My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
DAYLE MCINTOSH CENTER 1
Clerk
>
Contracts / Agreements
>
INACTIVE CONTRACTS (Originals Destroyed)
>
D (INACTIVE)
>
DAYLE MCINTOSH CENTER 1
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/3/2015 2:46:37 PM
Creation date
2/20/2004 11:09:43 AM
Metadata
Fields
Template:
Contracts
Company Name
Dayle McIntosh Center
Contract #
A-2003-074-17
Agency
Community Development
Council Approval Date
5/5/2003
Expiration Date
6/30/2004
Destruction Year
2009
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
32
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACF�RD CERTIFICAT ' OF LIABILITY INSURAK OP ID <br />DAYLE-1 <br />DATE (MM DDM YY) <br />08/15/03 <br />PRODUCER <br />Chapman & Associates <br />License #0522024 <br />P. O. Box 5455 <br />Pasadena CA 91117-0455 <br />Phone:626-405-8031 Fax:626-405-0585 <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 NAIC# <br />INSURED <br />Da le McIntosh Center <br />13272 Garden Grove Bl.INsuRER <br />Garden Grove CA 92843 <br />INSURER A: xon pzeli G' Iveuravice Al11mCe <br />INSURER B' <br />INSURER C: <br />D, <br />NSURER E' <br />COVERAGES <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 />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 />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFDfYY) <br />DATE MM/DD/YY <br />POLICY(MWDATION <br />DATE MM EXPIRATION <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $1000000 <br />A <br />X <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS WOE OOCCUR <br />200302327NPO <br />05/25/03 <br />05/25/04 <br />PREMISES Eaoowrerxa $ 100000 <br />MED EXP (Any one person) $10000 <br />X Professional Liab <br />PERSONAL B ADV INJURY $1000000 <br />GENERAL AGGREGATE $ 3000000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG E3000000 <br />POLICY JEST Loc <br />Em Ben. INCLUDED <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />200302327NPO <br />05/25/03 <br />05/25/04 <br />COMBINED SINGLE LIMIT $ 1000000 <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY) $ <br />(Per person) <br />X <br />X <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per aceldenU $ <br />PROPERTY DAMAGE $ <br />(Per aeeidenq <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EAACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ - s <br />EXCESSNMBRELLA LIABILITY <br />EACH OCCURRENCE $ 1000000 <br />A <br />I OCCUR EICLAIMSMADE <br />200302327UMBNPO <br />05/25/03 <br />05/25/04 <br />AGGREGATE $ 1000000 <br />E <br />$ <br />DEDUCTIBLE <br />X RETENTION $10000 <br />$ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />A,'Y KOV ED ASY, <br />TORY LIMITS ER <br />E . EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />El.DISEASE-EA EMPLOYEE $ <br />OFFICER/MEMBER EXCLUDED' <br />- <br />- <br />K yes, describe under <br />E.L. DISEASE -POLICY LIMIT $ <br />SPECIAL PROVISIONS below <br />OTHER <br />Deputy City Atto <br />e <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; <br />its officers, employees, agents, volunteers and representatives are named as <br />additional insureds with respect to the operations of the named insured. <br />City of Santa Ana <br />Community Development Agency <br />P.O. Box 1988 <br />Santa Ana CA 92702-1988 <br />ACORD 2512001/081 <br />SANTAA4 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />
The URL can be used to link to this page
Your browser does not support the video tag.