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OLD COURTHOUSE MUSEUM SOCIETY
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Last modified
9/5/2019 9:53:24 AM
Creation date
9/5/2019 9:52:46 AM
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Contracts
Company Name
OLD COURTHOUSE MUSEUM SOCIETY
Contract #
N-2019-160
Agency
COMMUNITY DEVELOPMENT
Expiration Date
8/20/2020
Insurance Exp Date
1/1/2021
Destruction Year
2025
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CERTIFICATE OF LIABILITY INSURANCE <br />- ---- - ---- - - -•--• --•-- ---... �..� ,... rvvnla urun INC UeHI1rIGATE 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 holders an ADDITIONAL INSURED, tho Polley( es) mwt eve 1 0 NS REO prov a ns Gr a en orsed. It <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this <br />certificate does not confer rights to the certificate holder In lieu of such BndnmamenNel. <br />Aon Risk Insurance services west, Inc. <br />LOS algel es CAOffice <br />707 wi lshire Boulevard <br />suite 2600 <br />Los Angeles CA 90017-0460 USA <br />of Orange <br />'lice of Risk Management <br />Santa Ana Blvd, Suite 104 <br />Ana CA 92701 USA <br />INSURER 0: <br />INSURER E <br />PION ER P; <br />COVERAGE I NAIG0 <br />-=v'O1VIY IYVmCf.N: <br />THIS ISTOTHEINDICATED. IPY OES F <br />TTWRNSTANDING <br />NO ALNY PERIOD <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER <br />DOCUMENT WITH RESPECTTOPOLICY <br />WHICH <br />WHICHCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Limits shown are as regUeatBd <br />L TYPE CF WsURANCE POLICY NUMBCR MMIOdYYW M <br />LIMITS <br />COYMERCMLOENERAL UABanY <br />CLA►ISMADE ❑OCCUR <br />EACH OCCURRENCE <br />PREMREa Ef OsunMib <br />MED EXP IAR1• %k pusa, <br />GENLAGOREGATE UMRAPP ES PER: <br />PROPOLICY ❑LOC <br />PERSONAL a AM INA RY <br />GENERALAWREGATE <br />PRODUCTS-COMPOPAGG <br />OTHErL <br />AUIOMORLE LLABILI}Y <br />COMBINED SINGLE Lour <br />..F gam <br />ANYAUTD <br />I <br />SODILYUUURY(PerN.) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />I <br />ODDLY INJURY (Pu mCmFm) <br />HIMAUTOs NON-OWWD <br />1 <br />PR PERTY 0.AIMCE <br />ONLY AUTOS ONLY <br />pw amMuv, <br />UMBRELLA (JAB OCCUR <br />EACH OCCURRENCE <br />EXCESS LLN CWNSMADE <br />AGOREGAM <br />ED RETENTKXJ <br />A WCRNERRT <br />EMPLOUABILMBitlNSAnONANp I <br />YFRY tt <br />X PER STATUTE pTH, <br />OFFICERYFMBER EYCuuCEOI�ECUTNB N NIA SIR applies per policy ter, s b OOndi ions <br />ER <br />EL F.ACHACCIOENT S11000.000 <br />Its ] <br />plFnompry In N10 <br />H) <br />a yu• l v <br />fiI pIBGMFrfA eMPLpYEE 11,000,000 <br />DESCRIPTION OF OPERATIONS FFMu <br />EL O19EASE•POLICY LA11T 11000. 00 - <br />1 <br />OESCNU nON OF CPERAD0N$ I LOCATgNSI V@BCLlS IADDRO 101, AapNPRFI RamMnM aCnFFVk, mFY FF MMFMO X meta apata Is IpPlnal <br />Excess workers CORP. SIR m $20,000.000 <br />Subject to policy terms, conditions, limitations and exclusions. <br />_ <br />7 <br />CFTTTICICenS uN nee <br />R <br />County of Orange <br />600 w. Santa Ana Blvd., Suite e104 <br />Santa Ma, CA 92702 USA <br />./NYVGLV\IIV% i <br />SHOWED ANY OF THE ABOVE CESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPRAmON DATE THEREOF, .NOTICE WILL BE DELNEREO W ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />LAJ�eGr.:. <br />2016/03 01988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 <br />f ) eLMeD name and logo are reglebomd marks of ACORD <br />Ak <br />e <br />a <br />0 <br />I <br />LAMBERT <br />
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