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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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FROM,:REBUILDING TOGETHER FAX NO. :667 8174 Jul. 22 2004 09:46AM P2 <br />Aon Risk Services ,Inc, Of Washington, D-C,/ Hunti <br />1120 20th street Nw <br />Washington DC 20036 <br />PHONE_ (866) 266-747S FAX- (866) 467-7847 <br />INSURED <br />Rebuilding Together with <br />Christmas in April -and it's Affiliates <br />1536 16th Street NW <br />Washington, DC 20016 USA <br />77 <br />DATE(MM/DD YY' <br />s CERTIFICATE IS ISMmf- <br />SUED AS A MATTER OF INFORMATION <br />Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ER THE COVERAGE AaFe%nm n __ _.._ _ _ <br />COMPANY <br />A <br />r.OMPANY <br />B <br />COMPANY <br />C <br />COMPANY <br />Westchester Surplus Lines ins co <br />IES OF INSURANCE LISTSD OELOWyHA g jgS p`� <br />INDICATED, NOIVrITHSTANOiNG qNY REQUIREMENT. TERM OR CONDITION OF ANY CONTRAC10 T OR UTHEq <br />CERTIFlC:DOCUMENT WITH RESPECT <br />THIS IS TO CERTIFY THAT rHE POLICATE MAY BE ISSUED OR MAY %RTALY, THE INSURANCE AFFORDc17 13Y THE POLICIEES L)ESCri BED HEREIN TO SUBJECT ALL OTHE TERMS <br />EXCLUSIONS AND CONDITIONS OFSUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PACLAIMS. <br />TO WHICH THIS <br />CO ID LTR TTrrovIxcCR.%%CE rOLll') -q YF-FIMC-In'Elw)LICIEXP1kATI0�� <br />A GENERAL LIABILITY D.�T'E IAI\I/nLV1Y) DATEI�NIMDisYI LDN'r'S <br />GlW 778526 <br />)( COMMERCIAL GENERALLIABIttTv COMMERCIAL GENERAL l,2ABIL2TY <br />X ':"E7 MAOt 0OCCUR <br />OWNER'$6CONTRACIUR'S PROT <br />AUTOMOBILE LIABILITY <br />ANY Al Ito <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUYOS <br />NON,OW NFD AUTOS <br />GARAGE LIABILITY <br />-I ANY AUTO <br />A EXCESS'lABILITY <br />U ". ELLA FORM <br />OTHER THAN UK4DRELLA FORM <br />WORKEWS COMPP,NSATION AND <br />EMPLOYERS LIABILITY <br />THE PROPRIETOR, <br />PARTNERSJDIL'CUTIVE 'NCL <br />OFFICERS ARE: DfCL <br />CUW 780587-0 <br />COMMEk(IAL UMBRELLA COVERAGE <br />iLHAL AGGREGATE <br />S5,000, <br />DUCTS - COMPIOP AOG <br />52.000, <br />SONAL A ADV INJURY <br />S1,000 . <br />iOCCURRENCE <br />11.0001 <br />DAMAGE1Am one rrrl <br />EkP IAryY pile pC .onl <br />s 5 ,1 <br />TINED SINGLE LIMIT <br />BODILY INJURY <br />Ptrr pSr90/1� <br />•7�-- PODILY 'BURY <br />(1P aecidsnt! <br />r*11AMAG1AGF <br />AACCIDEN rOTO OM. Y. ACCIDENTGGREGAT03/ls/0i EANCE 55,A_ SS, <br />EACHACC,'IDENT -- <br />DISEASE-POLICY LIMIT <br />DISEASE -EA FMPLOYEE <br />v. enA naN OCAnO—C,l BLE6tgp__ EMS <br />T e T y o Santa na, CTt o Irvine, <br />Ana Federal Empowerment Zone an �1ty of Fullerson, City Of Laguana Woods, City of Huntington Beach, Santa <br />d County Of orange are included as Additional insureds (Endt G30543-C). See <br />Attachment for additional wording. <br />Rebuilding Together Orange County <br />Attention• Steve Carpenter <br />PO Box 329 <br />Tustin CA 92781_0329 USA <br />SHOULD ANY OF T14E ABOVE DESCRIBED POI ICIES BE CANCELLED BEFORE THE <br />ExPInATtoN DATE THEREOF, THE I=UINO COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CE•RTIPICATE HOLDER NAMED TO THE LEFT, <br />DIt7-FMLUPS FO.JAAlE SL(;"CZ11.E Sk-k;L MPA6E 010 rd UG4i10N-QR-LIARkj*V <br />Ai-ANY-KINO` RESE TATIVE 9MFAYx•. ITR--.AGEy:C6 OR--AE N_---vcS. <br />AUI HOR12C0 REPRESENTATIVE .'A— j3e&A-" b— 4", <br />'Yr 4tit'..4n.9!«.� 5A � <br />/'(% &�-- I <br />
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