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HomeMy WebLinkAboutSKMBT_C35109091413450ACORD _ CERTIFICATE OF LIABI 2009YR) LITY INSURANCE Dat 8 8 / / PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HEFFERNAN PROFESSIONAL PRACTICES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License Number: 0564249 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1855 W. Katella Avenue, Suite 255 Orange, CA 92867 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Travelers Property Cc of Am 36161 ALTA PLANNING AND DESIGN, INC. INSURER B: Travelers Indemnity Company 25656 711 SE GRAND AVENUE INSURER C: Travelers Casualty Ins Co. of America 19046 PORTLAND OR 97214 INSURER D: Continental Casualty Company 20443 , INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF 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 TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADWL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE MIDOTY DATE MMIDD,YY LIMITS A GENERAL LIABILITY 68021751918 06/01/2009 06/01/2010 EACH OCCURRENCE $1,000,000 B X COMMERCIAL GENERAL LIABILITY 6806997M998 06/01/2009 06/01/2010 DAMAGE TO RENTED $1 000 000 EM I SE9 Ed Oaunenae) PR _ , , CLAIMS MADE X OCCUR MED EXP IANY ONE PERSON) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,006,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG) $2,606,600 PRO- X POLICY JECT _GC A AUT OMOBILE LIABILITY 680217SL918 66/01/2609 06/01/2010 G IMI COMBINED SIN LE L T $1,000 000 B ANY AUTO 6806997M998 06/01/2009 06/01/2010 (Ea....dem) , ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) X HIRED AUTOS BODILY INJURY $ X NON OWNED AUTOS (Per aceiaent) PROPERTY DAMAGE $ (Per ACeff GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EA AGO $ AUTO ONLY AGG $ A EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,006 X OCCUR ❑ CLAIMS MADE CUP1459T864 06/01/09 06/01/10 AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ RETENTION $10 GG0 $ WORK ERS COMPENSATION AND UB7125Y672 6916112669 09/61/2616 we sTATU OTH X EMPLO YERS' LIABILITY TORY LIMITS ER C ANY PROPIETORPARTNEREXECUTIVE EL EACH ACCIDENT $1,000,000 OFFIOERMEMBER EXCLUDEUI EL DISEASE POLICY LIMIT $1,000,000 If yes, describe under EL DISEASE EA EMPLOYEE $1 006 000 SPECIAL PROVISIONS below , , OTHER D ProlaSsort2l Liabiflty MCH114135257 10/17/2008 10/1712009 $2,000,000 Per Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VE HICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS All operations including but not limited to Share the Path Program. City of Tiburon is named as additional insured on general liability policy-see attached endorsement. CERTIFICATE HOLDER CANCELLATION *10 Day Notice for Non-Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDBAVOI MAIL 90' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ',.RAβ€žβ€ž I Cit f Tib uron y o Attn: Diane Crane lacopi 1505 Tiburon Blvd. Tiburon, CA 94920 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) PACORD CORPORATION 1988