Laserfiche WebLink
flpr 03 09 1 1: 45a T 1'- d l <br />p.5 <br />DATE ;MM/DD/YYl'Y) <br />ql~, CERTIFICATE OF LIABILITY INSURANCE ozr~lrzoos <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER USt NORTHEAST ONLY AND CONFERS NO RIGHTS UP JN THE CERTIFICATE <br />555 PLEASANTVILLE RD. STE. 201 N. q~ ERR HE COVERAGE AFFORDED EY THEEPOLICIES BELOW. <br />SRIARCLIFF MANOR, NY 10510. NA1C# <br />INSURERS AFFORDING COVERAGE <br />INSURER A: TWIN CITY FIRE WSURANCE COMPAN <br />INSURED 4440 - CA INSURER B: <br />STRATEGIC OUTSOURCING, INC INSURER C: <br />L/C/F PACIFIC BUILDING CARE, INC. INSURER D: <br />PO BOX 241448 CHARLOTTE, NC 28224 INSURER E: <br />COVERAGES <br />ANY REQUIREMENT TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMEENT WITH RESPECTOTO WH CHLTHIS CERTD ICPTE MAY e~ISSUED OR DING <br />-MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED FIEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID C PO CY EFFEC7ryE POLICY RAT N LIMITS <br />INSR ADD' TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DAT ~~D EpCH OCCURRENCE $ ' <br />LTR 1NSD <br />GENERAL LIABILITY DAMA E SjOItENTED $ <br />p MI E + occ rrance <br />COMMERCIAL GENERAL LIABILITY MED EXF (An ~ one person) S <br />CLAIMS MADE OCCUR PERSONAL R ADV INJURY S <br />'i GENERAL AGGREGATE S <br />~. __ PRODUCTS • COMPlOP AGG $ <br /> GENL AGGREGATE LIMIT APPLIES PER: <br />POLICY PROT- LOC <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO <br /> ALL OWNED AUTOS <br /> SCHEDULEOAUTOS <br /> HIRED AUTOS <br /> NON-OWNED AUTOS ,, * ~[ <br />Y} <br /> ~~ ~ ~ <br /> 14339 - <br /> GARAGE LIABILITY <br /> ANY AUTO % ~ J7 p_ <br /> <br />Ufa <br />-- Stttt ~ <br /> EXCESSIUMBRELLALIABILITY L,D A[tOIII <br />City <br /> OCCUR ~ CLAIMS MADE Asai;tan <br />DEDUCTIBLE <br />RETENr10N S <br />WORKERS COMPENSATION AND <br />/`t EMPLOYERS' LIABILITY 16W8RJ80841 <br />OFFICER/MEMBERIEXCLUDED?EGUTNE <br />It yes, describe under <br />SPECIAL PROVISIONS below <br />OTHER <br />COMBINED SINGLE LIMIT ~ $ <br />(Ee Accidantj <br />BODILY INJL'~3Y S <br />(Per person) <br />BODILY INJLRY S <br />(Per accltlenl <br />PROPERTY'->AMAGE $ <br />Per aocidentl <br />AUTO ONLY - EA AGCIllENT 3 <br />OTHER TFIP ~`1 EA ACC $ <br />AUTO ONLY: AGG S <br />EACH OCCVRRENCE S <br />AGGREGATE - $ <br /> S <br /> s <br /> $ <br />Q3rolrzoas 03/0112010 E.L. EACH ACCIDENT S <br />E.L- OISEASE - EA EMPLOYEE S <br />E.L. DISEASE -POLICY LIMIT S <br />:SCRIPTION of OPERATIONSlLOCATIONSNEHICLESlEJCCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />LIMITED TO EMPLOYEES LEASED TO PACIFIC BUILDING CARE, INC. BY STRATEGIC oUTSOURCINC, 1NC. <br />JOB: THE CITY OF SANTA ANA, 20 CIVIC CENTER PLAZA„ SANTA ANA, CA 92701 <br />1,000 <br />~~ <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THE DEPOT AT SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL END tAVOR TO MAIL 3O DAYS WRST7EN <br />1000 EAST SANTA ANA BLVD NOTICE TO THE CERTiF1CATE HOLDER NAMED TG THE LEFT, BUT FAILURE TO DO 50 SHALL <br />SANTA ANA, CA 92701 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATITIVES. <br />AUTHORIZED REPRESENTATIVE <br />e~,,JJyr_~'~tir_.~_-_- ©ACORD CORPORATION 1966 <br />ACORD 25 (2001108) <br />`~ 'f"'i r ~,.s Lin 1'liDi/ :.1 9,1 li-~Sl~ <br />