Laserfiche WebLink
Apr 28 08 02: 42p p• 2 <br /> DATE(M—ONY) <br /> oCORD- CERTIFICATE OF LIABILITY INSURANCE ID:MDA 04/1712008 <br /> PR <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HUB International Milne of Arizona ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1750 East Glendale Avenue' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Phoenix, AZ 85020-5505 INSURERS AFFORDING COVERAGE <br /> Phone: 602-395-9111 Fax: 602-371-4264 <br /> INSURED: <br /> 1NSURERA: Philadelphia Indemnity Insurance Company <br /> Muscular Dystrophy Association, Inc. INSURER B: <br /> 3300 East Sunrise Drive INSURER C: <br /> Tucson, AZ 85718 INSURER D:NSURER E: <br /> I <br /> COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.N07WITH STANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 CLAIMS PAID. <br /> I POFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER LICY E <br /> GATE MMIDDIYY DATE MM/0D/YY LIMITS <br /> A GENERAL LIABILITY PHPK298646 EACH OCCURRENCE <br /> 04/01/08 04/01/09 $1,0oo,00a. <br /> X COMMERCIAL GENERAL LIABILITY FIREDAMAGE(Any—fire) $ 30D,000. <br /> CLAIMS MADE O OCCUR MED FXP(Any one person) $ 15,000. <br /> PERSONAL&ADV INJURY $1,000,000. <br /> GENERAL AGGREGATE $2,000,000. <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPICP AGG $2,000,000. <br /> POLICY PRO- X LOC <br /> JECT_ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT : <br /> ANY AUTO (Eo accident) <br /> ALL OWNED AUTOS BODILY INJURY s <br /> SCHEDULED AUTOS <br /> (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE Is <br /> (Per accident) <br /> GARAGE LIABILITY AU'OON;Y-EAACCIOENT $ <br /> ANY AUTO OTHER THAN EA ACG <br /> AUTO ONLY --7z— <br /> EXCESS LIABILITY EACHOCCURRENCE $ <br /> CLAIMSMADEF1 OCCUR AGGREGATE $ <br /> DEDUCTIBLE <br /> _—T <br /> RETENTION <br /> WORKERS COMPENSATION AND WCC <br /> STATLL CTM- <br /> EMPLOYERS LIABILITY TORY UMTS ER <br /> E.L EACH ACCIDENT $ <br /> CISEASE-EA EMPLOYEE $ <br /> OTHER <br /> IIT E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATION SILOCATIONSIVEH ICLES/EXCLUSIONS ADDED BY ENDORSEMENTISP£CIAL PROVISIONS -- <br /> The Certificate Holders are added as additional insured as respects their interest in the Central CA Firefighters Fill the Boot®, taking place <br /> May 3d,2008 at the intersection of Highway 26&Duncan Road,Linden,CA. San Joaquin County is Additionally Insured. CALTRANS,its <br /> officers and employees are Additionally Insured. <br /> 'CANCELLATION EXCEPTION:10 DAY NOTICE FOR NON PAY <br /> CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER:_A CANCELLATION <br /> SHOULD ANY OF THE ABOVE QE-SCRIBED POLICIES BE CANCELLED BEFORE THE IXPIRATRION <br /> City,of Linden Linden-Peters Fire District DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL '30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> 17725 East Highway 26 17725 E Highway 26 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Linden,CA 95236 Linden,CA 95236 REPRESENTATIVES <br /> 209-887-3710 209-887-3710 AUTHORIZED REPRESENTATIVE <br /> San Joaquin County Public Works CALTRANS <br /> 1810 E Hazelton Ave. PO Box 2048 <br /> Stockton,CA 95201 Stockton,CA 95201 <br /> f <br />