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OLIVE CREST
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Last modified
8/24/2022 2:34:36 PM
Creation date
7/20/2018 2:55:33 PM
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Contracts
Company Name
OLIVE CREST
Contract #
N-2018-139
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
8/23/2018
Destruction Year
2023
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OLIVCRE-03 <br />CERTIFICATE OF LIABILITY INSURANCE I DATE <br />n mnrOnOn o' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(,$). <br />PRODUCER License # 0757776 N_AMEACT Dottie Adams <br />Riverside, CA- HUB international Insurance Services Inc. <br />PHONE IgS91 774.R7d3 FAX _. <br />INSURED <br />92517 <br />N-2018-139 <br />-Olive 'Crest <br />213D East Fourth St, Suite 20D <br />Santa Ana, CA 92705 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, PERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />COMMERCIAL GENERAL� LIABILITY <br />CLAIMS fl+AOE L �^ I OCCUR <br />GENT AGGREGATE LIMIT APPLIES PER: <br />IOI..ICY JECT LOD <br />OTHER', <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />OWNED AUTOS ONLY AUTOS <br />WULNED <br />AU705ONLY AUOTOS ONLY <br />UMBRELLA LIAR OCCUR <br />EXCESS LIRE CLAIMS <br />OEO RETENTION$ <br />X <br />09101/2017 <br />09101/2017109/01/2018 <br />EACHOCCURRENCE ,. <br />AGGREGATE <br />YIN/A EI. EACHACGDENT_—___$_. <br />'RIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101 Additional Remarks Schedule, maybe aaacheU U mom Paco is required) <br />'NOS AND SUPERSEDES CERTIFIATE DATED 7/1111t3 �\ \, <br />Parenting Education Classes �� <br />City of Santa Ana, it's Officers, Employees, Agents, and Representative are Named Additional Insured as respects ,g�Ta�a Li *'FC62010, Primary <br />Non -Contributory form PI-GL-005, 30 Day Notice of Cancellation per PI-CANXAICH-002, V A,(�N\`. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Cityof Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Finance & Management Services Agency <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />�r�rMt.� <br />ACORD 25 (2016103) 01988-2016 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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