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OLD COURTHOUSE MUSEUM SOCIETY (3)
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OLD COURTHOUSE MUSEUM SOCIETY (3)
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Last modified
3/24/2021 5:20:33 PM
Creation date
3/24/2021 5:19:49 PM
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Contracts
Company Name
OLD COURTHOUSE MUSEUM SOCIETY
Contract #
N-2019-160-02
Agency
Community Development
Expiration Date
6/30/2022
Insurance Exp Date
8/1/2021
Destruction Year
2027
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Francine R. <br />Villareal <br />• COUNTY OF ORANGE <br />CERTIFICATE OF SELF-INSURANCE <br />4 <br />Office of Risk Management, 601 N. Ross Street, 5th Floor, Santa Ana, CA 92701 <br />Coverage: This is to certify that the County of Orange is self -insured for the following <br />coverage: <br />Digitally signed by <br />Francine R. Villareal <br />Date: 2021.03.22 14:13:08 <br />-0T00' <br />Type of Coverage <br />Self -Insurance Limit <br />General Liability: Bodily Injury and Property Damage <br />$1,000,000 per occurrence <br />Automobile Liability: Vehicles owned, non -owned and hired <br />$1,000,000 per occurrence <br />Terms, Conditions and Special Items: <br />The provisions under General Liability, above, shall apply only with respect to claims arising out of the <br />negligent acts or omissions of the County of Orange, its officers, agents and employees or any other <br />person under its direction and control. <br />Cancellation: <br />Should any of the above described self -insured coverages be modified or cancelled before the <br />expiration date shown below, the County of Orange will provide 30 days written notice to the named <br />certificate holder. <br />Indemnified Party: <br />The City of Santa Ana, its officers, employees, agents and representatives pursuant to the terms and <br />conditions of the agreement. <br />Certificate Holder: <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ATTN: Tram Le, Arts and Culture Specialist <br />RE: Old County Courthouse -Alzheimer Art Program <br />DATES: February 10, 2021 - June 30, 2022 <br />Certificate Effective Date: 02/10/21 <br />Certificate Expiration Date: 06/30/22 <br />(714)285-5500 <br />Date Certificate Issued: 03/11/21 <br />1.P R1ekManagemenLumdon <br />REwEwEo&APPRovEoav: <br />Risk Management Analyst <br />OF <br />
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