Laserfiche WebLink
<br />. . CERTIFICATE~~F LIABILITY INSURANCL, DATE IMMlDDIYYYY <br />ACORD. OP ID P~ 10/11/02 <br />SANTA-4 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />ISU Ins Srv - Fullerton Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1150 E Orangethorpe Ave,#101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Placentia CA 92870 <br />Phone. 714-577-5800 Fax:714-577-5888 -.I "./ INSURERS AFFORDING COVERAGE NAlC# <br />INSURED A ~ 1-f)() 2. - IU:>" , I INSURER A: Scottsdale Insurance <br /> INSURER B: <br /> Santa Ana Boxing Club I INSURER C: <br /> Orange County Youth Commission <br /> 1850 E. Seventeenth #218 ' INSURER 0: <br /> Santa Ana CA 92705 I 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 PIN <br />L TR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYY LIMITS <br /> <br />GENERAL LIABILITY EACH OCCURRENCE <br /> <br />A <br /> <br /> <br />COMMERCIAL GENERAL LIABILITY CLS 0 8 215 4 8 <br />CLAIMS MADE [!] OCCUR <br />Owner/Cont Prot. <br /> <br />01/24/02 <br /> <br />01/24/03 PREMISES (Ea occurence) <br />MED EXP (Anyone person) <br />PERSONAL & ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS - COMPfOP AGG <br /> <br />$1000000 <br />$ 50000 <br />$1000 <br />.1000000 <br />$1000000 <br />$1000000 <br /> <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />~PRO- ,-------. <br />POLICY I JECT LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br /> <br />DEDUCTIBLE <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' UABILITY <br />ANY PROPRIETORlPARTNERlEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />~~~~\~tS~~~VIS?ONS below <br />OTHER <br /> <br />~ <br /> <br />aura Sheedy <br />Deputy City Atto ney <br /> <br /> <br />COMBINED SINGLE LIMIT $ <br />(EaaCddent) <br />BODILY INJURY I <br />(Per person) $ <br />BODILY INJURY $ <br />(Peracddent) <br />PROPERTY DAMAGE $ <br />(Peraccidenl) <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG $ <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br /> $ <br /> $ <br /> $ <br /> ER <br /> $ <br />E.L DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT $ <br /> <br />SCHEDULED AUTOS <br />HIRED AUTOS <br /> <br /> <br />~ <br />I I NON-OWNED AUTOS <br /> <br />GARAGE LIABILITY <br />ANY AUTO <br /> <br />EXCESS/UMBRELLA UABlLlTY <br />OCCUR D CLAIMS MADE <br /> <br />DESCRIPTION OF OPERATIONS' LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate Holder shall be named Additional Insured with respects to <br />General Liability policy limits per special endorsement required for all <br />named additional insureds. <br />*10 day cancellation for non-payment of premium. <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />CITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRA <br />DATE THEREOF, THE ISSUING INSURER WILL lill MAIL 30* DAYS WRITT <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1"'1 f JlijFl- -- -- -- [II <br /> <br />City of Santa Ana <br />Community Development Agency <br />20 Civic Center Plaza <br />Santa Ana CA 92702-1988 <br /> <br />... <br /> <br /> <br />-- -. <br />AUTHORIZED REPRESENTATIVE <br /> <br />James D. He ker <br /> <br />ACORD 25 (2001/08) <br />