COMPLIANCE INFO 2010-2012 - Laserfiche WebLink

Home Browse Search

DATE(MMIDWYYM `.� CERTIFICATE OF LIABILITY INSURANCE 12/21/2009 PRODUCER (949)486-7917 SAX: (949)486-7957 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION -Patriot Risk and Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE L.. Anse #OG55454 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 8i..oIrvine Center Dr. #400 Irvine CA 92618 .___ ___ _ -, INSURERS AFFORDING COVERAGE NAIC 0 INSURED _ — Wayne Perry, jiNsuRER A:Charti=Specialty Ina_Co _ 26ess yn ry, Inc. 'INSURER MCOmmerce & Industry' Ins Co 19410 8281 Commonwealth Ave. NSUREB RCSearight Insurance Company— 5563 INSURER D: Buena Park - CA 90621. .INSURER E: -----�--'----.--- COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR KM TYPE OF INSURANCE R 0 '- — TPOL—ICY EFFECTIVE FXPMAMN POLICY NUMBER ;5L--f _-- 1�—•�__ LIMnB IMMIDDJYYYY! GENERAL LIABILITY EACH OCCURRENCE E_ 7. 000 000. X COMA£RCIAL GENERAL LIABILITY PREMISEG LEe,�cru�ng�--!--A 001000 A X J CLAMS MAGE a OCCUR ROP1665078 12/31/2009 12/31/2010 MEA EXP(ply me_eeon� I PERSONAL A ADV INJURY S -1,000,000 �- — I GENERAL AGGREGATE_ Y 2 000,OOQ0 OWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPgPAGG $ __2,000,000 POLICY X PH4 LOC '— - -...._. _ AUTOMOBILE UABILRY COMBINED SINGLE LIMIT X_ ANY AUTO 1 (Ea aaWW) $ 1,000,000 H ALLOWNEDAUTOS 6691454 112/31/2009 12/31/2010 BODILY INJURY e SCHEDULED AUTOS (Par pmon) S X HIRED AUTOS - --J�— �BOOILYINJURY ---- X NONONNED AUTOS (Px atxgaH) $ --_---_•— :PROPERTY OMM(-E S My AUTO OTHER THAEAACC 4 (Per•a4Hmu) GARAGE LIABILITY —T i AUTO ONLY-EA ACCIDENT S,±=—_.____ N AUTO ONLY: AGO S EXCESSIUMBRELLAU¢BILM EACH OCDURREaCE _ E _,.,A000 OCCUR FCWMS MADE i AGGREGATE S 5,000 L000 A DEDUCTIBLE 340721 '12/31/2009 12/31/2010 5 X RETENTION S 10,00 �- C WORKERS COMPENSATION X WC STAn. I DTH- , AND EMPLOYER6'UABIUTY 1xzxLKxS,•_- ANY PRDPmETORJPA NM;s-CUTrvE —N IEL EACH ACCIDENT S 1 OOO 000 OFFICERWEMSER EXCLUDED? (Mandatory in NH) BBIIOI086 1/1/2010 1/1/2011 Ei.OISFJ$E-EA EMPLOYE Y 1 000 000 M yyes,d.oibe undo SPECIAL PROVISIONS Cebx E.L.DISEASE-POLICY LIMIT s 1,00n 000 A OrFERP011ution & P1665D78 12/31/2009 12/31/2010 (Limit: $1,000,000 Professional I Each Claim Liability DESCRIPTIONOF OPERATIONS I LOCATIONS I VEHICLES[EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: All California operations of the Named Insured. Certificate Holder is named as Additional Insured on the Caneral Liability Par endorsement 78025 0501. Pollution and Aslaestos ars included under the General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION TRC Solutions DATE THEREOF,THE]SWING INSURER WILL ENDEAVOR TO MAIL 330 DAYS WRITTEN Attn: Grant Ratkovic -....� NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO BO SWILL 21 Technology Irvine, CA 92618 IMPOSE NO OBLIGATION OR LIABILITY OF ANY WHO UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORRED REPRESENTATIVE �y _ Gary Hamilton/ANNY k;:Z ACORD 25(2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. INS025(2o090t) The ACORD name and logo are registered marks of ACORD