Laserfiche WebLink
?? ® ATE (MM/DD/YY) <br />-`??'?R?° CERTIFICATE OF LIABILITY INSURANCE 06/01/11 <br />PRODUCER Yorba Linda Insurance Services, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />PO Box 661 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Yorba Linda, CA 92885 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Phone (714) 777-8388 Fax (714) 777-8389 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURER A Travelers Casualty Ins CO Of AmerlCa <br /> <br />INSURED On Time COnSUI(In9 Se NIC@S, Inc. <br />- - - - <br />Travelers Prop Casualty Co of America <br />INSURER B - -_ - <br />PO Box 580 : __ <br /> INSURER C: <br />Yorba Linda, CA 92885 -- - _ _.__--- ___-- - -- --- - _ _. -_ - -. <br /> INSURER D: <br />____ <br /> INSURER E <br />COVERAGES INSURER F: <br />THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURE D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV 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 ADD'L <br />TYPE OF INSURANCE <br />_ LTR INSRD-_ ____ _ <br />POLICY NUMBER PO LICY EFFECTIVE <br />I <br />DATE (MM/DD/YY) POLICY EXPIRATION <br /> <br />DATE LMM/DD/Y? <br />LIMITS <br /> GENERAL LIABILITY <br /> n COMMERCIAL GENERAL LIABILITY <br /> CLAIMS MADE L] OCCUR <br />A Ll <br /> LJ <br />11 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />- - - ? POLICY 0 PROJECT 0 LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> ?.-_-] ALL OWNED AUTOS <br />B r? ?.-_-? SCHEDULED AUTOS <br /> HIRED AUTOS <br /> [? NON OWNED AUTOS <br /> L_J ___- -__._-___-.--__ <br /> <br /> GARAGE LIABILITY <br />_] ?--? ANY AUTO <br />EXCESS/UMBRELLA LIABILITY <br />?] OCCUR n CLAIMS MADE <br />u <br />16804940851 6ACJ 1 O 12/14/1 O <br />1 6809490851 6ACJ 1 0 12/14/1 O <br /> EACH OCCURRENCE 2 000,000 <br /> <br />12/l 4/1 l DAMAGE TO RENTED <br />PREMISES.(Ea occurence) <br />-_ __ 300,000 <br /> <br />- <br /> MED EXP (Any one person) <br />-- -- 5,000 <br />__ - - <br /> PERSONAL & ADV INJURY -2 000,000 <br /> GENERAL AGGREGATE 4,000,000 <br /> PRODUCTS -COMP/OP AGG 4,000,000 <br /> COMBINED SINGLE LIMIT l ,000,000 <br />12/14/1 1 (Ea accident) <br /> BODILY INJURY <br />BODILY INJURY <br />(Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />AUTO ONLY - EA ACCIDENT <br />OTHER THAN _ EA ACC ? _ <br />AUTO ONLY: AGG __ __ <br />EACH OCCURRENCE <br />AGGREGATE <br />- - - - - <br />EMpL [ 1 DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND U WC STATU- ?? OTH- <br />OVERS' LIABILITY iJUB1373X8711 O 12/14/10 12/14/11 TORY LIMITS ER ' <br />B ANV PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT 1 ,000,000 <br />OFFICER /MEMBER EXCLUDED? <br />If yes, describe under E.L. DISEASE - EA EMPLOYEE 1,000,000 <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 ,000,000 <br />OTHER <br />A BUSINESS PERSONAL PROPERTY 16809490R516ACJ10 12/14/10 12/14/11 1,000 Deductible 4,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />? O day notice of cancellation for non-peen pre, mium. <br />City of Santa Ana, its officers, employees, a s-vblu?e?s ?r?d representatives are hereby recognized as additional insured <br />per attached endorsement. CfTY ?_; <br />r <br />.);.:.? <br />CERTIFICATE HOLDER -- ' `-" <??-li_ CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />' EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />City of Santa Ana 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br />Clerk Of the Clty COU nC1I THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABI LITV <br /> OF ANV KIND UPON THE INSURER, ITS AGENTS REPRESENTATIVES. <br />20 Civic Center Plaza (M-30) <br />PO BXO l 988 AUTHORIZED REPRESEN E <br />Santa Ana CA 92702-1988 <br />ACORD 25 (2001/08) OF ® ORD CORPORATION 1988