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Skidmore, Cheryl 2
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Skidmore, Cheryl 2
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Entry Properties
Last modified
3/31/2015 8:37:43 AM
Creation date
6/7/2004 3:59:33 PM
Metadata
Fields
Template:
Contracts
Company Name
Cheryl Skidmore
Contract #
N-2004-058
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2004
Insurance Exp Date
8/31/2008
Destruction Year
2014
Notes
Amended by N-2004-058-01, N-2004-058-02, N-2004-058-03, N-2008-058-04
Document Relationships
Skidmore Cheryl 2b
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
Skidmore, Cheryl Kids Can Do Gymnastics 2a
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SKIDMORE, CHERYL KIDS CAN DO GYMNASTICS dba FUN WITH HORSES 2c
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
SKIDMORE, CHERYL KIDS CAN DO GYMNASTICS dba FUN WITH HORSES 2d
(Amended By)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\S (INACTIVE)
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<br />No.96Q5 <br /> <br />PAGE ell <br />p. 1 <br /> <br />a3{f?1.1~~5 l3:el4 <br />M~r 0 21, 2005 <br /> <br />7145714209 <br />9:15AM CHEvAL INSURANCE <br /> <br />PARKS AND RECREATION <br /> <br />,... " <br />ACORD.. CERtiFICATE OF LIABILITY INSURANCE eM RI) \ p.<\TE I"'~~ <br />,,- SKIOM-l 03/21/05 <br />....ODUCER THtfI CIiRTIIIICAn; IS ISSUED AI A MATTIR OF '''fQ~JI~TION <br />ChQvai 1nauranc. ServlQ.. ONLY AND CONFER' NO IlIl!lHT~ VPQM TH' ClERnFICATE <br />Lie. OCi42,S7 HOLDeR. THIS CERllFlCATE DOES NOT ....E~D. ~ND ~. <br />P. O. Box 2i33 14- TER Tlie CQVIAAGE AFFOR,DEO BY THE POLICIES BI<J.OW, <br />FUJ.1f!!!rton CA 92837 <br />Phon8i714-447-9191 Fax:?14-S25-91S1 INSURERS AFFORDINQ CDYERAQIi MAle # <br />iNtU"I!D INfURER ^, Amer~gan Banko.3 <br /> INSU~R g. <br /> Cherw-i- SkidmorQ I N31JR&R C: <br /> Fun ]. t:h llo:r588 <br /> 197 ~. W~~$Qn I~' IN06UR~ [1; <br /> c;;:osta Mesa. CA 2627 <br /> I~$UAE~ I: <br /> <br />COVI5RAGES <br /> <br />TloII; POLIClliiS o~ IN5Ul\ANCf Ll5TfO Il~LOW IfAIIE BEEN IssueD TO THE INSURED foWwleo "'lKWE FOR THE; Po~ICY jjE~Ot;lINl)'~TJ:D, N,irWIMT"lI:lr~ <br />/Vf'f ~Q\JlFIIiMliiHT. T6RM OR CONl;lITIOM or N<< corm......~T ~ OTHeR (;IOe.VMl:NT 'f'n'7i N!SI'EC1' TO WWICH T"'I& el~l'lI'ICA,", w.y tlI!. ISsueo OR <br />bIJo.'o( ~-'iINo THE INSURANCE ...!!