Laserfiche WebLink
Apr 14 2010 10:19AM HP LRSERJET FAX <br />p.2 <br />CERTIFICATE OF LIABILITY INSURANCE op lo PC DATEIMANDIYY'Yn <br />ORAII 01128/10 <br />eR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />C <br />Chapman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />License #0522024 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P <br />0 <br />Box 5455 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />. <br />. <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Sax:626-405-0585 INSUR ERB AFFORDING COVERAGE NAIC$ <br />INSURED INSURER A: Neryr.LLLe' InmeAnae Allvenu <br /> INSURER B: D,e.e a...La.., x..u:.... C. 16691 <br />n Children's <br />O0 <br />a <br />n <br />geti INSUREFIC: .3A.1xtTSCeP.eL.C.A[yx.M 39306 <br />p <br />u <br />p <br />u <br />ov <br />M <br />7 <br />5 <br />l <br />ID. <br />nt <br />Si <br />? <br />t INSURER D: Everest National <br />Sd <br />d <br />ln <br />927 <br />5 <br /> INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND GATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE 1INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIE TERMS, EXCLUSIONS AND C ONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPEOFWSURANCE POLICYNUMBER A7 M DNY OAT M/DD LIMITS <br />GENERAL LABILITY EACH OGOURHIII $ SDD0000 <br />A X X COMMERCIAL GEN ERAL LIABILITY 20102277ONEO 02/01/10 02/01/11 PREMISES (Eencumnc. $500000 <br />CLAIMS MADE OCCUR MED EXP IMyonepeuon) s200DO <br />X Prof Liability PERSONAL A ADV INJURY $ 100DDOO <br />X Abuse Liability GENEHALAGGREGATE $ 30000DO <br />GEN'L AGGREGATE LIM IT "PLIES PER: PRODUCTS - COMP/OP AGG E 3000000 <br />I POLICY jEO LOc <br /> <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMB <br />S lDDDDDD <br />A ANY AUTO 201D1277SNPO 02/01/10 02/01/11 (ES soolaenl) <br /> ALLOW NED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS aTrt <br />1'r+ (Per person) <br /> X HIRED AUTOS T? Q 0 <br />A3 ?O <br />i1 BODILY INJURY <br />I <br />P <br />S <br /> X NON OWNED AUTOS V/'A BD <br />L er e.. <br />I <br />( <br /> I` <br />,LVV <br /> CT- PROPERTYDAMAGE <br /> <br />(Fer eaIHentl $ <br /> GARAGE LABILITY ee <br />1SA La• A oTney AUTO ONLY. EA ACCIDENT $ <br /> (' <br />(ty <br /> ANY AUTO ' <br />Yant C <br />THER THAN EA ACC $ <br /> ;S A <br />O <br />O GG <br />S <br /> EACESSI UMBRBLLALIASIUTY EACH OCCURRENCE $ <br /> OCCUR F_ICLAIMS MADE AGGREGATE $ <br /> 6 <br /> DEDUCTIBLE 6 <br /> RETENTION $ S <br /> WORKERS 10 <br />AND EMPLOYERS' LIARILITY X TORY LIMITS X ER <br />D 9ECUTNEQ <br />RIETO <br />I 6600001013091 03/01/09 03/01/10 E.L. EACH ACCIDENT S1000000 <br /> EXCLUDE <br />D <br />OFFICER <br />,(MAnedoN1.NH) LJ E.L, DISEASE-EAEMPLOYEE $ 1000000 <br /> EyYw desalbeuMer <br />6PEGrAL PROVISIONS Wow <br />E. L. D16EASE-POI,IGY LIMIT <br />$1000000 <br /> OTHER <br />B' Property Coverage PAC757534604 <br />I 02/01/10 02/01/11 Blkt Cont $666,000 <br />;.C Crime Coverage -- CCP006190605 02/01/10 02/01/11 E I Dish $500,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONSADDED BY ENOORSEMENTI SPECIAL PROVISIONS <br />The City of Santa-Ana, it's officers, employees, agents, volunteers and <br />representatives are named as an Additional Insured an respects liability <br />arising from the operations of the Named Insured per the attached CG 2026 <br />endorsement. Workers compensation coverage excluded, evidence only. 10 days <br />notice of cancellation for non-payment of premium. XX <br />SHOULD ANY OF TM ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE ed'IRATIC <br />CITYSAN GATETHEREOF,THEIOWINa IBURERYALL-MAIL Q_OAVSWFUTTEN <br />NOTICE TOME CERTIFICATE HOLDER NAMED To THE LEFT, BUS <br />City of Santa Ana <br />20 Civic Center Plaza <br />ACORD 29 (2008/01) <br />The ACORD name and logo are registered marks of ACORD