r_ vc <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 W ITN 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 />DD' <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM /DD /VVVY <br />POLICY EXPIRATION <br />GATE MWDD /YV V V <br />LIMBS <br />GENERAL LIABILRV <br />EACH OCCURRENCE <br />$ <br />PREMISES Ee occurrence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />MED EXP (Any ona person) <br />$ <br />PERSONAL 8 ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ <br />POLICY PRO- <br />JECT LOC <br />AUTOMOBILE <br />X <br />LIABILRV <br />ANY AUTO <br />PHPK683080 <br />02/09/2011 <br />02/U9/2012 <br />COMBINED SINGLE LIMIT <br />(Ea eccltlent) <br />$ 1 OOO . OO <br />BODILY INJURY <br />(Per person) <br />$ <br />A <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per accltlent) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accltlent) <br />$ <br />GARAGE LIABILITY <br />T� <br />1 <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />V <br />4�O�a T�'D <br />� � <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />E %CESS /UMBRELLA LIABILRV <br />/ <br />EACH OCCURRENCE <br />$ <br />OCCUR � CLAIMS MADE <br />� ORG`K <br />E. S <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />``SA <br />IBC to <br />!�5`5 <br />AttQrtl <br />t G�ty <br />J <br />$ <br />$ <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER /EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />II yes, tlescribe untler <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / E %CLUSIONS ADDED BY ENDORSEMENT / SPECU\L PROVISIONS <br />vidence of insurance only. <br />his Certificate of Insurance is subject to all policy terms, conditions, limitations and exclusions. <br />10 day notice of cancellation for non - payment of premium. <br />VMrYIrCL L/1 I IVIY <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Yr 3O DAV3 WRRTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILVRE TO DO SO SHALL <br />Cl ty Of Santa Ana IMPOSE NO OBLIGATION OR LIABILRV OF ANY KIND UPON THE INSURER, RS AGENTS OR <br />2U �IVTC Center, 8th Floor REPRESENTATIVES. <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE Y `_/�� <br />Mar McMenamon MEM c <br />ACORD 25 (2009/O�) ®i968 -2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />