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Taller San Jose 5a
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Taller San Jose 5a
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Entry Properties
Last modified
10/20/2015 3:09:54 PM
Creation date
6/9/2004 3:59:11 PM
Metadata
Fields
Template:
Contracts
Company Name
Taller San Jose
Contract #
A-2004-064
Agency
Community Development
Council Approval Date
4/5/2004
Expiration Date
6/30/2004
Insurance Exp Date
6/30/2004
Destruction Year
2009
Notes
Amends A-2003-164
Document Relationships
Taller San Jose 5
(Amends)
Path:
\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\T (INACTIVE)
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RightFax 9/11/2003 7:28 PAGE 2/3 RightFax <br />AC0RD„ CERTIFICATE OF LIABILITY INSURANCE.Pass I of 2 <br />09/ll/2003 <br />PRODUCEII 877 -559 -6769 <br />Mi111a Ma=th America, Ina. — AeQioaal cart Cantat <br />11201 w. :stn Blvd. <br />abi:oim, Ax 03025 <br />THIS CERTIFICATE JS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTFICATE. DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFOROINGCOYERAGE <br />mrsUBEn 9iyt ra of Alt. Ses. ph or 0r,.ngm <br />150 leuth n rata i <br />Ocaaga, 925c9 0 T <br />1'},, �yfl{'� y'�..rr) <br />uJSI1RERA: Aoaciman %ity Or.up Ltd 0929 -061 <br />9ESInEnB: <br />5L4URERC: <br />eamMLLIOUry <br />JX <br />RE: <br />COVERAGES <br />THE POLICIES OF 14SURANCE USTED BELOW HAVE BEEN MMJEOTO THE INSURED NAMEDABOVE FORTHEPOUCYPERIOD NDICATEO. NOTWrrHWANOFIO <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEw WITH nasPwr TO WHICH THIS CERTIFIOATE MAY BE 13SUED OR <br />MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU BJECT TO ALL THE TERMS EXCLUSIONSAND CONOMONS OF SUCH <br />PouaES jucAREoATE uums SHOWN MAY HAVEBEBI REAUO618Y PAID mAim. <br />tOt OFYEBURaNOE <br />roUCTNUWSER <br />P UC7 <br />UMTS <br />JA <br />eamMLLIOUry <br />JX <br />MMMER(NALGENERALLU9UTY <br />CLOAMUAOE ©OWUI <br />Mix- CGL- 03 --01-019 <br />APFRO <br />6/3012003 <br />ED AST <br />6/30/2001 <br />FORM <br />EADHOCO"IENCE <br />a <br />RREDAWOE m11" <br />MmEXP mw �) <br />{ <br />P9VKMisAOVIHIURV <br />_ <br />{ 21 000, 000 <br />OENEFI LAC IRECATE <br />s 2 0 o DOD <br />OEWLAOOM0ATt <br />LWIl APPLESPEH: <br />PODGY LOO <br />PRCOUCTS- OONP,OP AGG <br />E <br />AUTONOWLEUAMUTY <br />ANYAULO <br />KL DYREDAUIOS <br />BCEEDUEDAUTOS <br />NEffiOAUMa <br />NOH01M'EDAUrOB <br />Laura Shealy <br />Deputy Ci <br />t ou �NNLxEUAmr <br />i <br />Atlorncy <br />9001LYIIAAPRY <br />(RwPwwn) <br />= <br />BODILYmI.A1RY <br />WPE� aoM <br />MtOWAOE <br />A <br />aARAGEUMUTY <br />ANYAUro <br />AUTOONLY- EAACCAB/T <br />t <br />OTHER THAN EAACC <br />ALIfoONLY: AGO <br />$ <br />ETCEN UAKny <br />OCCUR CLAOM MAOE <br />OEDUOrIOL.E <br />lET81ffCN >♦ <br />EACHOCC- MRENOE <br />A00REOAlE <br />s <br />_ <br />roI5c1015 caMFwSaTNJaAND <br />9RPLAYigf' LIANIrTY <br />OTHd <br />EL EACH ACCWENT <br />j <br />EL INSEAM - FAUPLOYEE <br />1 <br />EL INSEAM - POLICY LLST f <br />nE9C19f7fOMOF OPiRATCNfA .00AY'gIR/Y@4CLFfE7COLEW ON6400EO 57 alOON>sIBfTAiPSGAL NIOYWO� <br />Certilieats Solder Lidded &s Additloml Insured by endoreeoent to policy eubjeat to the tame met <br />Earth in the endoreasent. sslo dba ?&Iles A&n Joee, 220th Grant, 810 IN. polaaett &, Sant■ Ana, CA <br />92701 <br />i <br />CERTIRPATF <br />WOULD AEN6/THEA50VE DESOM9l0 AOUOIPS aE aANCSLLlb arose TNi A%PIAATWK <br />RATS Y A WP, THS a9VN0 M Um" TAIL @IDTAVOR TO AWL 30 DAYS WWT EM <br />City OS z4=A and, its OEtiaeza, agent■ NOTIce TDTTI90L %RP"TCHOLDFRNAMEOTDYHELST, <br />alld mployee r,m...lry Dewlopaeut 1Lysnnt <br />20 Chia Ca=ter plaza <br />Mop U23 - r,0. BOY 3980 <br />Attm: Lucy Tloras A ED F BtBRAi1YE <br />ju Santa Ana, CA 92102 / <br />ACOAD2"(71M Coll:812178 Tpl:202105 Cent: 414504 OACORO CORPORATION 1We' <br />/ -1, <br />
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