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Quinn, Susan 1
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Quinn, Susan 1
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Entry Properties
Last modified
3/31/2015 2:47:08 PM
Creation date
3/29/2004 10:44:26 AM
Metadata
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Template:
Contracts
Company Name
Susan Quinn dba The Quinn Company
Contract #
N-2004-021
Agency
Personnel Services
Expiration Date
6/30/2004
Insurance Exp Date
1/16/2005
Destruction Year
2010
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<br />CERTIFICATE OF INSURANCE <br /> <br />0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois <br />[8] STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />0 STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario <br />0 STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br />0 STATE FARM LLOYDS, Dallas, Texas <br />insures the following policyholder for the coverages indicated below: <br /> <br />Name of policyholder QUINN, SUSAN & GERALD DBA THE QUINN COMPANY <br /> <br />. <br /> <br />This certifies that <br /> <br />AI - JJ;tJ1- 0..2.1 <br /> <br />246 VIA PRESA, SAN CLEMENTE, CA 92672-9461 <br /> <br />Address of policyholder <br />Location of operations <br />Description of operations <br />The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is <br />subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid <br />claims. <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br />AMENDS. EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br />If any of the described policies are canceled before <br />its expiration date, State Farm will try to mail a <br />written notice to the certificate holder 30 days before <br />cancellation. If however, we fail to mail such notice, <br />no obligation or liability will be imposed on State <br />Farm or its ageiìts or representatives. <br /> <br />POLICY PERIOD <br />TYPE OF INSURANCE Effective Date: Expiration Date <br />Comprehensive 01/16/04 , 01/16/05 <br />Business Liability : <br />- - Ttiiš. i-ñslJrå-ñcë" ¡-ñciúdes:- - - tnirocÏüëiš-: Córilpletëd "opë¡:ãÜoñš - -" - - - - -. - - - - - - - - - - - - - - - - -- <br />0 Contractual Liability <br />0 Underground Hazard Coverage <br />0 Personal Injury <br />0 Advertising Injury <br />0 Explosion Hazard Coverage <br />0 Collapse Hazard Coverage <br />0 <br />0 <br /> <br />POLICY NUMBER <br />92-S6-8207-2 <br /> <br />EXCESS LIABILITY <br />0 Umbrella <br />0 Other <br /> <br />POLICY PERIOD <br />Effective Date: Expiration Date <br /> <br />Workers' Compensation <br />and Employers Liability <br /> <br />POLICY NUMBER <br /> <br />TYPE OF INSURANCE <br /> <br />POLICY PERIOD <br />Effective Date: Expiration Date <br />11/14/03 ' 05/14/04 <br />, <br /> <br />L379398-F14-75C <br /> <br />Auto <br /> <br />Name and Address of Certificate Holder <br /> <br />THE CITY OF SANTA ANA <br />ITS OFFICERS, EMPLOYEES, <br />ATTN: JIM STIKELEATHER <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701-4010 <br /> <br />AGENTS & VOLUNTEERS <br /> <br /> <br />558-994 a.3 04-1999 Printed in U.S.A. <br /> <br />.~ Srl .'lY <br />/ <br /> <br />,j <br /> <br />LIMITS OF LIABILITY <br />(at beginning of policy period) <br />BODILY INJURY AND <br />PROPERTY DAMAGE <br /> <br />Each Occurrence <br /> <br />$ <br /> <br />General Aggregate <br /> <br />$ <br /> <br />Products - Completed <br />Operations Aggregate <br /> <br />$ <br /> <br />BODILY INJURY AND PROPERTY DAMAGE <br />(Combined Single Limit) <br />Each Occurrence $ 1000000 <br />Aggregate $ 2000000 <br />Part 1 STATUTORY <br />Part 2 BODILY INJURY <br /> <br />Each Accident $ <br />Disease Each Employee $ <br />Disease - Policy Limit $ <br /> <br />LIMITS OF LIABILITY <br />(at beginning of policy period) <br />1,100,000 <br /> <br />'/lâ~~ J?2¿¿JA-r:;! <br />Signature of Authorized Representative <br />AGENT <br />Title <br />Agent's C <br /> <br />3/22/04 <br />Date <br /> <br />MIKE MILLER, Agent <br />Uc. #0360139 <br />31882 Camino Capistrano,Suite 105A <br />San Juan Capistrano, CA 92675 <br />Phone: 949-493-3888 <br />Fax: 949-481-1032 <br /> <br />nAn 'AIM <br /> <br /> <br />AFO Cod erA <br />INSUIANC,,",. <br /> <br />¡w C}-- <br />
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