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DAVISELEN ADVERTISING, INC.
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DAVISELEN ADVERTISING, INC.
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Last modified
6/20/2022 11:12:31 AM
Creation date
9/17/2019 4:57:31 PM
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Contracts
Company Name
DAVISELEN ADVERTISING, INC.
Contract #
N-2019-175
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
9/15/2019
Destruction Year
2024
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A�Rbr CERTIFICATE OF LIABILITY INSURANCE <br />099/A 9/2019""' <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME <br />Marsh Sponsored Programs <br />a division of Marsh USA Inc. <br />P.O. Box 19992 <br />PHONE .800-323-9195 q 86b-395-9725 <br />AMRE ;mcdonalds@mar3h.com <br />INSURERS AFFORDING COVERAGE <br />Mk1CN <br />Des Moines, IA 50306 <br />INSURERA: Philadelphia Indemnity Insurance Co <br />1805E <br />INSURER <br />INSURER B: <br />McD Op Assn of So. CA IMOASCI <br />INSURERC: <br />Attn: Donna Feder <br />21600 Oxnard St. Suite 2000 <br />INSURER o: <br />INSURERE: <br />Woodland Hills, CA 91367-4969 <br />NSURER F: <br />COVERAGES CERTIFICATE NUMBER REVISION NUMBER <br />THIS IS TO CERTI FY 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 />L1RR <br />TYPE OF INSURANCE <br />ADOLSUBR <br />INSO <br />WV0 <br />POLICY NUMBER <br />E <br />009 <br />LIMITS <br />A <br />X <br />I COMMERCIAL GENERAL LIABILITY <br />PHPK1970371 <br />J`a101/^015 <br />of/Ul/^_o^, <br />EACH OCCURRENCE <br />31,000,000 <br />1-7 <br />PREMISES Lea omc ace <br />$300,000 <br />LLAIMSfAADE %] OCCUR <br />MEO EXP (My oneperson) <br />$5, 000 <br />PERSONAL &ADV INJURY <br />S1,000,000 <br />LIMIT APPLIES PER: <br />POLICV0JEPO <br />CTT �LOC <br />GENERAL AGGREGATE <br />S2,000,000 <br />GEN'LAGGREGATE <br />X <br />PRODUCTS -COMPIOP AGE <br />$2,000,000 <br />E <br />OTHER: <br />AUTOMOBILELIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />S <br />BODILY INJURY (Pa person) <br />S <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per acNdenU <br />Y <br />NOTOWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />PnraccMenr <br />$ <br />$ <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />S <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS MADE <br />DEO <br />I <br />I RETENTION $ <br />S <br />WORKERS COMPENSATION <br />PER OTH. <br />AND EMPLOYERS' LIABILITY Y/N <br />STATE EB <br />EL EACH ACCIDENT <br />S <br />ANY PROPRIETORIPARTNERIEXECUDVE <br />OFFICERIMEMBER EXCLUD509 <br />NIA <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />(Mandator, In NH) <br />II yyes, describe under <br />DE SCRIPtIONOFOPERATIONSnel. <br />E.L. DISEASE -POLICY LIMIT I <br />S <br />DESCRIPTION OF OPERATIONS r LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaeohW If more span Is required) <br />Even,: Santa Ana Fiestas Pat[ins <br />Date: saptembee 14-15, _-013 TLae: LD:JOam to 11:1)Jom <br />acati.on: City er Sans Ana - Fes ,L Sr, e Santa Ana Blvd. <br />City of Santa Ana <br />Risk Management Div <br />20 Civic Center Fla <br />Santa Ana, CA 92702 <br />ACORD 25 (2014101) <br />DS897209994 <br />& APPRW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />\GEMEM THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />8i ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />®190-2(�fl ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo ariftegistered marks of ACORD <br />
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