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ORANGE COUNTY CONSERVATION CORPS 3A - 2003
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ORANGE COUNTY CONSERVATION CORPS 3A - 2003
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Last modified
1/3/2012 2:23:41 PM
Creation date
9/25/2003 3:38:49 PM
Metadata
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Template:
Contracts
Company Name
Orange County Conservation Corps
Contract #
A-2003-118
Agency
Community Development
Council Approval Date
6/16/2003
Expiration Date
9/30/2003
Insurance Exp Date
7/20/2004
Destruction Year
2008
Notes
Amends A-2002-098
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<br /> ¡ - INSURAtcE <br /> /.ÇQR~~ CERTIFICA 1! OF LIABILITY DATE (""1)0."1 <br /> n<>I">I,>nn~ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Andreini & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 300 Esplanade, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oxnard, CA 93030 COMPANIES AFFORDING COVERAGE <br /> (805)981-9585 F: (805)981-0161 COMPANY <br /> A PHILADELPHIA INDEMNITY INS CO <br />INSURED COMPANY <br />ORANGE COUNTY CONSERVATION B S";I'ATE SJ\.T.ION INS FUND <br /> CORPS FAX NO. 1(714)-956-1944 COMPANY I ì'i1~ ~~'"" H.o,'" ¡ > <br /> 700 N. VALLEY STREET, STE. AB C ,:"",\,]""'-iI"lI'"""-1.:';: -"".~:.;~ ft.:,;,. <br />ANAHEIM CA 92801 -d"- ...,"v"" ---, <br /> COMPANY ,."',F Î - ~:i -o:¿..- <br /> D ~;m:n <br />,qQy¡¡Jí~i,$Hl!fi1í[l!iM¡¡Œ1¡ft¡M¡!H;;;tilijj¡MW¡¡!¡¡t1i@¡Wiiîtfm!\l¡Wiin¡¡!Hijj¡¡mill\W¡¡¡:fi!Hif1i1llm&K1mW¡¡Wtif¡11¡¡;;;¡¡¡@!îUlitti11It1í@1\m!tWMitWlîlî!Hm;;¡ <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REOUIREMENT. 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 ALl THE TERMS. <br /> EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAlO CLAIMS. <br />CD TYPE Op INSURAHCE POLICY NUMBER POLICY EFFECTM! POLICY EXPIRATIDH UMITS <br />LTR DATE (MIIIDDIYY) DATE (IIIi1>DIYY) <br />A ~ERA1. w.BILITY PHPK055497 07/20/03 07/20/04 OENERAL ACJOREOATE S' """""" <br /> ~ OERCIAL CJENERAL LJABjLITY PAOOUCTS - COMP.oP AOO S. """""" <br /> Cl.'JMS MACE [i] OCCUR PERSONAl. . AOY IN.1JRY S,"""- <br /> L- OWNER~' CONTRACTOR~ PAOT EACH QCCUAAENCE S1 """""" <br /> L- FIRE DAMAOE (Any ano "01 . 'M""" <br /> MED EXP (My ana ~"",) . . """ <br />A ~TO"BLE UABILITY PHPKO55497 07/20/03 07/20/04 COMBINED SINOLE LIMIT S1,OOO,OOO <br /> ex: "" AUTO <br /> L- ALL OWNED AUTOS BODLY IN.1J!IY . <br /> L- SCHEDULED AUTOS (Po< po"",) <br /> L- HIRED AUTOS APPR( ~ D A:t :::>FOBM BODILY IN.1JRY . <br /> NON.OWNED AUTOS (Po< "'~"'Q <br /> L- --.. ~ <br /> L- PAOPERTY DAMAOE . <br /> ROADE w.BILITY 0 puty City Att, AUTO ONLY. EA ACCIDENT <br /> ANY AUTO may OTHER T>tAN AUTO ONLY, <br /> EACH ACCIDENT S <br /> AOOREOATE S <br /> gESS UABILITY PHUB021098 07/20/03 07/20/04 EACH OCCURRENCE S,"""""" <br />A UMBAEU.A FORM AOOREOATE S,""""'"' <br /> I'v OTHER T>tAN UMBAEU.A FORM 1___- _n_- T.M~ ~ <br />B WORKERS COMPENSATION AND 46-012055-03 06/01/03 06/01/04 y I Tv¡g.sr~~ OJ);'- <br /> EMPLOYERS' w.BILITY EL EACH ACCIDENT S'-- <br /> THE PROPRIETOR! R'NCl EL DISEASE - POLICY LIMIT S'~"- <br /> PARTNERSÆXECUTIVE S, 11M 11M <br /> OFFICERS ARE. EXCL EL D~EASE - EA EMPLOYEE <br /> OTHER <br />A AUTO PHYSICAL PHPKO55497 07/20/03 07/20/04 DEDUCTIBLE 1,000 COMP <br /> DAMAGE DEDUCTIBLE 1,000 COLL <br />DESCRIPTION OP OPt!RATIONSII.DCATIONSIVEHICLESISPECIAL ITEMS <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 /> SHDULO ANY OF THE ABDYE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUIN. COMPANY WILLJœI(I(JaIIXJOXMAIL <br />ATTN:ESTHER AKHAVAN/PARK PLANNING '30 DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />888 W. SANTA ANA BLVD., STE 200 )(j{X)t:~~IIUtK)1I1IÞt~MJ( I4_Jli(XIIOMJO( <br />SANTA ANA CA 92701 XðtX~ )(¡IöIIX)!III!)()t:lIIOk('(1:xm=I~8I«8!'XOfl)(- <br /> A:"DR~~I/jTÂnv; ~~'i!!J¡þ'âilj@1¥tf$~¡¡:: <br /> \J Vl) ,~ <br />
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