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Rebuilding Together O.C. 2
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Rebuilding Together O.C. 2
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Last modified
8/23/2021 3:35:25 PM
Creation date
9/4/2003 2:37:58 PM
Metadata
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Template:
Contracts
Company Name
Rebuilding Together Orange County
Contract #
A-2003-074-57
Agency
Community Development
Council Approval Date
5/5/2003
Expiration Date
6/30/2004
Insurance Exp Date
3/15/2005
Destruction Year
2009
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ILDING TOGETHER FAX NO. *G7 B174 Dec. 23 2002 09:5101 F5 <br />CERTIFICATE_OF LIABILITY INSURANCE BULi3 °AT„m+M°°"" <br />^— THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Noack & Dean I Intet-West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />401 Watt Avenue ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW, <br />Sacramento, CA 95864 -----'—' <br />COMPANIES AFFORDING COVERAGE <br />COR'F`'ny State Compensation Insurance Fund <br />A <br />MSIIAInEmployers Resource <br />Cam Y <br />B <br />160 Chesterfield Drive <br />Compavy <br />Cardiff by the Sca. CA 92009 <br />C —... <br />C—Pany <br />D <br />THIS IS TO CERTIFY THAT THE POLICIrS OF INSURANCE IISTFD BELOW HAVE RFQJ ISSUED JU'THE rNSVREO NAMED ABOVE FOR THE POUCY PEWOO <br />INDICATED, NOTWOTOiTANDING ANY REQUIREMFN1 TERM OR CONDOION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WSRCH THIS <br />CERTIFICATE MAY SC ISSUED OR MAY PERTAIN. THE LNSURANCR AI=rORDED BY THY. POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDTl IONS OF SUCH POLICIES. LIMITS SI IOW,I MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IYP£OP INSURANCfi POLICY NV>'$ER i POLICY EFFECTIVE POLICY EX Aron - - <br />I DATE(M0WOWM I DATE(MMIDO" UM17Si <br />GENERAL LIABILITY I GENERAL AGGREGATE S <br />-,COMMERCUL GEAIERM LIAB&nY i i PAOOVCtS-COMP/OPAGG— <br />, CLAMS MADE J OCCUR. ` I PERSONAL S AOV INJURY S <br />OWN(RMS&CONTRACTORS PROT I ( ( I Fi1DNOCCURANCE S <br />--�_ _— r i TIRE DAMAGE (AM McFrc) .3 .. .. ._•. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL AUTO <br />SCHEDULED AUTOS <br />i WRfO AUTOS <br />NOW -OWNED AUTOS i <br />I <br />GARAGE LIABILITY ' <br />I AWAUTO <br />r,o AS —10 <br />MFO EXP (My ono <br />COMDINEO SrNGLE LIMIT <br />BODILY kJURY <br />(Per Vv ) <br />BODILY KJMY <br />iIPer 8�) - <br />P—ROPERTY OAMAGe <br />--il- <br />R I AUTO ONE Y-EA ACCIOENT <br />Pl I OTHLR THMI AUTO ONLY: "- <br />EACH ACGDEM <br />5 <br />S <br />AGGREGATE S <br />LEXCESS LIABILITY .!i $LIED y �.i. .... ._ .— <br />j ✓�.' EACH OCCURANCE _ S ..._— <br />UMBRELLA FOAM CIty A torney , nocaK•ArE 3 __ <br />. _ <br />�OThERTHAN UNBRELUFOpn <br />. I <br />S <br />.. N.- <br />jWORKERSCOMPENSATIONANO_� A w.CSTAiTJ DTH <br />EMPLOYERS'LIASIL(TY I - ..__. <br />A Icoaf93-Oz 11!llrooz , 11;11noo,, E`EKMAcc'°ENT 31r000.o00 <br />(TF:E PRQPRIETOR/ n EL(); -EXSE-POLICY LIMIT $1000.000 <br />PARry. g'3'EY.EOUTIYE I WCL 1 I ._ ___ <br />I OPPCERS AR.: I IEXCL I - -_ _( I EL DISEASn'•FA EMPLOI'E' $1,000,OtN) <br />OOTHER <br />' j I <br />n ESC'x1PTION OF Ort xlJQNSnTHICLESSPF.CIAL aLNIS <br />CLIENT: RrBI/ILDI:NG TOGETIIER OfG3NGE COG'NTI' Licouve AO.- LIA <br />)NLY EAIPI.OYEES OF. EAIPLOYER.S RF•SOUKCEAS LONG AS THEY'ARE M FOHMIVC IVORK WITHINI'HE-NATI:RF. AND SCOPE OF THEIR <br />CAtPLOYAIHVT AREINSURED UNDER EVIDENCE OF COVERAC&P9 VIDID. <br />:ERTIFICATE HOLDER <br />EVTDF*NC'E OF INSURANCE <br />For oerificatinn of co,e,.gc <br />Call (383)559-2350 <br />CANCELLATION •10 doJT Tor EorFPa>hnen<u(rF�^h,m <br />SHOULD ANY OF THE ABOVE OESCRLOCO POLICIES BE CANCELLED BE=ORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COOAPANY WILL ENDEAVOR TO MAIL <br />30'_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME TOTHE <br />LEFT,_BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br />AVillia ED REPRESENTATIVE <br />%�tI1H1Afri Or1iCCfC <br />
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