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BASILIO ASSOCIATES INC. 1B -2003
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BASILIO ASSOCIATES INC. 1B -2003
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Last modified
1/3/2012 3:17:06 PM
Creation date
12/9/2003 3:51:39 PM
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Contracts
Company Name
Basilio Associates Inc.
Contract #
N-2003-136
Agency
Finance & Management Services
Expiration Date
9/1/2007
Insurance Exp Date
9/13/2007
Destruction Year
2009
Notes
Amends N-2001-182
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<br />Date: 10/30/2006 Time: 1202 PM To: Gonzales, Griselda @ 17146475421 <br />' 1-~10-452-2193 Page: 002 <br /> <br /> - <br />ACORD," CERTIFICATE OF L1AB~L1TY INSURANCE I DATE fMMIDOI'fYY'f) <br />10/3012006 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates ONLY AND CONFERS NI) RIGHTS UPON THE CERTIFICATE <br />199 S Los Robles Ave Ste S40 HOLDER. THIS CERTIFIC:ATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. <br />Pasadena, CA 91101 <br />626 844-3070 INSURERS AFFORDING C')VERAGE NAIC# <br />INSURED INSURER A:. United States I:idelity & Guaranty <br /> Basilio Associates, Inc. INSURER B: <br /> 12 "J" Mauchly, Suite 100 INSURER c: <br /> Irvine, CA 92616 INSURER 0: <br /> INSURER E: <br /> <br />Client#" 8210 <br /> <br />B ~SILASSO <br /> <br />COVERAGES <br /> <br /> THE POliCIES OF INSURANCE LISTED BELOW HA \IE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO JCY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHJC~ THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY T'-lE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERJ.. S. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POlICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUceD BY PAID CLAIMS. <br />~ = TYPE OF INSURANce POLICY NUMBER POLICY EFFECTIVE POLICY EXP1RA nON LIMns <br />A GENERAL LIABILITY BKfJ1895892 09/13106 09/13107 EACH OCCURRENCE '1 000 000 <br /> r::- DAMAGE TO RENTED '300 000 <br /> X p~ERCIAL GENERAL LIABILITY <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone pelllon) .10000 <br /> r- .1 000 000 <br /> - PERSONAL & ADV INJURY <br /> GENERAL AGGREGATE .2 000 000 <br /> - .2 000 000 <br /> ~'LAGG~nE LIMIT APFlS PER: PRODUCTS - COM PlOP AGG <br /> POLICY rC8i LOC <br />A ~TOMOBII..E LIABILITY BK01895892 09113106 09/13107 COMBINED SINGLE LIMIT '1,000,000 <br /> ANY AUTO (EsflccidIlJlt) <br /> - <br /> t- ALL OWNED AUTOS BOorLYINJURY <br /> (perpellion) . <br /> SCHEDULED AUTOS <br /> rx HIRED AUTOS BODilY INJURY <br /> t)( . <br /> NON-OWNED AUTOS (Pllraccidenl) <br /> - <br /> - PROPERTY DAMAGE . <br /> (per 8~cidenl) <br /> 3MG' '~BI"'Y AUTO ONLY. EA ACCIDENT . <br /> ANY AUTO OTHER THAN EA ACC . <br /> AUTO ONLY: AGG . <br /> EXCeSSlUMBRELLA LIABILITY EACH OCCURRENCE . <br /> :J OCCUR 0 CLAIMS MADE AGGREGATE . <br /> . <br /> R ~EDUCTIBlE . <br /> RETENTION . . <br /> WORKERS COMPENSATION AND we STATU. 10~~. <br /> EMPLOYERS' LIABILITY . <br /> ANY PROPRIETORIPARTNERlEXECUTlVE E.L. EACH ACCIDENT <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $ <br /> Ifyss,dllBcribllurlller . <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT <br /> OTHER <br /> i\PPf>, <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDeD BY ENDORSEMENT I SPECIAL PROVISIONS .~ , , " I <br />City of Santa Ana, its officers, agents, volunteers and representatives are named as an ~~ ( <br />additional Insured as respects general liability for claims arising from the operations of ------r ,/~ L/ <br />the named insured. <br /> v' 'Z , <br /> /\"<"'.:.i;, ; y' <br /> , "" ,', ,'".. <br /> / <br /> <br />>1(rvl <br /> <br />"--.- <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />City 01 Santa Ana <br />Account Clerk 1 <br />Attn: Griselda Gonzales <br />20 Civic Center Plaza, M~11, PO Box 1988 <br />Santa Ana, CA 92702 <br /> <br />SHOULD ANY OF THE ABOVE DES':RIBED POLICIES BE CANCELLED BEFORE THE EXPlRA110N <br />DATE THEREOF, THE ISSUING INSIIRER WILL ENDEAVOR TO MAIL ....3ll.... DAYS WRmEN <br />NOTice TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LlABI_ITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> <br />ACORD 2S (2001/08) 1 of 1 <br /> <br />#S1765631MI74867 <br /> <br /> <br />AAF <br /> <br />@ ACORD CORPORATION 1988 <br /> <br />
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