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GREEN FLOAT CO.1
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GREEN FLOAT CO.1
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Last modified
5/29/2015 8:11:42 AM
Creation date
6/26/2003 2:56:56 PM
Metadata
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Template:
Contracts
Company Name
Green Float Company
Contract #
N-2003-002
Agency
Parks, Recreation, & Community Services
Expiration Date
2/28/2003
Insurance Exp Date
9/27/2003
Destruction Year
2010
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P/ <br />AC-OM. CERTIFICATE OF LIABILITY INSURANCILAM-2 01i 4; z <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Solomon L Solomon Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Brokers HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />23332 Mill Creek Dr Ste 135 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Laguna Hills CA 92653 INSURERS AFFORDING COVERAGE <br />Phone:949 -583 -0300 Fax:949- 951 -9342 <br />INSURER 8: <br />Green Float Company <br />John Hart INSURERC: <br />5300 Beach Blvd. Ste. 110 -509 INSURER D: <br />Buena Park CA 90121 <br />a <br />IS <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTNN, TKE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />ZNSR <br />LTq <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DA E MWp E <br />O4TE M10 7 LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000, <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />SCP0371837 <br />09/27/02 <br />09/27/03 <br />FINEDAMAGEtAny OMtVa) <br />2501000. <br />MED EXP (An onF partonl <br />S5,000. <br />CLAIMSMADE a OCCUR <br />PERSONAL S ADVIN.NIRY <br />111000,000. <br />GENERAL AGGREGATE <br />41,000,000.. <br />CENI AGGREGATE UNIT APPLIES PER <br />PROOUCTS- COMPMP AGO <br />t1 000 000. <br />POLICY PRCT LOG <br />AUTOMOBILE <br />LIABILITY <br />SINGLE LIMIT <br />511000 000. <br />A <br />ANY AUTO <br />CCP- 671629 -03 <br />09/27/02 <br />09 /27 /03IcoMBINED <br />(£a acddm t) <br />1 <br />X <br />ALL OWNED AUTOS <br />BODILY INJURY T <br />SCHEOULEDAUTOS <br />(P., Panora) <br />X <br />HIRED AUTOS <br />DOOILYINJURY <br />X <br />NON -0WNED AUTOS <br />(Par accWenq S <br />PROPERTY DAMAGE IS <br />(PW actldenp <br />GARAGE LIABILITY <br />AUTO ONLY - EAACCIDENT S <br />ANY AUTO <br />OTHER THAN ACC S <br />AUTO ONLY: AGG S <br />EXCESS LIABILITY <br />EACH OCCURRENCE S <br />OCCUR El CLAIMS MADE <br />AGGREGATE 1 <br />DEDUCIBLE <br />II <br />RETENTION S <br />1 <br />WORKERS COMPENSATION AND <br />TORY 4 T R <br />EMKOYERB LIABILITY <br />El. EACH ACCIDENT S <br />E.L. DIBEABE - EA EMPLOYCB f <br />E.L. DISEASE POLICY LIMIT I S <br />OTHER <br />7 <br />DESCRIPTION OF OPERATONWLOCATIONSNERCLEWEXCLUSIOKS ADDED BY ENOORSEMENTISPECIAL PRGVISR)g�p p t _ I ,�� <br />0 V <br />10 DAY NOTICE FOR N f ON PAYMENT. ADDITIONAL <br />INSURED ENDORSLIh$ ACHE <br />Michae Vig6otta <br />De j2 iri+ 4tt,r"'' <br />THEC1 Ol SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO TKE LEFT, BUT FAILURE TOM SO SMALL <br />Larry Chavez z F714- 5714235 <br />The City Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza - REPRESENTATIVES. <br />Santa Ana CA 92701 <br />I'd <br />TOT dL0:b0 ZO 4T ue(- <br />
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