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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 <br />9/11/2003 7:34 PAGE 2/3 RighEFax <br />ACORD„ CERTIFICATE OF LIABILITY INSURANCE �iof2 <br />09111 /2003 <br />PEODIICEA 877- 559-6769 <br />THIS CERTIFICATE 18 ISSUED AS A'MATTER OF INFORMATION <br />ONLY AND COtWER9 NO RIGHTS UPON THE CERTIFICATE <br />Millie Poxth Asortaa, X". - llogional Cort Centex <br />11201 IN, satin alTd. <br />HOLDER. THIS GCEERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />^ Y T <br />awta 30 0 <br />Vhoania, AL 65021 <br />1NSURER$AFFO ROM COVERAGE <br />INWKD Sistas^ If Ht. Josoph of Ocaago <br />*OJEAA: Hartford'Ltansae0a CAnomby of Silo K4dwat 37479-991 <br />460 South aataria <br />Orange, CL 91660 <br />WSURER9: <br />IH6URER C[ <br />FIRE DAMM (AMY me In <br />IIFSL' i7ERD• <br />INSURIERE: <br />COVERAOE9 <br />THE POUGIES OF NSURMIOE USTED BELOW HAVE BEEN 333UED TO THE INSURED NAMED ABOYE FORTH E POLICY PERIOD INDICATED. NOTW ITHSTAN DNO <br />ANY REQUIREMENT, TERM OR GONDITKM OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN THE 11,130RANOE AFFORDED BY THE POLICIES DESCRIBED HERON IS SUBJECT 70 ALL THE TERMS, EXGLUSIONSAND CONDITIONS OF SUCH <br />POLIOIEB. ADdREOATE UMITSSHOV4NTMY HAVE BEEN REDUCED BY PAID CLAWS. <br />IN <br />TIPt9ppoU6AWA <br />POl1CYNU^BBt <br />Y E <br />^ Y T <br />umrm <br />GENERAL Uaau" <br />EACHOCLU RENCZ <br />FIRE DAMM (AMY me In <br />60Ia6lCA.GEN6411AMI Y <br />wwSMAOE ❑OCCUR <br />NEDEXP vope ) <br />Is <br />PEP90WLBADVIMURY <br />IS <br />OENEAALAGQpE0A7E <br />S <br />0MLA0oREGATEU►TA-MIESPEtt <br />Pstoarcra•carA>PAOO <br />f <br />I <br />POLICY <br />LAC <br />AuTOL909 <br />SW"Urr <br />ANVAIlfp <br />Q-aA ®gNGLEUYIT <br />4 <br />ALLOVaEDAUMS <br />DOICIMEDAM06 <br />p-p- INJURY <br />l�P�m^I <br />t <br />HIREDAUTO6 <br />NGMOYMtEDAITrot <br />APPRO <br />ED AST <br />FORM <br />BODLYt7.AAY <br />�R•"b• 1, <br />t <br />PROPEMMMAGIF <br />4 <br />a CEUAaI <br />VOAVTO <br />I_a ra S <br />AUT0OIIY- EAM0JDEW <br />dY <br />OTHER noAN EAAW <br />AUrOCNILV AGGIS <br />4 <br />Exem uAmITTY <br />scan cLAaleuADe <br />EACHOOQWffNCE <br />! <br />Anom +AYe <br />4 <br />OEtX1CT OZ <br />AEIHrOW t <br />! <br />A SUPLOTOWLIAM ulYatANO 72MC93300 3/31/2003 <br />BPLOYita�lYalllY <br />5/31/2004 <br />ELEACHA=oMT 4 <br />ELOIWASE- EAEMRANEE ! <br />&TH" <br />EL CISEAUE- POLICY LMT ! <br />OeaewPnaN OPwaM7t0NVtDGT701aAfiHOLfL10fCJ- I�CNEAOOmaY a00aawEN716psaAt PRONNOw <br />P.O. 8300 dbs tr San Joae, Bleak Grant, 810 N. PoinAatta, <br />Santa Ana, CA 92701 <br />CERTlFICATEHOLDER I aeeruW......a..�..- --• --- �...� -.. __._.- <br />city Of yaota atu, it■ <br />and NaoaTployaa ,.--.---, ty <br />20 C',Lo Cwater Plana <br />SO. S25 - N.O. yen 1900 <br />eta: Laay llotaa <br />aaata Ana, CA 92702 <br />aaLA. 0ANY0PTH ^A60HEeESCAl4i0POUCIPatECA �e.a000aTN4EXgaAT1ON <br />OATS TlMRMP,, THE =U* M INdLUAEt YRLL UJDfAVOM TO a4L 30 OAYa ww"EN <br />Of1•LO , agwrta NOTCC 70 TINS OERHgGTE NOtDi3t NA11m IO THytiT <br />Dawlopm*nr Aeogb:y <br />77 <br />
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