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INTERVAL HOUSE 9
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INTERVAL HOUSE 9
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Entry Properties
Last modified
8/23/2021 12:31:44 PM
Creation date
11/24/2004 10:21:18 AM
Metadata
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Template:
Contracts
Company Name
Interval House
Contract #
A-2004-039
Agency
Community Development
Council Approval Date
3/15/2004
Expiration Date
6/30/2005
Insurance Exp Date
10/1/2005
Destruction Year
2010
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10/20/2004 01:47 FAX <br />U 002 <br />GA09 <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE <br />1Nxaa 5 28 4 <br />PRODUCER <br />Chapman & Associates <br />License #0522024 <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 />P . O. Box 5455 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Pasadena CA 91117-0455 <br />Phone1626-405-8031 Pax=626-405-0585 <br />INSURERS AFFORDING COVERAGE <br />NAICM <br />WSU;Hn <br />03� <br />INSURER M. RlwN.>•t in.urara. Co <br />INSURER it Alen North America Ins Cc <br />Aa�✓� <br />INSURER C: <br />Interval House <br />P.O. Box 3356 <br />Seal Beach CA 90740 <br />INSEIRER o: <br />RISI RER <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE ANY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES, AGGREGATE LIMITS SHOWN ANY NAVE BEEN REDUCED BY PAM CLAIMS. <br />LTR <br />TYPE OF INSURANCE <br />POLICY NVMBEq <br />DA <br />OA <br />Lana <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1000000 <br />A <br />B: COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE xI OCCUR <br />RICO005372 <br />10/01/04 <br />10/01/05 <br />PREMISES Evom <br />6100000 <br />NED EXP(Ay GAIN Panora) <br />$ 5000 <br />x Sex Abuse Liab. <br />PERSONAL LADVINJURY <br />$1000000 <br />GENERAL AGGREGATE <br />33000000 <br />GEN'LAGGREGATE LIMB APPLIES PER: <br />PRODUCTS -COMPIOP AGO <br />s3000000 <br />PaICY JP"Ecor LOC <br />Prof Liab <br />lmil/3mil <br />AUTOMOBILE <br />LIASUTY <br />COMANYAUTO (Eaa cW SINGLE LIMIT <br />5 <br />ALL OWNED AUTOS <br />SCHEDULEDAUTOS <br />GODLY INJURY <br />(PGA PGA ) <br />$ <br />HIRED AUTOS <br />NON -OWNED AlfT03 <br />BOOZY INJURY <br />(PGA ectlden) <br />$ <br />PROPERTY DAMAGE <br />(Per A"ident) <br />a <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />ANY AUTO <br />/JA <br />VV <br />OTHER THAN EA AGO <br />AUTO ONLY: AGO <br />S <br />$ <br />EXCESBNMBRELIJA LIABILITY <br />OCCUR CLANS MADE <br />EACH OCCURRENCE <br />a <br />AGGREGATE <br />S <br />3 <br />S <br />DEDUCTIBLE <br />RETENTION $ <br />a <br />B <br />COMPEaATON LIABILITYTORYT <br />WOEMPLOYEW LIABILITY <br />ANY PROPRIETDIVPARTNERIFJECUIryE <br />OFFICEFUMEIABEREXCLUDED7 <br />H yyeeaa OMaPoe urges <br />IAL PROVISIONS bd. <br />WC100262801 <br />02/01/04 <br />02/01/05 <br />ESi <br />E.LEACHAccor <br />ET <br />$1000000 <br />EL DISEASE -EAEPLO <br />$1000000 <br />EL. DISEASE -POLICY LIMIT <br />il0000O0 <br />OTHER <br />A Crime Section RIC0005372 10/01/04 10/01/05 8mpl Dish $110,000 <br />DESCRIPTION OF OPERATIONS LOCATIONS / VEHCLm l EXCLUSIONS ADDED BY ENDORSEMENT I SPECIALPRONSIONs Dad. $1,000 <br />Certificate holder is named as an additional insured with respect to the <br />operations of the named insured with the exception of Workers Compensation <br />coverage, evidence only. See attached endorsement <br />City of Santa Ana <br />Comity Development Agency <br />N-25 <br />20 Civic Center Plaza <br />Santa Ana CA 92702-1988 <br />SANTANA I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE BXPIRATIQF <br />DATETHEREOF,TNEISSUMOMURERWLUekENOa/DMML 30 DAYS WRITTEN <br />NOTIGI! TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />
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