Laserfiche WebLink
YY, <br />1.,. CERTIFICATE <br />-RD <br />OF LIABILITY INSURANCE I 08 /05120/3 <br />_ 08/05/2013 <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 BELOW. <br />THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($). AUTHORIZED REPRESENTATIVE <br />OR PRODUCER AND THE CERTIFICATE HOLDER. <br />_ <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the polloy(les) must be endorsed. If SUBROGATION Is WAIVED„ subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not Confer rights to the <br />cartllloate holder In lieu of such ondoesomont(s). <br />PRgOUCen <br />0 TACT <br />VALLEJO INSURANCE ASSOCIATES LLO <br />P 0 BOX 4445 <br />c No En 1 888 1681-3030 �x. 01 en ss •sac <br />gOORESS Selvlse oentorWir @v @lore a@m <br />VALLE.JO, CA 94590 <br />(888) 661.3938 <br />X0842 882 <br />PRCCUCER 7270R3109 <br />INSURER(S) APFOROING COVERAGE <br />NAICIt <br />INSURED <br />KELLY ASSOCIATES MANAGEMENT c7F�f ,`� <br />1440U N. HARBOR BLVD, STE 900 Nw` W/� <br />FULLERTON, CA 92888 <br />INSU998 AITRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA <br />09/1972.018 <br />INSURER e; <br />_ <br />$1 000000 <br />qNy <br />ppEM19EEn�(OEA$pocL noel <br />300,000 <br />INSURER E; <br />$ 000 <br />X <br />INSURER F; <br />PE SC AL &AbV INJU Y <br />.._.._._.... ---1 <br />IS TO OERTIFY 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 SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS <br />AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />LSR <br />TYPE CF INSURANCE <br />ADD( <br />IN R <br />SUER <br />POLICY NUMBER <br />POLICY Epp <br />lMMIOONYYY) <br />POLICTEXP <br />(MMIDD/YYYYI <br />LIMITS <br />A <br />GRNERALLIAEIITY <br />COMMERCIAL GENERAL LIAKRY <br />CLAIN4S•MAOG �OGOUR <br />NiReo aura <br />880.OA711560.72 <br />09/19/2012 <br />09/1972.018 <br />EACH OCWflRE CE <br />_ <br />$1 000000 <br />qNy <br />ppEM19EEn�(OEA$pocL noel <br />300,000 <br />CD EXP(AnVOne Rrssn e <br />JN' ._..t <br />$ 000 <br />X <br />NONOMWAUT) <br />PE SC AL &AbV INJU Y <br />_ 000,000 <br />BEVL AGGREGATE LIMIT APPLIES PER: <br />cO <br />POLICY PRT LOp <br />DE L <br />$2,000,000 <br />PRODUCTS -CO / P <br />2.000000 <br />$ <br />A <br />AUTOMORnS <br />LIABILITY <br />ANY AUTO <br />AL4 OWNED AUTOS <br />SGHROULEDAUPOS <br />HIREDAUTOS <br />NON- OWNEDAUTOS <br />X <br />BA- 6A605880.12 <br />09/19!2012 <br />r V <br />09/19/2013 <br />.'0%A <br />COMBINED SINGLE LIMIT <br />(EP SCCltlont) <br />$1 1000,000 <br />BODILY INJURY (Par P.morJ <br />$ <br />BODILYqIIIrNryJJURY(Pot accident) ) <br />$ <br />Ps?eccWen AMAGE <br />$ <br />UMORELLA LIAE <br />EXCESS. <br />OCCUR <br />CLAIMS MADE <br />y�r� , <br />,i% <br />r <br />"'-"r <br />EACHOOCOFFENCE <br />$ <br />AGGREGATE <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />WOHKSRBOOMRENSATION <br />AND EMPLOYERS' LIABILITY WN <br />ANY PROPHIRTOWPARTNERIEXECUTIVE j"'j <br />Mandatary IARC <br />( Manuatory nNER EXChUDEC1 LTf <br />It Yoe deeodbs under <br />SPECIAL PROVISIONS b@Iew <br />Ntq <br />'^^ <br />p`SC' <br />t (,`\ y <br />Md ET.71�- Dr I <br />T YLM S F>� <br />E.L. EACH AC61DENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESORPTION OF OPERATIONS I LOCATIONS I VOI COLE8 (AtloaN ACORD io 1, AdNIIIeRaI Remarks 0004110, It more space Is required) <br />AS RESPECTS TO AUTO LIABILITY • THE CITY OF SANTA ANA ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS <br />AND REPRESENTATIVES IS ADDITIONAL INSURED AS PER CA T420 - AUTO COVERAGE PLUS ENDORSEMENT <br />BLANKET ADDITIONAL INSURED, <br />THE CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOHETHE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE LA� <br />01988 -2009 ACORD CORPORATION. All rinhta racoeued <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />