Laserfiche WebLink
STREE-3 OP ID: KB <br />'�tb r CERTIFICATE OF LIABILITY INSURANCE <br />DAT08131D/YVYY) <br />09/31 /1 1 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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(SX AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies 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 916-326-4600 <br />Roberts & Phillips Insurance <br />$eNICSS, Inc. 6�40-9794 <br />1430 22nd Street <br />Sacramento„ CA 95816 <br />I —TACT <br />NAME91 <br />PHONE I — <br />A/C No Eat A/C No <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC i <br />Jennifer Pittman <br />INSURER A: Colony Insurance Company <br />36927 <br />INSURED Streetlight Restoration <br />Specialists, Inc. <br />7189 Walnut Canyon Road <br />INSURER : United Financial Casualty Co. <br />INSURER C: <br />INSURER D: <br />Moorpark, CA 93021 <br />INSURER E <br />INSURER F : <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />MMAD/YYFYV <br />MMID /YYxYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,0oo,00 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OX OCCUR <br />X <br />GL3961046 <br />06/23/11 <br />06/23112 <br />PREMISES Ea occurrence <br />$ 100,00 <br />MED EXP (Any one person) <br />$ 5100 <br />PERSONAL &ADV INJURY <br />$ 1,000,00 <br />GENERAL AGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS-COMP/OPAGG <br />$ 1,000,00 <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />IF,accident <br />1,000,00 <br />B <br />ANY AUTO <br />04131513 <br />6 <br />04/25/11 <br />04/25/12 <br />BODILY INJURY (Per parson) <br />$ <br />j <br />ALL OWNED SCHEDULED <br />AUTOS X AUTOS <br />BODILY INJURY (Per a .di t) <br />$ <br />HIRE NON -OWNED <br />HIRAUTOS X AUTOS <br />PR OPERTV DAMAGE <br />Peraccltlent <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />E%CEs3 LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY ,/ / N <br />ANY PROPRIETOR/PARTNERIEXECUTVE <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />yes. describe <br />E.L. DISEASE- POLICY LIMIT <br />1 $ <br />DOF O <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ANiCFI ACORD '10'I, Atltlltl oriel Remarka Schedule, IT more apace la requl R <br />City of Santa Ana, Its officers, employees, agents and representatives are <br />named as additional Insured p[er attached endorsement <br />/ Laur• Ott heedy <br />Assist City Attorney <br />C FATI FII"'ATF 1-1 t•tl T1FO rwwlrvl I wTl�wl <br />CITYOFS <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />WILL BE DELIVERED IN <br />THEACCORDANCE WITH THE POEXPIRATION DATE LICY PROVISIONS. <br />20 Civic Center Plaza <br />Santa Ana„ CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />,i <br />(9) 1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />