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MEXICAN AMERICAN OPP FOUND 6 - 2004
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MEXICAN AMERICAN OPP FOUND 6 - 2004
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Entry Properties
Last modified
1/3/2012 2:37:41 PM
Creation date
12/8/2004 12:06:17 PM
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Contracts
Company Name
Mexican American Opportunity Foundation
Contract #
A-2004-163
Agency
Community Development
Council Approval Date
8/2/2004
Expiration Date
6/30/2005
Insurance Exp Date
1/30/2007
Destruction Year
2010
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<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 THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN. THE INSURANCE AFFORDED BY THI: POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />I TYPE OF INSURANCE POUCY NUMBER DATE MMlD~ LIMITS <br />LTR NSR DATE MMlDD <br /> GENERAL LIABILITY PHPK156499 01/30/2006 01/30/2007 EACH OCCURRENCE , 1,000,000 <br /> ~ <br /> X COMMERCIAL GENERAL LIABILITY PREMlsffi/Ea o:::curencel . 100 _ 000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone persoo) , 5,000 <br />A X PERSONAL & MJV INJURY , 1,000,00( <br /> I-- GENERAL AGGREGATE , 3,000,00( <br /> ~EN'LAGGREGATElIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3,000,OO( <br /> !xl POLICY n ~8T n LOC <br /> AUTOMOBILE LIABILITY PHPK156499 01/30/2006 01/30/2007 COMBINED SINGLE LIMIT <br /> 'x (Eaaccidenl) , I,OOO,OOC <br /> ANY AUTO <br /> fC-'- ALL OWNED AUTOS <br /> f- BOQIL Y INJURY $ <br /> SCHEDULED AUTOS IPerperson) <br />A X f- HIRED AUTOS <br /> BQDIL Y INJURV <br /> f- (Per accident) $ <br /> NON-QWNED AUTOS <br /> - <br /> - . PROPERTY DAMAGE , <br /> "" ycf... > (Peraccidenl) <br /> GARAGE L1ABIUTY e'it'D l>.~ ~./: AUTO ONLY - EA ACCIDENT $ <br /> ==i ANY AUTO OTHER THAN EA ACC $ <br /> pS'\)'1" =-..t, D~ AUTO ONLY: AGG . <br /> EXCESSfUMBREI.LA LIABILITY ~t., S f-'j\\\OI\W~ EACH OCCURRENCe s <br /> p OCCUR D CLAIMS MADE \..: \C\\\ ) AGGREGATE s <br /> ~siS\3r. ([ o-f ?,,- s <br /> R DEDUCTIBLE $ <br /> RETENTJON , S <br /> WORKERS COMPENSATION AND I TORY LIMITS I I ER <br /> EMP1.0YERS'LIABIUTY <br /> ANY PROPRIETORlPARTNER/EXECUTlVE E.I., EACH ACCIDENT S <br /> OFFrCERlMEMBER EXCLUDED? E.lo DISEASE - EA EMPLOYE/: , <br /> Iryes, describe under <br /> SPECIAL PROVIS.lONS below E.L. DISEASE ~ POLICY UM1T $ <br /> OTHER PHPK156499 01/30/2006 01/30/2007 See Below <br /> rime Coverage <br />A Professi ona 1 Liabil ity PHPK156499 01/30/2006 01/30/2007 $1,000,000 OCC/$3,000,OOO OCC <br />~ESCRIPTlON OF OPERATIONS / LOCATIONS / V!:HICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS insureds with <br />ity of Santa Ana, its officers, agents and employees are named as additional <br />~espects to all operations by the named insured for general liability only as a funding Source. <br />~ ten day notice of cancellation shall be given in the event of non-payment of premium <br /> <br />ACORD CERTIFICATE OF LIABILITY INSURANCE I PATE {MMfDDNYYYI <br /> '" 01/31/2006 <br />PRODUCER (626) 599-8830 FAX (626)599-8831 THIS CERTIFICATE.I~ IS~':!.ED AS A MAlTER OF INFORMATION <br />Pacific General Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />405 E. Santa Clara Street ALTER THE COVERAGE AFFORDED BY-THE POLICIES BELOW, <br />Suite 100 INSURERS AFFORDING COVERAGE NAIC# <br />Arcadia, CA 91006 <br />INSURED Mexican American Opportunity Foundation rNSURERk Philadelphia Indemnity Insurance Company <br /> 401 N. Garfield Avenue It~?-oo'l^I') f:? O;f rNSURER B: <br /> Montebello, CA 90640 INSURER c: <br />/-1' ',/ou" "/7.J'" ~."'"J- v.:J,/ _ ';>0'1 rNSURER 0: <br />ft-,,7()o.f"-/J':i' A -,J (/ u, " - 07 V. V..:J'f" INSURER E: <br /> <br />COVERAGES <br /> <br />CERTIFICATE HOLDER <br /> <br />City of Santa Ana/Fez Daisy Wheel Network <br />Santa Ana Work Center <br />Attn: Bea Gonzalez <br />1000 E. Santa Ana, Suite 200 <br />Santa Ana, CA 92701 <br /> <br />CANCELLATION <br />SHOULD ANY OF TIlE ABOVe' DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE rSSUING INSURER WILL ~ MAIL <br />-3.ll...- DAYS WRJTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TI-lE LEFT, <br /> <br /> <br />ACORD 25 (2001/08) FAX: (714)565-2602 <br />
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