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CYCOM DATA SYSTEMS, INC. 1-2003
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CYCOM DATA SYSTEMS, INC. 1-2003
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Last modified
1/3/2012 3:15:01 PM
Creation date
8/15/2003 11:25:32 AM
Metadata
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Template:
Contracts
Company Name
Cycom Data Systems, Inc.
Contract #
N-2003-078
Agency
City Attorney's Office
Expiration Date
6/30/2007
Insurance Exp Date
6/4/2009
Destruction Year
2010
Notes
Amended by N-2003-078-01,02,03
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ACORD CERTIFICATE OF LIABILITY INSURANCE 6/19/2007' <br />PRODUCER (714) 905-1923 FAX: (714) 905-1910 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ha and Tilton ~ Role Insurance Associates, <br />Y~ PP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />License #0614365 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />8B8 S. Disneyland Dr. STE 400 <br />Anaheim CA 92802 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURERA:HB.rt£Ord C88u81t 29424 <br />Cycom Data Systems, inc. INSURER B: Continental Casualt <br /> <br />P.G. EOX 92437 INSURER C: <br />~ INSURER D: <br /> <br />Long Beach CA 90809-2437 INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OE ISSUED OR MAV PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGR LIMIT H WN V EEN RED CED BY PAI <br />INSR AOD'L D <br />TEY EM <br />DD <br />YE TION <br />P <br />C LIMITS <br /> TYPE OF INSURANCE POQCY NUMBER A <br />I <br />IY DAT <br />E MMIDO <br /> GENERAL LIABILITY EACH OCCURREN E $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMGEiO RENTEDna $ 300,000 <br />A CLAIMS MADE OCCUR 7288AHJ1649Dr 6/4/2007 6/4/2008 MED E%P An one arson $ 10,000 <br /> PE NAL ADVI $ 1,000,000 <br /> GENERAL AGGREGATE $ 2.000.000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PR T - OMPIOPA E 2,000,000 <br /> g POLICY PrEO LOC <br /> <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> (Ea accidenQ $ <br /> ANY AUTO <br />A ALL OWNEDAUTOS 728BAHJ1649D8 6/4/2007 6/4/2009 gODILV INJVRY <br /> (Per person) E <br /> SCHEDULED AUTOS <br /> <br /> HIRED AUTOS BODILY INJURY E <br /> NON-0W NED AUTOS (Per accitlenq <br /> <br /> PROPERT'DAMAGE E <br /> ^yj <br />~ (Per accitlenQ <br /> GARAGE LU161LITY -S (~ S - <br />~ AUTO ONLY-EA ACCIDENT $ <br /> <br />ANV AUTO nn~ <br />- t'~ <br />OTHER THAN <br />$ <br /> J /'~ -~ AUTO ONLY: AGG $ <br /> E%CESSlUMBRELLA LIABILITY i ~ $ <br /> OCCUR ~ CLAIMS MADE ', V`. ~ ~(`.~-~ AGGREGATE $ <br /> <br /> ~ .u ' i,Sy $ <br /> ~/ - +~t <br />L <br /> DEDUCTIBLE SL°' $ <br /> t , <br />,„ <br /> RETENTION <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION ANO <br /> EMPLOYERS' LIABILDY <br /> ROPRIETOWPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> ANY P <br /> OFFICERlMEMBER EXC W DED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> PE IAL PR VIS ON 1 w E.L. DISEASE-POLICY LIMIT 8 <br />H OTHER grrorH & OmiHeiOne 267898038 7/16/2006 7/16/2007 sacb Clnim $1,000,000 <br /> Liability Aggregate $1,000,000 <br /> Deductible $10,000 <br />DESCRIPTION OF OPERATIONS7LOCATIONSNENICLES/EXCLUSIONS ADDED BY ENDORSEMENf15PECIAL PROVISIONS <br />Proof of Ineurnace <br />•30 Day notice of Cancellation for non-Payment of Premium. <br />rconxlreTC unl naa CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />City OE SHIIt8 AIIa E%PIRATIDN DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />ATTN: Office of the City Attorney 3O* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT <br />20 Civic CeIItel PSaEB FAILURE TO DO SO SHALL IMPOSE NO OBDGATION OR QABILITY OF ANY KIND UPON THE <br />Santa Ana, CA 92701 <br /> INSURER ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE ~- <br />li <br />S <br />i <br />s/JJS v <br />J <br /> anne <br />pr <br />gg <br />u <br />ACORD 25 (2007108) <br />INS025 (DI oel.aea <br />© ACORD CORPORATION 7988 <br />Page 1 of 2 <br />
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