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SOUTHLAND CAR COUNTERS 4 - 2003
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SOUTHLAND CAR COUNTERS 4 - 2003
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Last modified
1/3/2012 2:09:45 PM
Creation date
8/5/2003 3:27:58 PM
Metadata
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Contracts
Company Name
Southland Car Counters, Inc.
Contract #
A-2003-139
Agency
Public Works
Council Approval Date
7/7/2003
Expiration Date
6/30/2005
Insurance Exp Date
9/30/2005
Destruction Year
2010
Notes
Amended by A-2003-139-01
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,4cfjR~ 'CERTIFICATE OF LIABI LITY INSURANCE CSR MS DATE (MM/DD/YY) <br /> UTH-1 09/29/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Freeman & Pearce Ins . - COCIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lic. #0559854 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Tustin Street <br />1216 N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />. <br />Orange CA 92867 <br />INSURERS AFFORDING COVERAGE <br />Phone: 714-558-1334 Fax:714-628-1330 <br />INSURED Sout land Communications INSURER A: Golden Ea le Insurance Co <br />S Data Inc. <br />DBA: SOUTHLAND CAR COUNTERS <br />INSURER e: Markel American Insurance Co <br />DBA: PHOENIX DATA SERVICES <br /> <br />FIELD DATA SVCS-INLAND <br />DBA <br />EMP INSURER C: <br />: <br />1407 N. Batavia St. Suite 107 INSURER D: <br />Orange CA 92867 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR TYPE OFINSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/ODm LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1 000,000 <br />A X COMMERCIALGENERALLIABILIiV CBP9888381 G9/3C/04 09/3C/OS FIRE DAMAGE (Anyonere) .$100 000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 10 , 000 <br /> PERSONALBADV INJURY $1,000 000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY PRO LOC <br />JECT <br /> <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$1,000,000 <br />A ANYAUTO CBP9888381 09/30/04 09/30/05 (Eaaccitlent) <br /> <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> <br /> X HIRED AUTOS BODILY INJURY <br />$ <br /> X NON-OWNED AUTOS (Per accitlenp <br /> <br /> PROPERTY DAMAGE $ <br /> (Per eccioenp <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY / Z EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> <br /> DEDUCTIBLE $ <br /> BETE":?:CH S $ _ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br /> E.L. DISEASE-EA EMPLOYE $ <br /> E.L. DISEASE-POLICY LIMIT E <br /> OTHER <br />B PROF LIAB INS MG-820157 03/01/04 03/01/05 EA CLAIM $1,000,000 <br /> "CLAIMS MADE" PRIOR ACTS: 03-01-00 AGGREGATE $1 000 000 <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />*CANCELLATION -EXCEPT 10 DAYS NOTICE FOR NON PAYMENT OF PREMIUM. <br />THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS 6 VOLUNTEERS ARE <br />NAMED AS ADDITIONAL INSURED BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS <br />CONTRACT ARE CONCERNED. <br />RE: TRAFFIC COUNTING CONTRACT -PROJECT 5512 <br />CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br />SANT013 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />DATE THEREOF, THE ISSUING INSURER WILLID~® MAIL ~~ DAYS WRITTEN <br />THE CITY OF SANTA ANA, ITS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT]F7M[39~BD SHALL <br />OFFICERS, EMPLOYEES, AGENTS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ATTN: ZED KEKULA <br />20 CIVIC CENTER M-21 REPRESENTATIVES. <br />SANTA ANA CA 92702 AUTHORRED REPRESENTATIVE <br />Leonard E Freema <br />
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