Laserfiche WebLink
1900-02-29 10:43 SANTA ANA Z❑❑ <br />FtB -24-00 TIN 02160 Phi K & K W FAX NO. 219,1.. a064 <br />4 � r 'Yr,, .w� ..�_ -�� -F--.ter.-�.-•--� - <br />001 P02 <br />P. 02/04 <br />CERTIFICATE 13,' Et / br <br />{�F IN�iJ�tAN������aa���� �/a4140 <br />N & R Irlatirarnco Croup, Inc, <br />1,71E Nagntivw. 1jay <br />P.O. Box 2335 <br />F''ort waynC , In 46901 <br />Ivurl.0 '-----.--.—.—._ --- <br />FRIENL)S OIL TEE SAIv'rtA ARIA 200 <br />1001 E, CHESTNUT <br />SANTA ANA, CA 9 2 7 0 � <br />THIS 09ATIFIGA7E IS 15SUED A5 A MATTER OF INFORMATION <br />GNLY AND CONFERS NO RIQI.li8 UPON TH9 0_rFftIFICATp <br />HOLDIER. TH15 'CERTIFICATE DOE,3 NOT AMENS, EM7END Oft <br />ALTER THI; COVERAGE AFFORDEE7 BY TH1~ POLIC148 BELOW, <br />COMPANIES AFFORDING COVERAGE <br />A <br />COMPANY TTC; zN <br />LET7kfi SURANC E COMPANY <br />GbMRANY <br />Lf;'f'TE H <br />GOMI'ANY e <br />T[115 I� 7aJ eC.rITIFY TSSf1I 7r1E FCt+ 1ClEE OF INSURAN(* l.krrl5l) E§91.6W HAVE UEEN ISSUED TO THE 11�IOURED NAMEl7 ABOVE GUf4 THE POLICY PEFIIQU IN. <br />GIGATE11. N(yI'WITH87AtJDING ANY REQUIREMENT. Tmkii oA CONDITION OIL ANY CQNTAACT OR 4THCFI DOCUMENT WITIi RE$FE(;T TO W410I 1 THM CCATIF'ICATtd <br />MAYDVM? UED0AMAYPETIMIN THE' iW',11FA0Efit FOE(17EDfly THE POLICIL!5DEW1II3EDIII all EIN15$Up,AEIrToALL THE TOF?M5,EXCLUMO SANDCONDI. <br />TIONR ni SUCI L PULIC)ES. LlrvhTS SIAQWIJ MAY NAVE BEE[[ NEDQQG q BY PAID QLAIM5. <br />I..—.. — <br />LTR TYPE OF INSURAII-ICE POLICY NUMBER PD41GY EFFECTIVE POLICY E) PWA T[iflmaw <br />"` <br />— —„ AAT9 (MMf4DfYV) DATE IMMIDDI"L Mfrs (in thousAnds) <br />'/� erirrar Ll;tbll,ty 12 : 01AM 12 : 0IAM A_flQ(I n[ 1a 7�}/'jm <br />+<~ ! Ctamr,)Orcit,l GojieraI Lrahllily �T 7 3802142601 1/ 17 / 0 0 1/ 17 / p lls Cplrij7l s A�graRa[e 5 0 p E <br />rr�� t l�lims Wade . deruf JI al f4_r�rll 8rtlsrn Irl [Ify � 10 0 <br />LJC}WCr's AS C¢Iitrg&,5 PrDI, I _.' _ � "� <br />I CC11rrA[ <br />(Any orle fi1U; 0[ <br />I�I Atllomablle Liahll[ly � - <br />Ca Any alli0 <br />i�,All ownad autpu <br />E cl)rddUrt�d mtltwl <br />PN4ri-nvanyd WWt <br />EGa1'&g,I Liability <br />I=lrt@sa Llwt�iliky --- ---- •, <br />MCtlicnf Exp 1n_u <br />6 <br />hijury <br />AL, n� ldvm) $ <br />falroperty <br />Damp $ <br />Each .�-- <br />(T;CIlrranar,� A�17rugR[a <br />W611`615' ComPensa{run <br />anri Each ACCidenf <br />Elvlployprs' I.Itlhility —� <br />--I.31SL+r�bC—�DgWLifplt. <br />DI:or;�cnmpro <br />AD&—.,w. <br />D _ <br />Accfdenl Pr Mr <br />Excess Media, 1_ <br />G;I:IIli+T1C7PJd dXI_TE7JFJL06,;fIrra;�,;;�Ni��esia7xrFiu iurvsi'sPerI�GMWeck <br />t~ERT HOLDEN IS AI)EITTrONAL I1VSURFb; THE CITY 01p SANTA ANA, 20 CIi71C CENTER <br />PLAZA, PANTH ANA, CA 92, 701 ; ITS OFFICERS, ENfPi,0MS, ACENTS & Al"IPREUNTATTVES <br />SEE A�7I�T�Ntli7B;� _ iS .Y� SC[14VVLt,' ON FILE WITH CARRIER <br />THE CITY OF SANTA ANA <br />24 CIVIC C;EPNTII!;R MIZA <br />SANTA ANA, f"A 927ol <br />ITS OFFICERS, BAIPL0YF,IB. 71C�EN�tS & <br />REPRBSENTAT'IVES <br />SL 30 <br />SHQUI-0 ANY OF THE ABOVE DESCRIGED pQLICIGS pE <br />GANCELLED BliFORE THE EXPIRATION E)Ar'E TIIFrt_"P, THE <br />ISSUING COMPANY WILL. 9086lown eaa1L—_two <br />WRITTEN NOTIcE 70 THE GER TIFICATE 110!,DER NAMED TO TEi E <br />frl=rl <br />