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YMCA OF ORANGE COUNTY 1 - 2004
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YMCA OF ORANGE COUNTY 1 - 2004
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Last modified
1/3/2012 1:49:02 PM
Creation date
4/5/2004 3:54:33 PM
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Contracts
Company Name
YMCA of Orange County
Contract #
N-2004-029
Agency
Parks, Recreation, & Community Services
Expiration Date
8/16/2004
Insurance Exp Date
6/1/2005
Destruction Year
2009
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<br />.. Jun :23 04 02: 44p <br /> <br />Tlla¡;l <br /> <br />p,2 <br /> <br /> , <br />ACORD", CERTIFICATE OF LIABILITY INSURANCE OP ID11 DATE (MMlDDIVYVY) <br />YBLLO-2 06/08/04 <br />PRODUC!:R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ISU Insurance Servo of Irvine ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />DBA of Norton Ins. Srvc, , Inc, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />S. Corporate Park, Suite #170 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Irvine CA 92606-5164 <br />PhoneI949-419-2100 Fax,949-419-0491 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED A - ;),001 - 110 INSURER A: General Star Indemnitv <br /> INSURER B: Soottsdale Xnsurance Co <br /> Yellow Cab rOo of Greater O.C, INSURER c: <br /> 1619 fast L ncoln Ave, INSURER 0: <br /> Anahe m CA 92805 <br /> INSURER E; <br /> <br />COVERAGES <br /> <br />THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEIJ 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 5UCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LT' NS' TYPE OF INSURANCE POUCV NUMBER I W.,;!~T.:.MiòáíW" DATE MRM56Mir LIMITS <br /> ~NERAL L!ABIUTY ';lOCCURRENCE $1000000 <br /> ŒìDtU::NII;:U <br />A X X COMMERCIAL GENERAL LIABILITY IKA235773M 06/01/04 06/01/05 PREMISES lEa aCCllrence! $ 50000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) I BXCL <br /> - PERSONAL & AIN INJURY 11000000 <br /> ~ <br /> GENERAL AGGREGATE 11000000 <br /> ~'l AßG~ñE LlM1T APñS PER: PRODUCTS.COMP/OPAGG 11000000 <br /> POLICY j~g>i LOC <br /> ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT 11.000.000 <br />B X ANY AUTO CASOO72069 06/01/04 06/01/05 (Ea accident) <br />- <br /> - All OWNED AUTOS BOCIL Y INJURY <br /> I <br /> ~ SCHEDULED AUTOS (Per person) <br /> f-- HIRED AUTOS BOCIL Y INJURY <br /> I <br /> NON-oWNED AUTOS (Peraoddent) <br /> 1- <br /> r- PROPERTY DAMAGE I <br /> (Per accident) <br /> RRAGE LIABIlITY AUTO QNl Y . EA ACCIDENT I <br /> ANY AUTO OTHER THAN EAAœ I <br /> AUTO ONLY: AGG I <br /> EXCESS1UMBRELLA LlAB8LITY EACH OCCURRENCE 14,000,000 <br />A !j. OCCUR 0 CLAIMS MADE IXG300055N 06/01/04 06/01/05 AGGREGATE $ <br /> I <br /> R DEDUCTiBlE I <br /> RETENTION I $ <br /> WORKERS COMPENSATION AND IT~o\'v"LIM:-rS livER <br /> EMPLOYERS' UABILlTY ¡y£'JAA Jj E.l. EACH ACCIDENT I <br /> ANY PROPRIETORlPARTNERfEXECUTIVE /Jðdy' 11 "/ ----- <br /> OFFICERlMEMBER EXCLUDED? E.L D!SFASE . EA EMPLOYEE S <br /> ~~"'!~~vïS1õNS below E.L. DISEASE - POLICY LIMIT I <br /> OTHER (7 V <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSfONS ADDED BY ENDOR.SEMENT f SPECIAL PROVISIONS <br />THE CITY OF SANTA ANA, ITS OFFICERS. AGENTS AND EMPLOYEES ARB NAMED AS <br />ADDITIONAL INSURED UNDER THE AUTO AND GENERAL ~IABILITY BUT ONLY AS RESPECTS <br />OPBRATIONS OF THB NAMED INSURED, CANCELLATION CLAUSE IS AMIINDKD TO READ PBR <br />THE ATTACHBD, SPECIAL ENDORSEMENT TO FOLLOW, <br />*10-DAY NOTICE OP CANCELLATION FOR NON-PAYMENT OF PREMIUM <br /> <br />CERTIFICATE HOLDER <br /> <br />CITYOFS <br /> <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCEL.LED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER Wlb:.li:tll1t:.. 'SR TO MAIL. * 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SY=HWI.YN:: TQ 11';1 0';1"".' , <br /> <br />CITY OF SANTA ANA <br />ATTN. L, STORK, ASST CITY ATTY <br />F. 714-647-6515 <br />20 CIVIC CENTBR PLAZA M-29 <br />SANTA ANA CA 92702 <br /> <br />1'11'91&118 SIWS""RiIJ iR.bI~Ib.~'Øv att""i.ltlft "r;""RI& IIIIIJREn, 1M '8lirfFl 8R <br /> <br />"PA&IE:r~1a. <br /> <br />AU <br /> <br />rr: :\î".ry <br /> <br />"-1\.- 0,....,," <br />
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