Laserfiche WebLink
_, <br />i i (._: <br />DATE(MM/DD/YYYY) <br />ACORDrw CERTIFICATE OF LIABILITY INSURANCE 04/lo/zoo9 <br />PRODUCER <br />Aon Risk Services Northeast, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />New York NY Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />199 water Street CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />New York NY 10038-3551 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC # <br />PHONE- 866 283-7122 FAX- 847 953-5390 <br />INSURED INSURER A: MltSUI Sumitomo Insurance USA Inc. 22551 <br />NEC unified solutions, Inc. INSURERS: Mitsui Sumitomo insurance Co of America 20362 <br />hwa <br />161 <br />6535 N <br />State Hi <br />g <br />. <br />y <br />Irving TX 75039 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIItEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR <br />LTR ADD' <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE(MM\DD\YY) POLICY EXPIRATION <br />DATE(MM\DD\YY) <br />LIMITS <br />B ERAL LIABILITY GL2000022 04/01/09 04/01/10 EACH OCCURRENCE $1,000,000 <br /> General Lldblllty <br /> X <br />COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $250,000 <br /> PREMISES (Ea occurence) <br /> CLAIMS MADE © OCCUR MED EXP (Any one person) <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OPAGG <br />$1,000,000 <br /> PRO- <br />POLICY <br /> ^ <br />^ LOC <br />JECT <br />A AUTOMOBILE LIABILITY BVRHOOOOS2 04/01/09 04/01/10 COMBINED SINGLE LIMIT <br /> ANY AUTO <br />X BUST neSS AUtO COVerdge - <br />840 <br />080 <br />04/01/09 <br />04/01/10 (Ea accident) $1,000,000 <br />B ALL OWNED AUTOS BvR <br />5 <br />BUST neSS AUtO-Md55 dCI1USE BODILY INJURY <br />A SCHEDULED AUTOS BVR8302206 <br />BUST neSS AUtO PA 04/01/09 04/01/10 (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON OWNED AUTOS (Per accident) <br /> SELF INSURED FOR PROPERTY DAMAGE <br /> r accident) <br />(P <br /> PHYSICAL DAMAGE ~~ <br />_w, <br />~J e <br /> F <br /> GARAGE LIABILITY A t~pRO~ ~" <br />-1L AUTO ONLY - EA ACCIDENT <br /> ANY AUTO 1 ~ OTHER THAN EA ACC <br /> B AUTO ONLY <br /> edy AGG <br /> EXCESS /UMBRELLA LIABILITY ~ >U011 <br />t ttOL ne EACH OCCURRENCE <br /> ^ OCCUR ^ CLAIMS MADE y <br />~,S51SI_aY1.t Cl AGGREGATE <br /> <br /> DEDUCTIBLE <br /> RETENTION <br />B WCP 4 1 X WC STATU- OTH- <br /> WORKERS COMPENSATION AND T RY T <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1, 000 , 000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$1, 000 , 000 <br /> Ifyes, describe under SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1, 000, 000 <br /> below <br />B GL2000022 04/01/09 Limit (1) $2,000,000 <br /> OTHER Errors & Dmi SSl Of15 SIR/Deductible (1) $10Q, OOQ <br /> Prof Liability <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />The City of Santa, 20 Civic Center Plaza, Santa Ana, California, its Officers, Employees, Agents, and volunteers <br />are included as Additional Insured with regard to liability and defense of suits arising from the operations and <br />uses performed by or on behalf of the Named Insured. with respect to "bodily injury" or "property damage" claims <br />CER f .AT 'A1\CELLATION <br />The Cl ty Of Sdntd Ana , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />l t5 officers, Ap9 <br />ents and Employees DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />r <br />Attn • Carl Marek <br />• 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />P <br />BOX 1985 <br />O BUT FAILURE TO DO SO SHALL IMPOSE NO 08LIGAT]ON OR LIABILITY <br />. <br />. <br />Santa Ana CA 92702 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> <br /> AUTHORIZED REPRESENTATIVE !.9 ~7S ~ ~0~~ // 6~ <br /> <br />~. <br />d <br />I~ <br />d <br />'b <br />O <br />x <br />ri <br />M <br />O <br />O <br />n <br />O <br />z <br />u <br />V <br />~C~i <br />~_ <br />~ ~ ~ <br />