Laserfiche WebLink
ACORD. <br /> <br />Flagstaff Insurance, Inc <br />P.O. Box 1807 <br />2100 E. Cedar Ave. <br />Flagstaff AZ 86002 <br />Phone:928-774-6631 Fax:928-779-1765 <br /> <br />INSURED <br /> <br />CERTIFICATE OF LIABILITY INSURANCF L. , <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />INSURERS AFFORDING COVERAGE <br /> <br /> Silver Rose Enterprises, LLC <br /> Marsha Rose INSURER C: <br /> 1125B Arnold Dr #187 INSURERD: <br /> I '~ INSURER E: <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 />INSR POLICY EFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE { MMIDD~'Y} DATE {MMIDD/YYI LIMITS <br /> GENERAL LIABILITY( EACH OCCURRENCE S 1000000 <br /> A X COMMERCIAL GENERAL LIABILITY 4558167800 10/31/03 10/31/04 FIREOAMAGE(Anyonefire} $ 100000 <br /> I CLAIMSMADE [] OCCUR UEOEXP(Anyo.eperson) $ 10000 <br /> PERSONAL & ADV INJURY $ 1000000 <br /> GENERAL AGGREGATE $ 1000000 <br /> GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 1000000 <br /> AUTOMOBILE LIABILITY <br /> -- COMBINED SINGLE LIMIT <br /> ~ __ ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> -- BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per acOdent) $ <br /> <br />~ OCCUR ~ CLAIMS MADE AGGREGATE $ <br />WORKERS COMPENSATION AND I TORY L'MITS I I ER <br />City of Santa Aha, its officers, agents and employees are named as <br />Additional Insured as respects work performed by nemed insured, per attached <br />#55202 (5-00) <br /> <br />CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: -- CANCELLATION <br /> <br /> City of Santa Aha <br /> 20 Civic Center Plaza <br /> Santa Ana CA 92701 <br /> <br />ACORD28-S(7197} <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> iMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br />AUT;y2g:. TIv? L <br /> ©ACORD CORPORATION 1988 <br /> <br /> <br />