Laserfiche WebLink
ACORQ CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />07/02/2004 <br />PRooucER (949)709 -8800 FAX (949)709 -1668 <br />Comprehensive Insurance Services <br />22342 Avenida Empresa <br />Suite 200 <br />RSM, CA 92688 <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 />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Assistance League of Santa Ana <br />1037 W. First Street _- - <br />Santa Ana, CA 92703 - <br />INSURERA: NONPROFITS' INSURANCE ALLIANCE <br />A <br />INSURER. B: <br />GENERAL LIABILITY <br />X COMMERCIALGENERAL LIABILITY <br />CLAIMS MADE M OCCUR <br />INSURER C: <br />06/01/2004 <br />INSURER D: - <br />EACH OCCURRENCE <br />INSURER E <br />DAMAGETORENTED <br />COVERAGES <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 <br />TH <br />TYPE OF INSURANCE <br />POIK:V NUMBER <br />POLICY EFFECTNE <br />POLICY EXPIRATION <br />LM1ITS <br />A <br />GENERAL LIABILITY <br />X COMMERCIALGENERAL LIABILITY <br />CLAIMS MADE M OCCUR <br />2004- 07504 -NPO <br />06/01/2004 <br />06/01/2005 <br />EACH OCCURRENCE <br />$ 1,000, <br />DAMAGETORENTED <br />$ 100, <br />MED EXP (My are person) <br />$ 10,000 <br />PERSONAL d ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />5 3,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY M J`CT X LOC <br />PRODUCTS - COMPIOP AGG <br />S 3,000, <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />2004- 07 504 -NPO <br />06/01/2004 <br />06/01/2005 <br />/ <br />COMBINED SINGLE LIMIT <br />(Ee xd M) <br />f 1,000,000 <br />X <br />�.) <br />S <br />BODILY INJURY <br />(Pere enl) <br />S <br />PROPERTY DAMAGE <br />(Pere .rM1) <br />$ <br />GARAGE LIABILITY <br />ANY <br />AUTOONLY- EAACCIDENT <br />E — <br />OTHER THAN EA ACC <br />AUTO ONLY: AGG <br />$ <br />$ <br />A <br />EXCESSNMSRELLA LIABILITY <br />X OCCUR 0 CLAIMS MADE <br />X DEDUCTIBLE <br />X RETENTION E <br />2004- 07504- UMB -NPO <br />06/01/2004 <br />06/01/2005 <br />EACHOCCURRENCE <br />$ 3,000,0 <br />AGGREGATE <br />$ 3,000,000 <br />$ <br />$ <br />� <br />S <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILTY <br />ANY PROPRIETONPARTNER/ ECUTIVE <br />OFFICERMIEMBER EXCLUDED? <br />N yes, dexri0a ur er <br />SPECIAL PROVISIONS Below <br />2004- 07504 -DO <br />06/01 /2004 <br />06/01/2005 <br />WC STATI>- oTH- <br />E.L. EACH ACCIDENT <br />E 1,000, OOC <br />E.L DISEASE -EA EMPLOYE <br />$ 1 , 000, OO <br />E.L DISEASE - POLICY LIMIT <br />E <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I "CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />E: FUNDING <br />10 DAY NOTICE SHOULD THE POLICY CANCEL FOR NON- PAYMENT <br />ERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED PER THE ATTACHED CG2026 (11/85) <br />CITY OF SANTA ANA <br />COMMUNITY DEVELOPEMENT <br />M -25 <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL &)E1�EX1){ MAIL <br />AGENCY *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />i4Yr)€ XY14) 0625XJOL Xgdi) 4]( 9fJ�14) SLYaU0Wk�3i )bY1§KdEXifdGNdfi6X+`�104YXX. <br />AUTHORIZED REPRESENTATIVE <br />Richard Eynon, CIC /KRISTYZ <br />ACORD25(2001I08) FAX: (714)647 -6580 ©ACORD CORPORATION 1988 <br />