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BLIND CHILDREN'S LEARNING 5 - 2004
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BLIND CHILDREN'S LEARNING 5 - 2004
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Entry Properties
Last modified
10/15/2015 10:51:40 AM
Creation date
11/20/2004 1:56:25 PM
Metadata
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Contracts
Company Name
Blind Children's Learning Center
Contract #
A-2004-087-05
Agency
Community Development
Council Approval Date
5/3/2004
Expiration Date
6/30/2005
Insurance Exp Date
10/16/2005
Destruction Year
2010
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From: Comprehensive Insurance 949709 -1668 To, Lucy Flores Date: 11M 2003 Time 1 49:24 PM Page 2 of 3 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />I i1 /0S/""zoo3' <br />PRODUCER (949) 709 -8800 FAX (949) 709 -1668 <br />Comprehensive Insurance Services <br />22342 Avenida ElMpresa <br />Suite 200 <br />RSM, CA 92688 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />NAIL N <br />muRED Blind Children's Learning Center <br />18542 Vanderlip Avenue <br />Santa Ana. CA 92705 <br />INSURERA NONPROFITS' INSURANCE ALLIANCE <br />IH >LICY EFFECTNE <br />WSUITER B: <br />UMITS <br />INSURER <br />INSURER D <br />GENERAL LIAIILRY <br />INSURER E: <br />10/16/2003 <br />rAwroAP_FC <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTTHSTANDIN( <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W14CH 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 SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OS IISSIIRAIICE <br />PoucY AIUIIBPA <br />IH >LICY EFFECTNE <br />POLICY E71►INnoN <br />UMITS <br />GENERAL LIAIILRY <br />2002- 00643 -APO <br />10/16/2003 <br />10/16/2004 <br />EACH OCCURRENCE <br />f 1 000 <br />X COMNERCIALGENERALLABLRY <br />OAMAGETOREE <br />NT D <br />f 100,00 <br />CLAIMS MADE M OCCUR <br />MEDEXP(My..l ) <br />f 10,0 <br />A <br />PERSGNALAADVINJURY <br />$ 1 OOO 00 <br />GENERAL AGGREGATE <br />$ 1,000,00 <br />GENT AGGREGATE LMNT APRIES PER: <br />PRODUCTS- COMP/OPAGG <br />S 1,000,00 <br />X PaX:v J°�i Loc <br />AUTOMONLE <br />X <br />UAmLm <br />ANY AUTO <br />2002- 00643-NPO <br />10/16/2003 <br />10/16/2004 <br />COMBINED SINGLE UMH <br />(EA ��) <br />$ 1,000,00 <br />BODILY INJURY <br />(P°'".) <br />$ <br />A <br />ALL OWNED AUTOS <br />ECHEDULEDAUTOS <br />BOD0.Y INJURY <br />IPerai°i °) <br />f <br />HIRFOAUT06 <br />NON -owrED AUros <br />PROPERTY DAMAGE <br />(P. xtltlRl) <br />S _ <br />GARAGE UABRRY <br />AUTO ONLY - EA ACCIDENT <br />f <br />OTHER THAN EA ACC <br />f <br />ANYAUTO <br />$ <br />AUTO ONLY AGG <br />ICKESSANMRlLLA LIABILITY <br />2003- 00643 - LIMB -NPO <br />10/16/2003 <br />10/16/2004 <br />EACH OCCURRENCE <br />S 2,000, <br />X OCCUR n CLAMS MADE <br />AGGREGATE <br />f <br />A <br />2,000,000 <br />$ 2,000, <br />S <br />DEDUCTIBLE <br />f <br />RETENTION $ <br />APPROVED <br />WER COMI ZATION AND <br />- <br />wU H <br />EMPITYERS' LIANUTY <br />ANY PROPRIETORIPARTNERJEXECUTNE <br />4q, <br />El, EACHACCIDENT <br />$ <br />EL DISEASE -EA EMPLOYE <br />$- <br />OFFICERM/EMSER EXCLUDED? <br />42 <br />yw <br />SPEC PROVISgNS BFioM <br />LB Reedy <br />E.L. DISEASE - POLICY LIMIT <br />S <br />OTHER <br />Deputy City Attor <br />ey <br />DESCRIPTION HOIDERILISTN M A7B ITIOONNAL IDI�SUER" 'PER AI IA 5"S <br />t� 5PRo <br />CERTIFICATE ENDORSEMENT <br />10 DAY NOTICE FOR NON PAYMENT <br />CITY OF SANTA ANA, COMMUNITY DEVELOPMENT <br />AGENCY, M-25, ITS OFFICERS, EMPLOYEES, AGENTS <br />VOLUNTEERS SI REPRESENTATIVES <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />ACORD25(200IMS) FAX: (!14)647 -6580 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXMATION DATE THEREOF, THE ISSUING INSURER WILL MAXYAU MAIL <br />*30 DAYS WR TTEN NO CETO THE CERTIF CARE BO DER NAMED TOTHE EFT <br />N)L U*xl YYY X. <br />(OACORD CORPORATION 1988 p md <br />
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