THOMAS HOUSE (3) - 2011 - Laserfiche WebLink

Home Browse Search

AC-ORD. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDIYYYY) THOMA -1 10/04/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO iblbll LTR ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Huntington Pacific Ina. Agency 7901 Professional Circle HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Huntington Beach CA 92648 POLICY EXPIRATION DATE MWDDIYY LIMITS Phone: 714 -841 -6283 Fax: 714 -842 -2538 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Great American Insurance Co. INSURER B: $ 1,000 000 A Thomas House Temporary Shelter P.O. BOX 2737 Garden Grove CA 92842 -2737 INSURERC: PAC5603738 1HSURERD 10/03/11 INSURER 1= $ 100,000 MED EXP (Any ona person) UUVLRA(3I;5 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED I` LAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, iblbll LTR L NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDrYY POLICY EXPIRATION DATE MWDDIYY LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000 000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR PAC5603738 10/03/10 10/03/11 °PREMR10saEaoaurence) $ 100,000 MED EXP (Any ona person) $5,000 PERSONAL S ADV INJURY $ 1 000 , 000 _ A X Sexual Misconduct PACS603730 10/03/10 10/03/11 CENERALAGCREOATE s2 000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $ 1,000,000 X POLICY PE LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE IRdR (Ea acddenQ $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIItEOAUTOS NON -OWNED AUTOS •_ —. BODILY INJURY (Per accident) __... .__. —___ S PROPERTYDAMAGE (Par accldena $ .GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGO S $ EXCESWUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ $ply O V Y� FY y� v � " 6O 0r .•-- EACH OCCURRENCE $ AGGREGATE $ _ $ T $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTTVE OFFK:ERIMEMBER EXCLUDED? I1Iyyes AL PROVISONNS be$&N describeure!er P E AS Sjstan L`l��i I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE EL. DISEASE- POLICYUI,IR- $ S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT /SPECIAL PROVISIONS The City of Santa Ana; it's officers, employees,agents,volunteers,and representatives are named as additional insured in respects to the general liability.This insurance is Primary and noncontributory per endorsement CG 92 24(ED.12 /OS)XS.This certificate supercedes any & all prior certificates *10 Day Notice of Cancellation for non - payment of premium t,CKI IriI,AIa nULUCK CANCLLLA IION City of Santa Ana Community Development Agency Attn:Frank Hernandez 20 Civic Center Plaza Santa Ana CA 92702 25 CITSAAA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.