Laserfiche WebLink
�rw_ P-,Q � - - <br />acORD Ok2ANGCERTIFICATE OF LIABILITY INSURANCE OF ID - DATE{h4hUDDNYY 9 <br />7 03 19 09 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOP <br />Chapman <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />I,iconse #0522024 <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />phone; 626-405--8031 ]~ax; 626-405-0585 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURERA: 17onprofitar Ineuranca Allianoe <br />INSURER8: Everest National <br />Oxanaaew9od Children's <br />Foundations <br />INSURERC: cheat American Xnourance Co <br />16691 <br />1575 E. 17Cth <br />INSURERNX Fidelity 4 Deposit Co INasyland <br />Santa A 92g0`Jt <br />INSURER E. <br />rW <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 W17H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />UITSIT LTR <br />NSR <br />TYPE OF INSURAHCC <br />POLICY NUMBER <br />A R t h <br />DTI' IdA DD Y I <br />LIMITS <br />A <br />X <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE OCCUR <br />X Prof Liability <br />20091277ONPO <br />02/01/09 <br />02/01/10 <br />EACHOCCURRENCE <br />$ 1000000 <br />6REfTE-Cr <br />PREMISEs(Eaoccurenco) <br />$100000 <br />MEDEXP(Anyone poreon) <br />$ 20000 <br />PERSONAL&AOVINI JURY <br />$ 1000000 <br />X <br />Abuse Liability <br />GENERAL AGGREGATE <br />$ 3000000 <br />GENLAGGREGATE LIMIT APPLIES PER: <br />POLICY JECT EX] LOC <br />PRODUCTS•COMPlOPAGG <br />S 3000000 <br />Em l Ben <br />included <br />,A, <br />AUTOMOBILE <br />LIABILITY <br />ANYAL40 <br />ALLOWNED AUTOS <br />SCHEDULED AUTOS <br />HIREOAUTOS <br />NON•OWNEDAUTOS <br />200912778HPO <br />e t <br />02/01/09 <br />TO �y� <br />02/01/10 <br />p� <br />COMBINEDSINGLELIMIT <br />(Cae"Ideno <br />$ 1000000 <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILYINJURY <br />(Poraccldent) <br />$ <br />X <br />i erax!de �AItAGE <br />$ <br />OARAOELIABILANYAUTOITY <br />S'� AZf <br />ta0� <br />1187 <br />LANEAACCFAACC <br />OTHERTHAUTO <br />AUTOONLY: AGG <br />S <br />$ <br />EXCESSRIMBRELLALIABILITY <br />OCCUR CLAIMShTADE <br />DEDUCTIBLE <br />RETENTION $ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />S <br />S <br />$ <br />B <br />WORKERS COMPENSATION AND <br />GhIPLOYERS' LiABILITY <br />ANY PROPRIEIORlPARTNERIEXECUTIVE <br />OFFICERIA4EMBER EXCLUDED? <br />styyes doscfibounder <br />SPEG�fALPROVISIONSbelovr <br />6600001013091 <br />03/01/09 <br />03/01/10 <br />TORY LIIJITs X ER <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE • EA EMPLOYE <br />$ 1000000 <br />E.L. DISEASE-POLICYLIISiT <br />S 1000000 <br />C <br />D <br />OTHER <br />Property Coverage <br />Crime Coverage <br />PAC757534603 <br />CCP006190604 <br />02/01/09 <br />02/01/09 <br />02/01/10 <br />02/01/10 <br />Blkt Cont $666,000 <br />Em 1 Dash $500 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, it's officers, employees, agents, volunteers and <br />representatives are named as an Additional Insured as respects liability <br />arising from the operations of the named Insured per the attached Co 2026 <br />@ndoxsement. Woxkers compensation coverage excluded, evidence only. 10 days <br />notice of cancellation for nonpayment of premium, XX <br />CERTIFICATE HOLDER CANCELLATION <br />Cvmm SHOULD ANY OFTHSAeOVEDESCRIBEOPOLIO] ES, BECANCELLED BEFORE THE! EXPIRATION <br />DATH THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />City of Santa Ana IMPOSE! NO OBL90ATION OR LIABILITY OF ANY KIND UPONTHt! 1I(SUR8R. ITS AOENTS OR <br />20 Civic Center Plaza REPRESENTATIVES. <br />Santa Ana, CA 92701 nu PREs Tl,� <br />0 <br />