HomeMy WebLinkAboutINS CERT 2007-12-20
20-Dec-2007
PRODUCER
AlIiant Insurance Services, Inc.
600 Montgomery Street
9th Floor
San Francisco, CA 94111 (415) 403-1400
THIS CERTIFICATE IS ISSUED AS A MATTER OF EVIDENCE ONLY AND CONFERS
NO RIGHTS UPON HI E DOES NOT
AMEND, EXTEND OR B . THE POLICIES
BElOW.
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TOWN CLERK
TOWN OF TIBURON
INSURED Sanitary District NO.5 of Marin County
Member of CSRMA
P.O. Box 227
Tiburon, CA 94920-
172
MEMORANDUM OF COVERAGE NUMBER
CSl SO 5 07081
PROGRAM AFFORDING COVERAGE
California Sanitation Risk Management Authority (C.S.R.M.A.)
THIS IS TO CERTIFY THAT THE COVERAGE IS AFFORDED TO THE ABOVE NAMED MEMBER, AS PROVIDED BY THE MEMORANDUM(S) OF COVERAGE, FOR THE
COVERAGE PERIOD SHOWN BElOW, NOTHWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT
TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED BY THE PROGRAM DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS. AND CONDITIONS OF SUCH MEMORANDUM(S) OF COVERAGE. THE FOllOWING COVERAGE IS IN EFFECT:
PUBLIC ENTITY LIABILITY IS DEFINED IN THE MEMORANDUM(S) OF COVERAGE ON FilE WITH THE ENTITY, AND COPIES ARE AVAILABLE ON REQUEST.
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Type Of Coverage:
P~l>Ii~...l:l1tity..lial>ility .IncllJding:
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nunLunuLu
S.I.R.
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31-Dec-2007
31-Dec-2008
$10,000
$15,000,000
31-Dec-2007
31-Dec-2008
$10,000
$15,000,000
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTS/SPECIAL PROVISIONS
THE HOLDER IS NAMED AS AN ADDITIONAL COVERED PARTY PER THE MEMORANDUM OF COVERAGE WITH RESPECTS TO THE TOWN
COUNCIL CHAMBERS RENTAL AGREEMENT FOR THE TOWN'S PUBLIC HEARING TO BE HELD ON AUGUST 6, 2007 FROM 5:30 PM. TO 11 :00 PM.
COPIES OF THE MEMORANDUM OF COVERAGE ARE AVAILABLE UPON REQUEST.
TIBURON TOWN CLERK
15366 - 382
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,
ITS AGENTS OR REPRESENTATIVES.
1505 TIBURON BOULEVARD
TIBURON, CA 94920
AUTHORIZED REPRESENTATIVE 0
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