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Van Dorpe Chou Associates 1
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Van Dorpe Chou Associates 1
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Entry Properties
Last modified
3/25/2024 2:46:05 PM
Creation date
9/25/2003 1:48:30 PM
Metadata
Fields
Template:
Contracts
Company Name
Van Dorpe Chou Associates
Contract #
N-2003-093
Agency
Planning & Building
Expiration Date
6/30/2004
Insurance Exp Date
7/1/2004
Destruction Year
2009
Notes
Amended by A-2003-213 & A-2004-034
Document Relationships
Van Dorpe Chou Associates 1a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\U-V (INACTIVE)
Van Dorpe Chou Associates 1b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\U-V (INACTIVE)
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-ACCORP. CERTIFICATE OF LIABILITY INSURANCE <br />09ioa%zoo ) <br />PRODUCER (949)263-0606 FAX (949)263-0906 <br />Complete Insurance, Inc. <br />California DOI #0437762 <br />19000 MacArthur Blvd., PH Flr <br />Irvine, CA 92612-1447 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Van orpe Chou Associates, Inc. <br />295 North Rampart Street, <br />Suite A <br />Orange, CA 92869 <br />INSURERA: Fidelity and Guarantee Ins. Co. <br />INSURERS Fidelty & Guaranty Ins Co <br />INSURERC: St. Paul Fire & Marine Ins Co <br />INSURERD: (c/o St. Paul) <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. NOTWITHSTANDIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE 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 />INSR <br />Lm <br />DD' <br />JimGENERAL <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br />LIABILITY <br />BKO1510223 <br />07/01/2003 <br />07/01/2004 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />$ 500,00 <br />CLAIMS MADE O OCCUR <br />$ 10,00 <br />MED EXP (Any one Person) <br />A <br />PERSONAL S ADV INJURY <br />S 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,00 <br />POLICY X JECTPRO- LOG <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />BA01464SOO <br />07/01/2003 <br />07/01/2004 <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />1,000,000 <br />X <br />B <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIREDAUTOS <br />NON -OWNED AUTOS <br />APPROVED AS <br />C0(i Y <br />TO FORM <br />BODILY INJURY <br />(Per person) <br />$ <br />X <br />BODILY INJURY <br />(Per accident) <br />$ <br />X <br />Deputy City Att <br />TIOy <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />AUTO ONLY. AGO <br />$ <br />ANY AUTO <br />$ <br />EXCESS/UMBRELLA LIABILITY <br />BKO1510223 <br />07/01/2003 <br />07/01/2004 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />X OCCUR CLAIMS MADE <br />AGGREGATE <br />$ 1,000,0001 <br />A <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />WVA800469S <br />07/01/2003 <br />07/01/2004 <br />X I MySTA,,TUTS I OTH- <br />C <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNEWEXECUTIVE <br />OFFICERR.IEMBEREXCLUDED? <br />If Yee. crifte under <br />SPECIALS PROVISIONS below <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />E. L. DISEASE -POLICY LIMIT <br />$ 1,000,00 <br />OTHER <br />10-day notice applies to <br />non-payment and/or <br />non -reporting <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />ertificate holder is additional insured as respects general liability but only if required by written <br />contract with the named insured prior to an occurence and as per coverage form CL/BF21810401. Waiver of <br />Subrogation endt. WC040306 included as respects Work Comp only. Coverage subject to all policy terms, <br />conditions and limitations. <br />City of Santa Ana, and <br />employees & volunteers <br />Office of City Attorney <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />its officers, agents, <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Alicia Igram/MICHMA /�_�`i�•• ``fQ'" <br />ACORD 26 (2001108) ©ACORD CORPORATION 1988 <br />
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