Laserfiche WebLink
<br />. ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 1~ DATE (MMIDDIYYYY) <br />RBFCO-1 07/07/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />United Captive Ins. Brokers HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />17151 Newhope St., Ste 211 ALTER THE COVERAGE AFFORDED BY THE POliCIES BELOW. <br />Fountain Valley CA 92708 <br />Phone: 714-708-4370 Fax:714-708-2300 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A U.S. Fidelit" and Guaran tv ( o. <br /> INSURER B <br /> REF Consulting INSURER C <br /> 14725 Alton Parkway INSURER 0: <br /> Irvine CA 92718 <br /> INSURER E: <br /> <br />COVERAGES <br /> <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 />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />LTR NSR TYPE OF INSURANCE POL.ICY NUMBER I"Dl.).'1!~1:~rDED'~E Pgk~Clfij~b~J!.,C?N L.IMITS <br /> ~NERAL. L.IABIL.ITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES (Ea occu~~nce) $ <br /> I CLAIMS MADE D OCCUR MED EX? (Anyone person) $ <br /> I - PERSONAL & ADV INJURY $ <br /> - GENERAL AGGREGATE $ <br /> ~'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ <br /> PRO- <br /> POLICY JECT LOC <br /> ~TOMOBIL.E LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> - <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> - HIRED AUTOS BODILY INJURY <br /> (Peraccidenl) $ <br /> -- NON.OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> ~~GE LIABILITY AUTO ONLY - EA ACCIDENT $ -- <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> i <br /> EXCESS/UMBREL.LA LIABILITY EACH OCCURRENCE $ <br /> :::J -OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =1 ~EDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND XIT~~/L1Mlfs I IUER <br />A EMPLOYERS' L.IABILlTY D123WOO096 07/01/04 07/01/05 $ 1000000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> I OFF!CER/MEMBER EXCLUDED? , E.L. DISE,\SE .- EA C~'::'LOY[E , lCOOOOO <br /> I If yes, describe under .-.-- <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 <br /> OTHER <br /> A.PP ROVED AQ "..,., ''',~. <br />DESCRIPTION OF OPERATIONS I L.OCATlONS I VEHICL.ES I EXCL.USIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS '''Yl <br />*10 days notice of cancellation for non-payment of premium. Re: IN ~"-::;-c; f)/ <br />10-102081. Design & Development Standards. - <br /> LaUra Stitt Sheedy <br /> A.ssIstant City A.tt <br /> orney <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> CITYSAN SHOUL.D ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCELL.ED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL 1iP1I111i-.-araarx:.MAIL. *30 DAYS WRITTEN <br />City of Santa Ana, Plang. Div. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL. <br />Ms. Maya DeRose, Sr. Planner IMPOSE NO OBL.IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza <br />Ross Annex Bldg. , 2nd Fl. REPRESENTATIVES. <br />Santa Ana CA 92702 AUTHORIZED REPRESENTATIVE /It-11-& ~%J <br /> Mark Barrie <br /> <br />ACORD 25 (2001/08) <br /> <br />@ ACORD CORPORATION 1988 <br />