Laserfiche WebLink
<br />,I <br /> <br />., " . <br />,---.. CERTIFICATt: OF LIABILITY INSURAN..."E I DATE {t.l:M/DCJYYY'f) <br />M.DBQ 03/09/2004 <br />PRODUC<R (714)905-1923 FAX (714)905-1910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Hayward Tilton" Rol app Ins. Assoco, In~. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License '0614365 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. Box 25529 <br />Anaheim, C~ 92&25-5529 INSURERS AFFORDING COVERAGE NAIC# <br />1~SUREtt Hernandez Cart Serv1 ce I Inc. A- ;UJoH;)' f INSURER: A. Nautilus Insurance Company <br /> DB~: A- ;¡OD;l- no INSURER: e: <br /> 1808 Lincoln Blvd. A - ,:).c0.3 - , (/7 INSUR£R c: <br /> Venice, CA 90291 INSVRE~ 0: <br /> INSURER E: <br /> <br />. <br /> <br />VE <br /> <br />THE POLICIES of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWtTHSTANDIN< <br />ANY REQUIREME~T. TERM ORCQNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH FŒSPECT TO WHICH THIS ceRTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THe INSUAANCE AFFOR.OËO BY THE POLICies DESCRIBED HEREIN 1$ SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHowN MAY HAVE: ßt¡;EN REDUCEC> BY PAID CLAIMS. <br /> <br />~!-ISR CD' TYpe OF INSURANC¡ POLICY NUMBER POUCY EFFECTIVE FO..ICï EXFIRATIa;~ <br /> <br />G'NERAL LIABILITY NC311366 03/04/2004 03/04/2005 EACHOCCURR'NC' <br /> <br />X CDMME;:RC\A1..GENe:RA.I.I.\ABILITY CJ.o..MAoe YO RENTE,D <br /> <br />CLAIMS MADe: [[I OCCUR <br /> <br />UMtTS <br />. <br /> <br />1 000,000 <br />50 000 <br />1 000 <br />1 000,000 <br />1,000,000 <br />Incl uded <br /> <br />MEO EXP An~ one person) <br /> <br />A <br /> <br />x <br /> <br />PERSONA.L 8. A.DI/ INJURY <br />Ge~ERAlAGGREGAif $ <br />PRODUCT8 - COMPJOP AGG $ <br /> <br /> <br />LOC <br /> <br />AUTOMOB1LE I..I"BIL.ITY <br />AN'fAl)TO <br /> <br />COMBINED ~tNGlE LIMIT <br />(E".Iõ,ic enQ <br /> <br />ALL OWf.fEO AUTOS <br />:SCHEDULED AUTOS <br /> <br />eODIt..YlNJURY <br />{Per ptlrson) <br /> <br />HIRED AUTOS <br />NO~.OWNEOAUTOS <br /> <br />&ODILY INJURY <br />(Perll1:cldent) <br /> <br />ÞROPf"RTY OA.o.'A.GE <br />IPllr.cçicll!<'lll <br /> <br />. <br /> <br />G"R.Aw Ii LtA&ILrTY <br />,I..'YAVTO <br /> <br />A.VTO ONLY. EAACCIDENT $ <br /> <br />OTHER THAN <br />AUTO ONI.. Y: <br /> <br />EA..ACC $ <br />.4.GG S <br /> <br />EXCESS/UNSRELLA LIA81UTY <br />OCCUR 0 CLAIM~ MADE <br /> <br />EACH QCCVR~ENCE <br />AGGRE<òA TE <br /> <br />. <br />. <br />. <br /> <br />. <br /> <br /> <br />. <br /> <br />DEOUCTIBLe <br />Rë:TE~¡TION <br /> <br /> <br />OTH- <br />, <br /> <br />--~_.-._- <br /> <br />WORKEItS CCMI'"EH3ATION AND <br />EMPLOYERS. LtABIi.!T( <br />ANY PROPRIETOR/PARTNERlEXECLITIIJE <br />OFFICER/MEMBER EXCLUOEO? <br />~~~,~'~:iõ"1~ëNS b.l~w <br />OTHER <br /> <br />E.1... DISEASE. F'OllCY LIMIT S <br /> <br />DI!:SCRIPTJOH OF OPERATlON-5j LOCATION) \VEHJÇLES I ex.CLUS ON~ .ADC!:O BY ENDORSEMENT 1 Sl'ECIAL F'Rp'/ISIONS <br />en days notlce ot cancel atl0n 91ven tor non-payment ot premlum. <br /> <br />he City of Santa Ana its officers, employees, agents. volunteers & representatives are <br /> <br />dditional insureds as respects General Liability per endt 5]14 (04.~7) <br /> <br />ERT <br /> <br />CA <br /> <br />HO OE <br /> <br />c <br /> <br />C <br /> <br />LATION <br /> <br />Þ,UTHORlzeo ftEPRES~NTÀIIVE <br />Ste hen Mor; ama MTA <br /> <br />5HOULD A~Y Of THE ABOVE DESCft~BED POUCIES BE CANCELLEO BEFORE THE <br />EXPIRATION D.TE THEREOF, THE ISSl)ING INSURER.WILt. ~X~» MA3t. <br />~J_O- OAYS WRItTEN NOTice TO THE CER.TlFICATe: HOL.DER NAMED TO THE LE!'T <br />1œt)(I(M€@Xwœí-J(:J()(ì«<X¡¡tóK~i\\X~~XX' <br />1(IOO<i)OO(,x.x~j¡ t:ool~~iIïóJIIJ(ä;XXXXXXXXX. <br /> <br />St-::. he.I\ mOriY41'1C\ <br />(!)ACORD CORPORATION 1988 <br /> <br />The City of Santa ~na <br />Attn: Dave Urbin M ~S <br />220 S. Daisy Avenue, <br />Santa Ana, CA 9270~ <br /> <br />Bldg A <br /> <br />ACORD 2S (2001/08) F~X: <br /> <br />(714)647-3345 <br /> <br />jrinted with FinePrint 2000 - purchase at http://www.fìneprint.com <br /> <br />f;\t.£, <br />