Laserfiche WebLink
Client 652 <br />I SAASSr1r:11 <br />ACORD,a CERTIFICATE OF LIABILITY <br />INSURANCE <br />" " " "' <br />POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />11 R <br />LTR <br />2/0412014' <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />P. O. Box 12675 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oakland, CA 94604 -2675 <br />A <br />510 465.3090 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />LSA Associates, Inc. <br />20 Executive Park, Suite 200, <br />Irvine, CA 92614 <br />INSURER A: Hartford Fire Ins. Co. <br />19682 <br />INSURER B: Travelers Property Casualty Co <br />25674 <br />INSURER C: Catlin Specialty Ins. Co. <br />wsuRER D. Hartford Casualty Insurance Co. <br />29424 <br />N"PER E: <br />$300,000 <br />COVERAGES <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 />11 R <br />LTR <br />DD' <br />INSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIODIYY <br />POLICY EXPIRATION <br />DATE MMIDDIYY <br />LIMITS <br />A <br />GENERAL LIABILITY <br />57CESOF4492 <br />09/30113 <br />09/30/14 <br />EACH OCCURRENCE <br />$1000000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES (Ed occurrence) <br />$300,000 <br />CLAIMS MADE F—x1 OCCUR <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL & ADV INJURY <br />$1000000 <br />X BI /PDDed:5,000 <br />GENERAL AGGREGATE <br />s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$20-0000-0 <br />X POLICY pi <br />JECT 7 LOC <br />D <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />57UUNIF1488 <br />09130113 <br />09/30/14 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$1,0-00,0-00 <br />X <br />BODILY INJURY <br />(Per person) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />NON OWNED AUTOS <br />99Y ��°°yy'�f yy <br />'e(T'1AYV " e.b >1 <br />yrli'1`, <br />To .d.A <br />BODILY INJURY <br />(Par accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GAR AGE LIABILITY <br />ANVAUTO <br />41S(a <br />'tan t <br />attorney <br />City <br />AUTO ONLVEA ACCIDENT <br />§ <br />OTHER THAN EA ACC <br />AUTO ONLY: ASS <br />$ <br />$ <br />EXCESSIUMBRELLA LIABILITY <br />OCCUR EI CLAIMS MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />B <br />WORKERS COMPENSATION AND <br />UB3946T78A <br />09130/13 <br />09/30/14 <br />X WCSTATU- OTH- <br />CRY <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />E.L DISEASE - EAEMPLOYEE <br />$1,000,000 <br />OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE POLICYLIMIT <br />$1,000,000 <br />C <br />OTHER Professional <br />CPV6710060914 <br />09130113 <br />09130/14 <br />$2,000,000 per claim <br />Liability <br />$4,000,000 annl aggr. <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />General Liability Excludes Claims Arising Out of the Performance of Professional Services. <br />Project: Environmental Services. <br />The City of Santa Ana, its officers, employees, agents, volunteers and respresentatives are additional <br />insureds as respects to General Liability per policy form wording. Such insurance is Primary & -Non <br />Contributory with Severability of Interest clause. See attachment <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />City of Santa Ana DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �f' 0_ DAYS WRITTEN <br />Attn: Natalie Verlinich NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />20 Civic Center Plaza, M -37 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Santa Ana, CA 92701 REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) 1 of 1 *SA73312/11,11744301 r.r.R © ACORD CORPORATION 198E <br />