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EL CENTRO CULTURAL DE MEXICO
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EL CENTRO CULTURAL DE MEXICO
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Last modified
4/15/2019 11:50:46 AM
Creation date
4/15/2019 11:47:49 AM
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Contracts
Company Name
EL CENTRO CULTURAL DE MEXICO
Contract #
N-2019-062
Agency
COMMUNITY DEVELOPMENT
Expiration Date
7/16/2019
Destruction Year
2024
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r_ -1 e <br />ACC>RV CERTIFICATE OF LIABILITY INSURANCE <br />DATS(MMIDOIYYYYI <br />1 <br />Ilk� <br />0312012019 <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(les) 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 Ileo of such endorsement($). <br />PRODUCER <br />CONTACT <br />NAME: Emma L Becerra <br />Baker, Romero & Associates Insurance Brokers, Inc. <br />PHONE(626 332-2268 Fi�ic No: (626)339-9921 <br />IAIC N.760 <br />Terrado Plaza #238 <br />EMAIL <br />Covina, CA 91723 <br />-DORHss . emma@bakerromero.com <br />EACH OCCURRENCE $ 1000000 <br />License#:OG22790 <br />INSURERS AFFORDING COVERAGE NAICO <br />INSURERA: Great AmericanInsurance Gro up <br />INSURED <br />INSURER e <br />Centro Cultural de Mexico on el condado de Orange <br />P.O. Box 133, Santa Ana, CA 91702 <br />INSURER C <br />-- <br />837 N. Ross St <br />IN SURER D: <br />Santa Ana, CA 92701 <br />INSURERe_.____ <br />GEML AGGREGATE LIMIT APPLIES PER: <br />IN F: <br />COVERAGES CERTIFICATE NUMBER: 00000000.1736007 REVISION NUMBER: 2 <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, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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 />INSR <br />T <br />TYPE OF INSURANCfi <br />ADOL <br />INS, <br />SUBR <br />yYvD <br />POLICYNUMBER <br />POLICY EFF <br />IMNUDI)MVI <br />POLI EXP <br />IMMfi3DIYYYYI <br />LIMITS <br />A <br />X COMMERCIALGENERALLIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />PAC2903161 <br />1112812018 <br />1112812019 <br />EACH OCCURRENCE $ 1000000 <br />PREMISES a occummoin 5 100 000 <br />MED EXP(An ono emon) $ 6 000 <br />PERSONAL& ADV INJURY $ 1.000.000 <br />GEML AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE 5 2.000.000 <br />. <br />DX POLICY JECT El LOC <br />PRODUCTS. COMPIOPAGG 5 2.000.000 <br />5 <br />OTHER: <br />A <br />I AUTOMOSILEUAOILITY <br />PAC2903161 <br />1112812018 <br />1112812019 <br />ca BItlEDSINGLELI IT $ 1,000,000 <br />BODILY INJURY (Parperson) S <br />ANYAUTO <br />OUTODONLY SCHEDULED <br />BODILY INJURY (Peraccitlen0 $ <br />HIRED NON-OVINED <br />X AUTOS ONLY X AUTOS ONLY <br />PROPERTY DAMAGE $ <br />Por acNtlenO <br />_ <br />$ <br />UMBRELLA LIAB <br />_ <br />OCCUR <br />EACH OCCURRENCE S <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS MADE <br />DEO I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFRCERMEMBER EXGLUDEDA ANY ECUTIVE [7 <br />NIA <br />STAT E ETRH <br />E.L EACH ACCIDENT $ <br />E.L. DISEASE - EA EMPLOYE S <br />(Mandataryln NN) <br />f yos, tloacdbe u,itlar <br />"r <br />DE IRPTIONOF OPERATIONS bal. <br />E.L. DISEASE -POLICY LIMIT S <br />A <br />Professional Llabili <br />PAC2903161 <br />11128/2018 <br />11112812019 <br />$1,000,000 -Dec $2,000,000 Agg <br />A <br />Abuse/Molestation <br />PAC2903161 <br />1112812018 <br />1112812019 <br />$100,000 -CDC $300,000 Agg <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be aaaehed N Moro $Pace Is mqulMd) <br />The city of Santa Ana, its Officers, Agents, and employees named as Additional Insured but only with respect to liability arising <br />Out of the operations of the named insured <br />Amewea lo -M <br />City of Santa Ana <br />20 Civic Center Plaza <br />P.O. box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />rights reserved. <br />ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD <br />Printed by ELB an Mamh 20, 2019 at 09:21AM <br />
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