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NATIONAL VISUAL SYSTEMS 4 - 2004
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NATIONAL VISUAL SYSTEMS 4 - 2004
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Last modified
1/3/2012 2:40:38 PM
Creation date
11/16/2004 3:49:14 PM
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Template:
Contracts
Company Name
National Visual Systems, Inc.
Contract #
N-2004-138
Agency
Community Development
Expiration Date
9/30/2005
Insurance Exp Date
5/1/2006
Destruction Year
2010
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<br />_~NIÉ~ BUCKLEY INSURANCE SERVICES <br />- 16651 GOTHARD ST STE A-1 <br />HUNTINGTON BEACH, CA 92647 <br /> <br />714-841-5830 <br /> <br />1"10 \.oCtC.1 II"I""RI I:. I~ löttUt:U Að" MAIII:.K Ut' INt"UtC.MAIIUN <br />ONLY AND CONFERS NO RIGHTS UPON THE CERT1FICA TE <br />HOLDER. THIS C~RTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />DM&M CAPITAL. INC DBA NATIONAL VISUAL SYSTEMS <br />5482 OCEANUS DR #G <br />HUNTINGTON BEACH, CA92649 ¡..f- ~tXJ'f-Ij!1 <br /> <br />INSURERS AFFORDING COVERAGE <br />'NSURERA. AIG-GRANITE STATE . <br />INSURERS, PREFERRED EMPLOYERS INSURANCE <br /> <br />NAIC# <br /> <br />INSURED <br /> <br />INSU~.~~ ç.; <br />INSURER D: <br />._---_._~- <br /> <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 />~~~'r- POLICY NUMBER -'PÖUëVEFFiWTlYE ~~~I:!XPlRATION ""'15 <br /> ~NERAL LIABtLlTY EACH OCCURRENCE $ 1,000,000 <br />A r!~ÔMMERCIAlGENERAl LIABiliTY BOP-1701077-01 5-1-04 5+05 ~~-'L9ÇÇt1rE!'),ce) $ 300,000 <br /> -...- - _n' CLAIMS MADE [K] OCCUR MED EXP (Any O_n!-p_e~n). $ .._m__.- 5000 <br /> PERSONAL& ADV INJURY ' 1,000,00() <br /> c- 1---_?'POO'Ooo <br /> -- GENERAL AGGREGATE -- <br /> m'LAGGRi~E.IJMIT A7LlEj ~ER: PRODUCTS, COM PlOP AGG ' .1,QQ.Q,Q9.Q. <br /> X POLICY ~RT LOC <br /> AUTOMOBILE LIABILITY COt.tBINED SINGLE LIMIT 1,000,000 <br />A BOP-1701077-01 5-141 5-1-05 (EaaĊldenl) , <br /> - ANY AUTO --'.~._. <br /> -_.,~ AllOWNEDAUTOS BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Perpe~Qn) <br /> ., --.... <br /> X HIRED AUTOS BODilY INJURY <br /> $ <br /> ~ NON¡QWNED AUTOS (Peraocldenl) <br /> u... - <br /> I-- I.... -------- PROPER1Y DAMAGE $ <br /> (Pllr.!lCCidønl) <br /> RAGE UASIUTY ~U.T.QONlY ,EAACCIDENT $ <br /> ANY AUTO QTHERTHAN EAACC $ <br /> -- <br /> AUTO ONLY: AGG $ <br /> I!XCI!SSlUUBRaJ..A LlAB8llTY EACH OCCURRENCE $ 1,000,000 <br />A rXl"OCCUR 0 CLAIMS MADE BOP-1701077..Q1 5-1-04 5-1-05 ..~GREGATE , 1 000"999- <br /> , ____no <br /> R DEDUCTIBi..E , <br /> ----.- <br /> RETENTION $ , <br /> WORKERS COMPENSATtON AND WKN123091-1 X I,WCSTA7' I IOJ~) <br />B EMPLOYERS'LlABILITY 6-24-04 6-24-05 1 ,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E:.L. EACH ACCIDENT , <br /> OFFICERIMEMBER EX ClU OED? .Ë.:.!:::_DI~~~~E)--E1.'-~_~?LOYEE $ 1 000 000 <br /> ~Þèó~Lep:ô~~4~s beK>w E.l. DISEASE) POLICY LIMIT ' 1 000 000 <br /> OTHER <br />DESCRPTlON OF OPERATIONS I LOCATIONS/VEHICLESfEXCLUSlONSADDI!:D 8YENDORSEBENT ISPECIAL PROVISIONS <br />CITY OF SANTA ANA, ITS OFFICERS. AGENTS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSURED <br />. DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br /> SHOULD ANY OF THE AlOft DI!SCRl8!D POLICIES BE CANCELLED BEFORE THE EXPRA TION <br /> DATE DIERI':OF, THE ISSUING INSURI!R WILL. -.-r"'-¡- TO MAIL ~ DAYS WRITTEN <br />CITY OF SANTA ANA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIEF., ~u.. ~'-'- .- ~- -- -.--L <br />REGIONAL TRANSPORTATION AUTHORITY .....^..." ..... "'ft. ""."P''''''' .-. . .. _" ~I gr . I'" ~'Ig ",veri "¡:I& !fIlUM", 11'1 aSI'M. 9R <br />1000 E SANTA ANA BLVD #108 BIT.l.WÆ8. <br />SANTA ANA, CA 92701 ~D R~RESENTATIYE <br /> ~ '\' ;;0 <br /> . .- <br /> <br />ACORD 26 (2001/08) <br /> <br />-- <br /> <br />, ACORD CORPORATION 1988 <br /> <br />~ <br /> <br />11-:2- <br /> <br />1 'd <br /> <br />1:it" 1 1,1 <br /> <br />"BS'D1 <br /> <br />¡'D S1 <br /> <br />~"D <br />
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