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WHITE, MATTIE D. 6
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WHITE, MATTIE D. 6
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Entry Properties
Last modified
3/25/2024 2:55:38 PM
Creation date
10/14/2003 1:54:51 PM
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Contracts
Company Name
Mattie D. White
Contract #
A-2003-181
Agency
Parks, Recreation, & Community Services
Council Approval Date
8/18/2003
Expiration Date
6/30/2004
Insurance Exp Date
12/28/2003
Destruction Year
2009
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CERTIFICA = OF LIABILITY INSUMt 02 <br />1E I 6(/19/0:MM/ /0 <br />ACCORD INSURANCE SERVICES , ` HOLDERTHIS CERTIFICATEDOES NOT AMEND, EXTEND OR <br />BOX 4485 0666200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Thousand Oaks CA 91359-1485 <br />v805.373.9434 INSURERS AFFORDING COVERAGE <br />ISURED Mattie D White INSURERA Scottsdale Insurance Company <br />Tiny Tot Preschool INSURERS <br />3201 S Deegan Drive INSURER <br />Santa Ana,CA 92704 INSURER D. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />J MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />f POLICIES. AGGREGATE LNNTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />Tq <br />TYPE OF INSURANCE <br />►OLICYNUMBER <br />POLICY EFFECTIVE <br />AT M FEONY) <br />DAYS fMMIDOM <br />4MR3 <br />GENERAL LABILITY <br />EACH OCCURRENCE <br />$1, 000, 000 <br />X COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (My ene En) <br />$ 50, 000 <br />CLAMS MADE OCCUR <br />MEO EXP (Any one pem,,) <br />$ 5, 000 <br />A <br />X Professional <br />CLS0835777 <br />12/28/02 <br />12/28/03 <br />PERSONAL $AOVINJURY <br />$1,000,000 <br />GENERAL AGGREGATE <br />$1 000, 000 <br />Ge, AGGREGATE LIMIT APPLIES PER. <br />PRODUCTS - COMP/OP ADD <br />31,000, 0-0-0- <br />X POLICY PEo- LOC <br />AUTOMOBILELLMM <br />T' <br />ANY AUTO <br />COMBINED SINGLE LIMITS <br />(Es M:cgaI,I)nt) <br />BODILY INJURY <br />(PN, ".) <br />f <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Pe! ¢ctlenq <br />S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Par emmen) <br />S <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />5 <br />ANY AUTO <br />5 <br />AUTO ONLY AGO <br />EXCE33LIABIUTY <br />EACH OCCURRENCE <br />S <br />OCCUR O CLAMS WOE <br />AGGREGATE <br />$ I <br />S <br />f I <br />DEDUCTIBLE <br />3 <br />RETENTION 3 <br />WORKERS COM PEN3ATCN AND <br />TORY LIMITS_ ER <br />EMPLOYERS UAMUTY <br />E.L EACH ACCIDENT <br />S <br />EL DISEASE - EA EMPLOYEE <br />S J <br />EL DISEASE -POLICY LIMIT <br />$ <br />OTHER <br />DESCRIPTION OF OPERAT)ON3IMATIONYVEHICLEMEXCLUSION3 ADDED BY ENOOR$EMENTISPEQAL PROWSNONS <br />City of Santa Ana is named as Additional Instir'E`d pei Ex i�itr A�M <br />?Wu . z-i Sli"dy <br />Deputy City Att rney <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />attn: Robert Carroll <br />fax: 714.571.4211, 2 pAf&-S <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE gCANIATM)N �CELLED BEFORE THE EI <br />DATE THEREOF, THE ISSUING INSURER WILL eRMe NF{XMAL 30 DAYS WRITTEN <br />NOTICE TO THE CFATIFICATE HOLDER NAMED TO THE LEFT, BYlRML'MREi000'IOIIMEL <br />1988 <br />
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