|
SEP 13 '00 16 3e FR RON RISK SERVICES 713 430 6590 TO 917146475069 P,02/03
<br /> AGORA, CERTIFICALI E OF LIABILITY INSURANCE DATa(MMIBOIYY)
<br /> PRDBUCERTHI9f13/00
<br /> Mn Risk Services of Texas,Inc. ONLYCANDPCONFERISSUED RIGHTS MU ON MATTEROF
<br /> INFORMATION CERTIFTT
<br /> 2000 Bering Drive,Suite 900 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> Houston,Texas 77067 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> 713/430-6000
<br /> _, INSURERS AFFORDING COVERAGE
<br /> I REB .., ..... .. -
<br /> ... .. -
<br /> a e Management of Orange County ,INSURER A: Pacific Employers,Ins,Cp.
<br /> 1800 S.Grand Avenue - .-.,.,
<br /> w
<br /> Santa Aria,CA 92706 suRe: TranEoc9flnenlal Iris,Co.
<br /> INSURER
<br /> C: -INSURER 0:
<br /> I COVERAGES INSURER E:
<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 CERTIFICATE 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 /> rySPOLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS,
<br /> I}TRI TYPE OP INSURANCE POLICY NUMBER PogiriMFD[CTV)E Pd4TcMMIpRM
<br /> ri LM5
<br /> .--
<br /> -PENiPAI LIABILITY EACH OCCURRENCE S 1,000,000
<br /> A X CCMMERCIAL GENERAL LIADILITY HDO G19896453 1/01/00 1/01101 FIRE DAMAGE(My Ann lira) $ 1,000,000
<br /> _ CLAIMS MME 1 XI OCCUR -- ..- ..._.
<br /> MED EKE(Any one Eamon) S
<br /> PERSONAI,A ADV INJURY 9 1,000,000
<br /> T.. -"— -"'�•' GENERAL AGGREGATE E 2,000,0P0
<br /> OEML AGGREGATE LIMIT APPLIES PER:
<br /> PRODUCTS
<br /> "
<br /> -COMP/O,ABC s 2,000 000_POCX pCX LOC
<br /> AUTOMOBILE LIAe)LITY ..
<br /> A X ANYAUTO ISA H07404864 1/01/00 1/01/01 lE McrICOIaaanl3SwaLE LIMIT .,
<br /> _ ALL OWN AUTOS - ,. 1,OOD,000
<br /> SCHEDULED AUTOS BODILY JNJVRY S
<br /> (Per wean)
<br /> HIRED AUTOS J
<br /> NON-OWNED AU105 BODILY INJURY
<br /> ^ (Per ecaiaenq 9
<br /> PROPERTY DAMAGE ,S � •-
<br /> (Pnr,n 7,,71
<br /> -OARAGE LIABILITY --
<br /> AUTO DNL.Y-EA ACCIDENT $
<br /> ANY AUTO ...• ,. ._ �..
<br /> OTHER THAN EA ACC 9
<br /> I AUTO ONLY: AOC, 5
<br /> EXCESS LIABILITY ^
<br /> EACH OCCURRENCE s10,0001000
<br /> e X I OCCUR r I CLAIM$b.IADE CPU 187046342 1/01/00 1/01/01 AGGREGATE $
<br /> ,�... 6 10,000,000
<br /> DEDUCTIBLE ... ..,,,-,�
<br /> F
<br /> RETENTION $ _,.
<br /> E
<br /> WORKERS GOh1PENEATION AND X r<I I US ATr9 _, ,ER O'?H -
<br /> A EMPLOYERS'LIABIIJTY WLR CA2619016 1/01/00
<br /> _
<br /> /01/00 1/01/01 E.L.EACH ACCIDENT 5 1.COO,O00
<br /> SCE C4254S1TA(WI) 1/01/00 1/01/01 5.1,,DISEASE-EA EMPLOYEr $ 1,000,000
<br /> OTHER m E,L.DISEASE-POLLCY LIMEth 1,000,000
<br /> 1E$CRIPRON OF OPERATIONS/LOOATIoNwvoircLES/ExCLVAONE ADDED BY ENDOR$EMENTISPEC IAL PROVISIONS -
<br /> Blanket Waiver of Subrogation Is granted In favor of Certificate Holder on all policies as required by written contract end subject to policy terms,conditions and
<br /> exclusions. Certificate Holder is named as an Additional Insured excluding Worker's Compensation and Employer's Liability as required by written contract and
<br /> always subject to the policy terms,conditions and exclusion.
<br /> City of Santa Ana,its officers,employees,agents and volunteers ere named as Additional Insureds with respect to all operations by the Named Insured where
<br /> required by written contract,
<br /> —
<br /> :ERTIPICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
<br /> City of Santa Ana SHOULD ANY OPINE ABOVE DESCRIBED POLICIES BE CANCELLED IMPURE THE EXPIRATION
<br /> Attn: Ten Cable DATE THEREOF,THE LRSVrHG INSURER WILAXLMADAXAQ6 MAIL St DAYS WRITTEN
<br /> 20 Civic Center Plaza NOTIOF TO THE CERTIFICATE HOLDER NAMED TO TETE LEFT.XIIXte4XVISCOXIX00209011.X
<br /> P.O.Box 1988
<br /> Sante Ana,CA 92702 I)va=>I .: u.r Y-.5'.:a ES.V 171.1,:“41)51- 10EF MCJN pig:
<br /> ARHongeRATINR@yy EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT
<br /> T�T�T}� T� Agri AUTHOnizeo REPRESENTATIVE
<br /> \\M$TNWFS113V91CLIENTS+AOn\wastem{7tlpoME7tlGllUWlprAr lARll lu¢grO TO,o ' Rnn �j
<br /> LYl - CACO�Cry_ D
<br /> \CORD 25-5(7/97) /'� c/!+/C`CR_DrCOAPORA�TIOry y 99g
<br /> i (3sNJAMIK '4UFFMAN
<br /> hie Assistant "IV Attorney
<br />
|