Laserfiche WebLink
02/02/2007 LE:32 <br />FEE -01-0T 13:44 <br />909-572352 <br />FRCVr <br />KEEFE CA <br />PAGE 02 <br />T-200 P.002/006 F-537 <br />gCQ17D 12/21/MS <br />OF LIAWLI I Y INUUK ;INU= on —NIC <br />_(;ERTIFICATE <br />PRDDuceR <br />InsLiranca 'Brelee.rR o.e ALnesica <br />,To= X. Rnglar <br />1801 S. nzanrwcod Blvd Ste 625 <br />THIS CERTIFICATE IS ISSUED AS A MATTER IC IMFORMATION <br />ONLY AND CONRIM NO RIGHTS UPON THR CERTIFICATE. <br />HOLDER THIS CERTIFICATE ODES NOT AMEND, MEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC4 <br />st. Lowe acn 63144 <br />Plzonea814-91S-?000 Fax:3'L4-919-1101 <br />INeuRW <br />WSU IMA: amAL aRREa-sa xawrPaa. a•. <br />20308 <br />RNSURERB' Federal YT11suraaca company <br />2028]. <br />Aurn PRE6 <br />INSURER C: <br />a1, a00, oaa <br />RQ 19 cmniaRa SC Ctwork, TlLC <br />1080 Iyrlp'b�iiag232 <br />9t. LouiO, 1 <br />IItlRURWR OI <br />% COMMERCIAL DEHERAL LABEL ny <br />OLA.MS MAPF C.•OCCUR <br />INSURERS .. <br />01/01/07 <br />rn. <br />VA FOR THEPOY PIOD ERINDIDATEM. NO'MHTNSTAWING <br />~YNc PGAIOI eOr MRURAN:G Lwrro B8L0W—wG SEEN IS6um TO THE INSUREO NAMED AeOLIC <br />ANY REOUIRFCNT, TERM OR CONOTLION OF AN'' CONTRACT OR O g1p, OOeUMENT WITH RGBIiEZ� TO WMCH THIS CHITIPICATR MAY RR ISSUES OR <br />MAY RRRTAIN, TNP WaS AAUCI: AFFORD L- BY TI -E POLICIES DESCRIBED HERRIN IS SUNIRCTTO ALL THE YMMS, FXCLUMONS APID CONDITIONS OF RuCH <br />POLICIES. AGGREGATE LN 78 SHOWN MAY MAW aeeN NeoLNOED ay RXM MAIMS. <br />LTR <br />NSR <br />TYPE Df IN9IIRANC[ ROLIrY NUMMIA <br />GATE NMIAA <br />YMITa <br />SRnt i Ana, CA 92701-4010 <br />IMPOSE NO OauGATM OR LIA916UY OF ANY NINP WON THA SNSURRR, ITS AGENTS OR <br />DRNGRAL LIAOM ry t <br />RRPRSRa ATNIIN. ' <br />. _.. <br />Aurn PRE6 <br />each OCCUIRR = <br />a1, a00, oaa <br />A <br />% COMMERCIAL DEHERAL LABEL ny <br />OLA.MS MAPF C.•OCCUR <br />7321-0a-90 <br />01/01/07 <br />Ol/Dl/09 <br />P RwUmINR <br />5ZRLTLVD»@ <br />MED ocrwwaa• n1 <br />F10, 000 <br />PRRRCNALLAIIVSAIURY <br />11, 000, DOD <br />GENSIRALAGORGDATG <br />S zA a", 000 <br />OEN'LAQORGaK741MITAPPLL-RPtR: <br />PROBUCTS-COMPMPAGG <br />62,000,000 <br />'1-7 POLICY I M F7 nc <br />a <br />AUTOMOBILE <br />x <br />LM SILJTY <br />AAIYANTO <br />7azl-oo-9a <br />01/01/07 <br />a1/01/0a <br />COMMINEXI SINGLE LIMIT <br />IERaaHaRl <br />Al, D0D, 00o <br />IOPOarE(LPYiraNDRY <br />s <br />L <br />aR owNeDAuros <br />scmrnmet AUros <br />H1Rk7)AUfcU <br />NOMCWNEJJAUTOD <br />300Ieilee ljRY <br />s <br />PermCA- �ICIAMAGEa <br />OWEIRI1A71LrV <br />AUTOONLY-EAACCIOENr <br />a <br />OTHERTHAN PAACC <br />AUTO ONLY; AGG <br />4 <br />ANY A= <br />i <br />a <br />_ <br />E%CF93wMRREt LA LIABR.TTY <br />EAOH OCCURRENCE <br />S <br />AG9RERATE <br />a <br />OrruR CLAIMS MAUL <br />a <br />S <br />rjI II -TIMEN S <br />WORNSLS CONPSh'L1LiPN ANP <br />T <br />sl -EACH ACCIDENT <br />s1, 0011, 0110 <br />8 <br />EmPoyppml LIABIUTI <br />ANY PRCEPRIETORIPAR rNERVEXECUTNE <br />ofFlcHaT,EMB'T FJcc LUDEP9 <br />7165-55-50 <br />02./01/07 <br />01/031/06 <br />E1.msBASE - EA EMn.DY9e <br />S 1, a00, Pilo <br />G4.viSFJIS8-PPLrY LIM <br />31, 000, Goo <br />I,P A-,; unPPOUIRwShaleN <br />OTxeR <br />I <br />DPS RIPTON OP OPERATlCJ3IL0"TIONB!VEHICLE-I EXCLUSIONS ABAEB MY ENODRSRMNNf)BPP.CIALPRRIYIaIONa <br />The City of Santa ,dna, its otacmm, Employees, agents and representatives are named as Additional Insureds as respects General <br />liability Leverages shown. <br />Additional Tnsured Endorsement form attached. <br />�.cn I Iden, a nvl.,•r.., <br />_.. . <br />BIGDLB ANY OF THEAROVE De3CRIaeD pOLOIFS aG CANCELLEb Im1FOR8 TN89IPI0.4TION <br />pity Of Santd P.n�- <br />A11 <br />DATA THIMEOP, THE ImUING INSURER WILL ENDEAVOR TO MAIL 30 PAYS WRITTEN <br />AYtn: PUTGit4 <br />�Itpertmenr <br />Aln: Pw chasmenter Do - <br />20 <br />NOTICE TOTHE CERTRICATE HRLRER NAMED TO THE LEFT, RUT FAILURE TO OO RO SMALL <br />SRnt i Ana, CA 92701-4010 <br />IMPOSE NO OauGATM OR LIA916UY OF ANY NINP WON THA SNSURRR, ITS AGENTS OR <br />RRPRSRa ATNIIN. ' <br />. _.. <br />Aurn PRE6 <br />R <br />AGORna5(2001r00; I - w ,v41V,.,iYV <br />