Laserfiche WebLink
PRODUCER <br />Magulre Insurance Agency Inc <br />27101 Puerta Real Sulie Z00 <br />ML ", Viejo, CA 92691- <br />(977)438-7459 <br />INSURED <br />Martin Torres <br />t2692 Ranchero Way <br />Garden Grove, CA 92843-3027 <br />COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />07/DS/2012 <br />THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER D: <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 CERIFICATION 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 />ADDL <br />IN5RD <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE(MM/DD/YYYY) <br />POLI CY EXPIRATI ON <br />DATE(NM/DD/Y" <br />LIMITS <br />A <br />X <br />GENERALLIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE �X OCCUR <br />X PROFESSIONALUABIUtt <br />GENLAGGREGATE LIMITAPPUES PER: <br />X POLICY PROJECT LOC <br />PHPK523557-002 <br />01/24/2012 <br />01/24/Z013 <br />EACH OCCURENCE <br />$1.DDO,000eocc <br />PREMISES Eurrence <br />$100.000 <br />MEDEXP(Anyone person) <br />$2.500 <br />SO PERNAL&ADV INJURY <br />$1,000,000 <br />GENE RAL AGGREGATE <br />$3,000,000 <br />PRODUCTS—COMP/OP AG <br />0,000,000 <br />AUTOMOBILE <br />LIABrUTY <br />ANY AUTO <br />AIS OWNED AUTOS <br />SCHEOULED AUTOS <br />HIREDAUTOS <br />NONAWNED AUTOS <br />COMBINED SINGLE LIMIT <br />(EA accident) <br />SOML YINJURY <br />(Per Person) <br />BODILYINJURY <br />(Per acddent) <br />PROPERTY DAMAG E <br />(Per accident) <br />GARAGE LIABILITY <br />ANY AUTO <br />,.. A, 1 <br />7 <br />12 <br />AUTO ONLY —EA ACCIDENT <br />OTHERTHAN EA ACC <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR CLAIMS MADE <br />DEDUCTIBLE <br />RETENTION <br />EACH OCCURENCE <br />AGGREGATE <br />ENWLOYERS'LI"U/TpY YIN <br />OFFI WIVE BER EXQUI DNEXECVi(VE <br />(Mandstoryin NH) <br />M yes, describe under <br />SPECIAL PROViS1ONS below <br />TORYUMITS ER <br />EL EACH ACCIDENT <br />E.L. DISEASE—EAAMPLOYEE <br />E.L. DISEASE —P000t LIMIT <br />OTHER <br />DESCRIPTION OF OPERATIONS J LOCATIONS/ VEHfQES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />It Is understood and agreed that the fo8owing emhy Is added as an adcAlonai insured but only with tespect(s) to the operations of the named Insured acept that BablI ty resulting from the additlonal Insured's sale <br />negligence. <br />CERTIFICATE HOLDER CANCELLATION <br />The City of Santa Ana, officers, empbyees, agents and re!xesemativx <br />20 Mic Canter Piz <br />Santa Ana, CA 92701.4058 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NOOBUGATION OR <br />LIABILITY OF ANY IOND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />