Laserfiche WebLink
0 <br />OQ tri <br />LjF0 <br />COUNTY <br />OF ORANGE CERTIFICATE <br />OF SELF-INSURANCE Office <br />of Risk Management, 400 W. Civic Center Drive, 5th Floor, Santa Ana, CA 92701 Coverage: <br />This is to certify that the County of Orange is self -insured for the following coverage: <br />Type <br />of Coverage Self -Insurance Limit General <br />Liability:. Bodily Injury and Property Damage 1,000,000 per occurrence Automobile <br />Liability: Vehicles owned, non -owned and hired 1.000,000 per occurrence Workers' <br />Compensation - $20,000,000 SIR applies Employers' <br />Liability Statutory <br />1, <br />000,000 per occurrence Terms, <br />Conditions and Special Items: The <br />provisions under General Liability, above, shall apply only with respect to claims arising out of the negligent <br />acts or omissions of the County of Orange, its officers, agents and employees. Cn— <br />nePllatinw Should <br />any of the above described self -insured coverages be modified or cancelled before the. expiration <br />date shown below, the County of Orange will provide 30 days written notice to the named certificate <br />holder. Indemnified <br />Party: City <br />of Santa Ana, its officers, agents and employees. Certificate <br />Holder City <br />of Santa Ana 20 <br />Civic Center Plaza Santa <br />Ana, CA 92701 ATTN:: <br />Jennifer Hall RE: <br />License Agreement 217 - Official Ballot Drop Box LOCATION: <br />1433 S. Bristol St. Santa Ana, CA 92704 DATE: <br />September 15, 2024 - September 15, 2029 Certificate <br />Effective Date: 09/15/24 Certificate <br />Expiration Date: 09/15/29 DocuSigned <br />by: Lc" <br />Vu VVa 19EE0532350D4B3,.. <br />Manager, <br />Risk Management 714) <br />285-5500 Date <br />Certificate Issued: 09/17/24