Laserfiche WebLink
~` o CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYYY) <br /> 4/08/2008 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION <br />State Farm Insurance, Pat Dady -Agent ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />15215 Shady Grove Road, Suite 102 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Rockville, MD 20850-3235 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />A-2008-195 <br />t INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA State Farm Fire and Casualty Company 25143 <br />THE FERGUSON GROUP LLC <br /> INSURER B: <br />SUITE 300 INSURER C: <br />1130 CONNECTICUT AVE NW <br />WASHINGTON DC 20036-3981 INSURER D: <br /> <br /> INSURER E: <br />V V V CKAl7CJ <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 />IN5R ADD'L POLICY EFFECTIVE POLICY EXPIRATION <br />LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMlDDlYY) DATE MMlDD/YY) LIMITS <br />X X GENERAL LIABILITY 99-BU-8962-7 4/8/08 4/8/09 EACH OCCURRENCE $ 1, 000, 000 <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY DAMA RENTED <br />PREMISES Ea occurcence <br />$ 10 0 , 0 0 0 <br /> CLAIMS MADEOCCUR MEDEXP An one erson $ 5,000 <br /> X Hired Auto PERSONAL & ADV INJURY $ O <br /> X Nonowned Auto GENERAL AGGREGATE ' $ 2, 000, 000 <br /> GEN'L AGGREGATE LMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ 2 , O O O , O O O <br /> PRO- <br /> POLICY JECT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accident) $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: <br /> AGG $ <br />X EXCESS/UMBRELLALIABILITY 99-BU-8978-1 4/8/08 4/8/09 EACH OCCURRENCE $ 4, 000, 000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 4, 0 0 0, 0 0 0 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10000. $ <br />X WORKERS COMPENSATION AND <br />' 99-M3-2306-1 4/8/08 4/8/09 WCSTATU- X OTH- <br /> EMPLOYERS <br />LIABILITY TORY LIMITS ER <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1 r 0 0 0, O 0 0 <br /> If yes <br />describe under <br />EL DISEASE-EA EMPLOYEE <br />$ 1, 000, 000 <br /> , <br />SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1, 000, 000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS !VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Legislative Lobbyist // <br />/ ' -~... <br />t,CK I ItII+A 1 t I'IVLUCK GANGtLLAT10N " <br />City o f Santa Ana I t S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE IXPIRATION <br />Employees, Agents, Volunteers DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN <br />& Representatives NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center P1dZd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE i "I <br /> Pat Dady, Agent 301-948-4414 %~ `~ <br />- <br /> ~ <br />,-wvrw as tavv uvo! Inc icyimiaiwn nuut.ca uwiwie um ieisn~N vi UIC IIIGI R9 U~/ 111011 iCSpecuvC owners lJA\.VKU I.VKYVKAII 1Sltf W/ <br />132849 03-13-2007 All ri is r rved <br />