1997-0820_CHAMBER OF COMMERCE, SJC_Insurance Certificate - � DATE(MMlDD/YY)
ACORD.. CERTIFICATE OF LIABILITY Y INSURAviCE 8/20/97 nan
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Allied Specialty of Calif ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Insurance Agency Inc ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 619034 COMPANIES AFFORDING COVERAGE
Roseville CA 95661-9034 COMPANY
(800) 434-1110 FAX: (916) 773-1590 A T.H.E. Insurance Company
INSURED COMPANY
San Juan Capistrano
Chamber of Commerce COMPANY
PO Box 1878 C
San Juan Capistrano CA 92693-1878 COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DDNY) DATE(MM/DDNY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1,0002000,
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ N/A
A CLAIMS MADE l OCCUR: 97LC5886 03/15/97 03/15/98 PERSONAL&ADV INJURY $ 1,000,000,
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000.
'fire) $ N
D & 0 Coverage FIRE DAMAGE(Any one /A
MED EXP(Any one person) $ N/A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
rUMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC SLIMIT 10TH-
TORY LIMITS ER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $
OFFICERS ARE: EXCL I EL DISEASE-EA EMPLOYEE $
OTHER I
Event Date(s) : Duration of Policy
c tv
-172 rn
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS '<33.
Additional Insureds: The City of San Juan CapistranoT ';? rn
"n N Gtl
C0000' E t CANCEL!.4TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC!•tttD BEFORE THE
The City of San Juan Capistrano EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
32400 Paseo Adelanto 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
San Juan Capistrano CA 92675 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ATTN iMechelle Laurence
A00/40 25-S(119$) 0 ACO CORPORATION 1988