Laserfiche WebLink
ALLIANT <br />License Number: OC36861 <br />Phone (949) 756-0271 / Fax (949) 756-2713 <br />Certificate Number: 6 Date: 1/27/2012 <br />VENDOR / CONTRACTOR LIABILITY PROGRAM <br />Named Insured: <br />Address: <br />City/State/Zip: <br />Additional Insured: <br />Thomas Bystry <br />3022 Palmyra Avenue <br />Orange, CA 92869 <br />City of Santa Ana <br />Contract Term: From: 2/1/12 to 1/31/13 <br />Description of Contract: Video Engineering Services <br />Contract Amount: $57,915.00 <br />COMMERCIAL GENERAL LIABILITY — NEW OCCURRENCE FORM <br />General Aggregate: <br />$1,000,000. <br />Products/Completed Operations Limit: <br />$1,000,000. <br />Personal Advertising: <br />$1,000,000. <br />Each Occurrence: <br />$1,000,000. <br />Fire Damage: <br />$ 100,000. <br />Medical Payments: <br />$ 5,000. <br />IMPORTANT! <br />Coverages are limited to described contract. <br />DEDUCTIBLE: $1,000. Each Claim, Including Legal and Adjustment Expenses <br />PREMIUM: <br />SURPLUS LINES TAX: <br />POLICY FEE: <br />TOTAL <br />$ 1158.00 Fully Earned at Inception <br />$ 37.64 Fully Earned at Inception <br />60.00Fully Earned at Inception <br />$1255.64 TOTAL <br />COMPANY: CATLIN SPECIALTY INSURANCE COMPANY <br />THIS COMPANY BINDS THE KIND(S) OF INSURANCE STIPULATED HEREON. THIS <br />INSURANCE IS SUBJECT TO THE TERMS, CONDITIONS, AND LIMITATIONS OF THE POLICY <br />OF MASTER POLICY # 0400303904 ISSUED TO VENDORS/CONTRACTORS LIABLITY GROUP. <br />A COPY OF THIS POLICY IS AVAILABLE ON REQUEST. <br />THIS CERTIFICATE MAY BE CANCELLED BY THE INSURED BY SURRENDER OF THIS BINDER OR BY WRITTEN <br />NOTICE TO THE COMPANY STATING WHEN CANCELLATION WILL BE EFFECTIVE. THIS CERTIFICATE MAY BE <br />CANCELLED BY THE COMPANY BY NOTICE TO THE INSURED IN ACCORDANCE WITH THE POLICY CONDITIONS. <br />i <br />AUTHORIZED S <br />SIGNATURE <br />R.E. CHAIX & ASSOCIA CMS INSURANCE BROKERS, INC. <br />License Number: 0726213 <br />41 Corporate Park, Suite 310, Irvine, CA 92606 <br />Phone(949)722-4177 Fax(949)428-9373 <br />