Insurance - Hamers - 2009-08-25 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AZ DATE(MWDD/YYYY)
ROBIN 3 08/25/09
PRODUCER RECEIVED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
e AMEND,ETEND OR
1808AEnbarcaderofRdPrac Practices AUG 3 12009 ALL ER HOLDER. COVERAGE AFFORDED BOYTHE POLICIES BE OW.
Palo Alto CA 94303
Phone 650 842 5200 Fax 650 842- IL ,' Ali 1SURERS AFFORDING COVERAGE NAIC#1
INSURED
alty CA(INSURERA r ale p cy x Y./ 25674
INSURER 57 One Beacon America(,)/� 21970
Robin B Hamers & Associates Company
p y F� X
Inc wsuRERC Argonaut Insurance Com an (l�
234 E 17th Street, Suite 205 INSURERD
Costa Mesa CA 92627 __
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 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 TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
'OLIC'ES Ao,G0EGAT LIMITS SHOWN MAY HAVE BEEN REDUCED Bl PAID CLAIMS
INSItADDC POLICY EFFECTIVE POLICY EXPIRATION I --- —
LTR)NSRp TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) I DATE IMM/DD/YY) LIMITS
I GENERAL LIABILITY EACH OCCURRENCE 151,000, 000
—UAMAGe lU NEN]EL)
A Iii X I COLIMERCIP L GENERAL LIABILR 6808291N502 06/01/09 06/01/10 PREMISES(Ea occurence) $ 1,000,000
_j CLAIMS MADE X I OCCUR MED EXP(Any Fe n) i510, 000
PERSONAL 8 ADV INJURY IS 1,000, 000
GENERAL AGGREGATE r$ 2, 000,000
1 GEN'L AGGREGATE LIMIT APPLIES PEP PRODUCTS COMP/OP AGG 52, 000,000
I POLICY IX I PELT I I LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A IAN!AUTO 6808291N502 06/01/09 06/01/10 (Ea orient) 51 000 000
ALL OWNED AUTOS
BODILY INJUFQ $
SCHEDULED AUTOS (Pe Pe n)
1 XT HIRED AUTOS
BODILY INJURI 5
RC HON-OYJPIED..0 QS
(Pe cadent)
PROPERT' DAMAGE
I 1 (Pe ode I $
I GARAGE LIABILITY AUTO ONLY EA ACCIDENT 18
ANY AUTO EA ACC !
OTHER THAN
AUTO ONLY AGG S
I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE I$
1-1 OCCUR CLAIMS MADE AGGREGATE $
I $
�� DEDUCTIBLE $
1 I RETENTION $
WORKERS COMPENSATION AND X I TORY LIMITS I LIMITS O -I
EMPLOYERS'LIABILITY
I ER I __
B AN\ PROPRIETOR.PARTNER/EKECUTIVE 4060168740002 03/23/09 03/23/10 EL EACH ACCIDENT $ 1, 000,000
OFFICER/MEMBER EXCLUDED',
if yea,de cube antler E L DISEASE EA EMPLOYEE 51,000, 000
SPECIAL PROVISIONS belay E.L DISEASE POLICY LIMIT $ 1, 000,000
OTHER
C Professional IAE108040 07/27/09 07/27/10 Per Claim 1 000 000
Liability Aggreagte 1,000, 000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
All operations of the Named Insured
10 Day Notice for Non Payment of Premium
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL CDDEAVOR-FB MAIL 30 _ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
-1MPOSENOBBEIGAT1014eR-HABIE • • •
Costa Mesa Sanitary District
628 W 19th Street TAT -"
Costa Mesa CA 92627 AUTHOR NrgnvE
ACORD 25 (2001/08) ///(—� 0 ACOR)CORPORATION 1988