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ORANGE COUNTY CONSERVATION CORPS 2B - 2003
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ORANGE COUNTY CONSERVATION CORPS 2B - 2003
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Entry Properties
Last modified
1/3/2012 2:23:38 PM
Creation date
9/25/2003 2:22:36 PM
Metadata
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Template:
Contracts
Company Name
Orange County Conservation Corps
Contract #
A-2003-154
Agency
Community Development
Council Approval Date
7/21/2003
Expiration Date
9/30/2003
Insurance Exp Date
7/20/2004
Destruction Year
2008
Notes
Amends A-2002-099
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<br />.;.c 0110. <br /> <br />CERTIFICA T <br /> <br />F LIABILITX .IN~URA - .OW~ <br /> <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 /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />PIIODUeER <br />Andreini & Company <br />300 Esplanade, Suite 100 <br />Oxnard, CA 93030 <br />(805) 981-9585 F: (805) 981-0161 <br /> <br />COMPANY <br />A <br /> <br />PHILADELPHIA INDEMNITY INS CO <br /> <br />"SURED <br /> <br />ORANGE COUNTY CONSERVATION <br />CORPS FAX NO. 1(714)-956-1944 <br />700 N. VALLEY STREET, STE. AB <br />ANAHEIM CA 92801 <br /> <br />COMPANY <br />B <br /> <br /> <br />FUND <br /> <br />COMPANY <br />C <br /> <br />"'$:' . <br /> <br />COMPANY <br />D <br /> <br />-03 <br /> <br />THIS IS TO CERTIFY THAT THE POliCIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AUL THE TERMS, <br />EXCLUSIONS AND CQNDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br /> <br />POUCY EFFEeYIVE POuey EXPIRAYION UMITS <br />.ATE (MUIDDIVY) DATE (MMJDDIVY) <br />07/20/03 07/20/04 GENERAl. AGGREGATE <br /> PRODUCTs. COMP/OI' AGG <br /> PERSONAL' ADV INJURY <br /> EACH OCCURRENCE <br /> FIRE DAMAGE IAny ,". "'I <br /> MED EXP IAny on. pe""") <br />07/20/03 07/20/04 COMB"ED SINGLE LIMIT $1,000,000 <br /> BOD~Y INJURY <br /> IP" pe""") <br /> FORM BODILY ItWRY <br /> IP" ""'~en~ <br /> PROPERTY DAMAGE <br /> AUTO ONLY. EA ACCIDENT <br /> OTHER THAN AUTO ONLY, <br /> EACH ACCIDENT <br /> AGGREGATE <br />07/20/03 07/20/04 EACH OCCURRENCE <br /> AGGREGATE <br />06/01/03 <br /> EL OISEASE - POLICY L""T <br /> El D~EASE . EA EMPLOYEE <br />07/20/03 07/20/04 DEDUCTIBLE 1,000 COMP <br /> DEDUCTIBLE 1,000 COLL <br /> <br /> <br />CO <br />LTR <br /> <br />TYPE OF "BU"NeE <br /> <br />POUCY NUMBER <br /> <br />A <br /> <br />EXCESS UABIJTY <br /> <br />UMBRELLA FOAM <br /> <br />OTHER THAN UMBRELLA FOAM <br /> <br />B WOR"'S eOMPENSAYION AND <br />EMPLOYEnS' UABIUTY <br /> <br /> <br />PHPK055497 <br /> <br />PHPK055497 <br /> <br />PHUBO21098 <br /> <br />48-012055-03 <br /> <br /> THE PROPRIETOR! INCL <br /> PARTNERSÆXECUTIVE <br /> OFFICERS ARE' EXCl <br /> OTHER <br />A AUTO PHYSICAL PHPKOS5497 <br /> DAMAGE <br /> <br />DESCRIPTION OF OPERAYIONBI\.OCAYIONSlYEHICLESlSÆCIAL "",,s <br />RE: GENERAL LIABILITY COVERAGE-THE CERT HOLDER ITS OFFICERS, EMPLOYEES <br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH <br />RESPECT TO THE OPERATIONS OF THE NAMED INSURED. ADDITIONAL INSURED <br />ENDORSEMENT,ATTCHED.*10 DAY NOTICE OF CANCEL FOR NON-PAY SHALL APPLY. <br /> <br />CITY OF SANTA ANA <br />ATTN:ESTHER AKHAVAN/PARK PLANNING <br />888 W. SANTA ANA BLVD., STE 200 <br />SANTA ANA CA 92701 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POUCIu BE CANCELW> BEFORE THE <br />EXPIRAYION DATE THEREOF, THE ISSU... COMPANY WILLJœllIIÐI9QIIXJOXMAIL <br />~ DAYS WRITTEN NOTICE TO THE CER11FICATE HOLDER NAMED TO THE LEFT, <br /> <br /> <br />...ãA_::~ø¡¡f: <br />
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