~ORQl;D llV 1'14r: POllC11!Q DESCRIBED HEREIN 19 SOQJECT TO ALl THE TaR"!, !XCLU!!IONS AND coNtllT10NS OF SUCll <br />POLICIIlS. AGG~Tl: L.IMI1'S SHOWN /MY /l.VI! DfISN RIiiOUcel BY "'''10 o.Jl11;l5. <br />Ii:ii\ ~ T"r"~ 0'" irt$\IrW4~ POuc:Y NUIII8ER IJATe lIIIMlDNY o,;;n~ L.WITl! <br /> uI!MMAL. UAIlIUTY EAo;H ocCUMINC~ 51,000 000 <br /> - <br />A X ~ 3~RGIAL GEtlErw. ~lAlIIUTY SL11.0:n ?7 09/31/04 08/3:1./05 ~R~Es Tes o=urence) 530,000 <br />: CLAM M,t,~ [[] QeCt,l" 1.100 EXP {Ally "'" ~l I IS. 000 <br /> --...J <br /> - PERSOl'lAL r. Af1tIlNJURY 52.000,000 <br /> ....... GINeRALAGQREGATE s2,000,OOO <br /> IilL "'I3O.,ee'l~ LIMIT IIPn I'm: PR.ODUCTS ' COI&lJOP AGG S 2 , 000 .000 <br /> X flOLICV n ~m LOC <br /> ~TD~1i lJABIUTT COM8INED &lNI3l& ULIT f <br /> f'I('( AIJfQ NO~ (I!i ~4enl' <br /> ~ -- <br /> ALL OWNIiD -'lJTOS ~DILV IIoLIUIW <br /> - " <br /> $Cl4itlUlEO AUTOS (PI' poqan) <br /> - <br /> ~ HII'I!:O AUT1J5 80DIL Y INJunV <br /> , <br /> ~N;;O MITes (!'*-''''G'Ilo!rd' <br /> - <br /> I>ROl'l!MV OAMA.GE I <br /> [!"or Illl:Illenl) <br /> Q~1llE L"'lllll'fJ' AUTO ONL V _1iA ACC1DEI\IT S <br /> ~. ANY AUTO NONE APPROV f D A.S TO FORM ~~ 'TJiAN EA I\QQ I <br /> AUTI) ONLY: "'GO Ii <br /> ~1I~ALIAIl"'!TY ....~O ~ .. . E.'oCH OCCUl:lRG/oICIO. S <br /> OOCUP. D CUiIoAS r.oAOE NONE ..h-'"" -.;;. JJJ>d.l/ 2- AGGREGATe $ <br /> - 7' Ll!.U a Stit,~~6d' <br /> $ <br /> =1 DEOUCT1l1L~ AI. ssiStll ot City Attot ey $ <br /> ~IIN"ION S I <br /> WORKERI tOMIleNSATlOtl AMD ITO~ LiMiTs I I"~~ <br /> liMl'\,OY....'. UA6I\.11"f NONE ~oJ., ~eH AeODENT $ <br /> .lilt( Pf\OPftlETORf!i'A~!:fiIEXECUTI\IE <br /> 6FFlCERIMEMlll!JI{ !llClUllW'l E.L. D1SEAS& - &.-. iMPLOYIii~ I <br /> ~I, _~O. UPllIlI' E.L DlSEA8i - POLIcY LIMIT <br /> ww. pclOVl!lOf.I!!l boola.. $ <br /> OTHER <br /> NONE I <br /> ( <br />DlO~ON OF op~tlg"ll LOCA1101K1 YlH\C\,1I , IIl(CLU~N$ AIlII'!ll .., "'DOASEIlENT I !!PEe....\. PRO\ll8lONll <br />o8rtific.ta Holde:r iB an addit~on.~ in.~ed ~. :.cility Q~~~. <br /> <br />City of Bant:a Ana <br />~.rks & R&cr..tion <br />K 25 Attlu Deborah <br />PO BO:ll: BI8B <br />Santa Ana CA 92702 <br /> <br />eANCIS~TtON <br />ClrY SA lIHOlILD IIHY Of Tl1E NW'I1i peKIlIIII:D POJ.ICll:e $! e"'~I!!LLEl) IIUQRE Tilt mclI1ltA.l'l/lN <br />D"TE THEREO~o 1'HI! I9!lUING IN!lUREIl WILL IlNDiAVOR TO IIIAlL ~ OAYS Wltln.", <br />NOTice TO Tl1f oamflCAll: HOLDER l't...,.lIIl TO T1iE.LEFr, BUT FM"'''. 'to cO!;() $.......L <br />IMP0611 1'10 08LIGATION (IR L Of! /UN KlWrl U~jO 'I'6llllN.U"'~, mJ M1E"''l'!1 CIIl <br />Rl!JlIl.lHMl A'f1V111. <br />^,,""~l) I'lI!II <br />Ch.val :rnl;ll.1ran <br /> <br /> <br />@ACORD COftPOMTlON 199 <br /> <br />CE~TlfICAl'E HOLDER <br /> <br />ACORD 15 l20a1/G8l <br />
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