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O.C. CONSERVATION CORPS 4A
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O.C. CONSERVATION CORPS 4A
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Entry Properties
Last modified
8/23/2021 2:36:24 PM
Creation date
6/9/2004 3:52:59 PM
Metadata
Fields
Template:
Contracts
Company Name
Orange County Conservation Corps
Contract #
A-2004-062
Agency
Community Development
Council Approval Date
4/5/2004
Expiration Date
6/30/2004
Insurance Exp Date
7/20/2004
Destruction Year
2009
Notes
Amends A-2003-163
Document Relationships
O.C. CONSERVATION CORPS 4
(Amends)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\O (INACTIVE)
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AN, <br />CERTIFICA i t w�E <br />0811212003 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY NOTHE CE <br />Andreini & Company HOLDER.NTHISONFERS IGHTS CERTIFICATE RDOES NOTOAMEND, EXTENDCATE OR <br />300 Esplanade, Suits 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Oxnard, CA 93030 COMPANIES AFFORDING COVERAGE <br />(805) 981-9585 F: (805) 981-Olbl COMPANY <br />A PHILADELPHIA INDEMNITY INS CO <br />INSURED <br />COMPANY <br />ORANGE COUNTY CONSERVATION <br />IS 5WAT ., WjKRZNSATMQNINS FUND <br />CoOmpmY 14s6�j t�y .'rA fir <br />O : �F'!9� . F? i ".''i'^* <br />CORPS PAX NO. 1 (714)-9156-1944 <br />700 N. VALLEY STREET, STE. AS <br />ANAHE IM CA 92801 <br />COMPANY <br />ti %2 'is rr. ca tact yj i r YS 4f P t a R SS <br />� P �' a'0'f fi5� Ir` <br />�Sxt�.E,���iR�xwu� aH�tzfi ,iw.-..Jwf:l3 A' �. ��if'•v4...,�fx <br />'PHIS IS TO CERTIFY THAT THE POUCtM OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAY'F, THE INSURANCE AFFORDED BY THE PDyGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDIT)ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. <br />LM <br />TEN: OF HEURANSE <br />POUCY NUA1BL71 <br />DATLPOLICYEFFECTM { DD/M <br />DATEY VAATIDIW) <br />A>Rr7 <br />A <br />MINIMAL LABLITY <br />PHPKDWU7 <br />07/20/03 <br />07/20/04 <br />GENERAL AOOREOATE <br />1162.01)0.00 <br />PRODUCTS - COMPAIP AGO <br />f <br />COIAMD11CIAL GENERAL LU9LRY <br />CLANG MADE ®OGGLN <br />PiASCIR& f ADV INJURY <br />f QO.ODD <br />EACH OCCUFPB40E <br />$ <br />OAUMS a OONTRAcroRs PROT <br />FNIF DAMAGE W* hA) <br />f 1pooM <br />MED EP w pwWG <br />i son <br />A <br />AUTOMOBILL <br />LUENIry <br />Rif AUTO <br />PHPKDws7 <br />0 7/ 2 0/ 0 3 <br />07/20/04 <br />COMEINED IUIOLS LIMIT <br />4i,000,00D0 <br />BODILY INJURY <br />CPs, Polm) <br />f <br />AM OVA&D Autos <br />SCHEDVLFA AUTOS <br />� Accw"Q <br />f <br />NI ON-WHAUTOS <br />NON-0EO AUTOS <br />ii,ii6 <br />L 1 <br />1 <br />i-QJ:73Ti <br />PROPERTY DAMAGE <br />f <br />OAFIAGE LWRLLON <br />AN. Auto <br />PUty City Attorney <br />AM ONLY - EA ACCIDENT <br />f <br />D,Fm THAN AUTO 0N0 <br />EACH ACCIpFHT <br />f <br />ASOJEGA7E <br />S <br />cxcEnUAEurr <br />PHUH021098 <br />07/20/03 <br />07/20/04 <br />EAcH0222RRENca< <br />s <br />A <br />IIwwQ A FORM <br />AOGFCGATE <br />$1-6m pea <br />RETATMErl T,Mll <br />f 10 <br />DI NO THAN VMGRELM FOW.I <br />WOWURD COLPERBATION AND <br />ENPLOYERf LYBUN <br />THE PROMIETCRI I ICL <br />PART14OM :7 OUTr E <br />46-0120SE 03 <br />06/01/03 <br />06/01/04 <br />EL EACH ACCIDENT <br />4 <br />EL DISEASE - POLICY WAIT <br />4 <br />EL OISFASE- FA EUF%0%; <br />"1 ow No <br />OFFICEFS AFIQ DLCL <br />0-mm <br />A <br />ATrTO PHYSICAL <br />PHPKWMG? <br />07/20/03 <br />07/20/04 <br />DEDUCTIBLE T,o00 coma <br />DAMAGE <br />DEDUCTIBLE 1,000 COLL <br />DESCRIPTION OF OPERAT10KS6WCATIONrMXLtMIIP CW, RUNE <br />RE, GENERAL LIABILITY COVERAGE -THE CERT HOLDER ITS OFFICERS, EMPLOYEES <br />AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSUREDS WITH <br />RESPECT TO THE OPERATIONS OP THE NAMED INSUR9D. ADDITIONAL INSURED <br />ENDORSEMENT,ATTCHED.*30 DAY NOTICE OF CANCEL FOR NON -PAY SHALL APPLY. <br />Am;S;...S.,.:- .. ., @n g>T <br />..f.....♦,. FA.0 a i:$s <br />CITY OF SANTA ANA <br />ATTN 1 ESTHER AKHAVAN/HARK PLANNING <br />888 'K. SANTA ANA BLVD., STE 200 <br />SANTA ANA CA 92701 <br />SNODLO ANY OF Tilt AOOVI DEEORNED POMMS Rt CANCia LED 1900RE THL <br />EXPIRATIOM DATE THTRtgF, Tnt IsaUM COAPAHT WILLM PM%"XTOXMAIL <br />'3 DAYS WNREN NOTICE TO TIT! CPAT"ATC MOLDPII NAum TD THE LM,, <br />XK=)txw" xwXILJCNwxmex�FlxJl NAaLaxKJwoPaxx <br />X4*XMx XlNifrxkxdlx�a Xaaxcale x <br />AUTHOR EfENTATIY! <br />e _ y[�� }gry •. .i' `"�i� 5 3Si' iAYI. I a�'. <br />AN.V� r ..... � . ': .... �ST' IP t > f� -.. �'"3 Flan) <br />..: <br />{ i Q`. •. <br />"ft 6' `.y. .. .�. ... <br />x,,... , : ��, ..rah_ x�iN ?;zsxt. ia" ♦� .,._..,,''.. �471�Iit,�9hbte`F;♦ <br />
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