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WHITE, MATTIE D. 7
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WHITE, MATTIE D. 7
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Entry Properties
Last modified
3/25/2024 2:55:52 PM
Creation date
12/13/2004 1:46:32 PM
Metadata
Fields
Template:
Contracts
Company Name
Mattie D. White
Contract #
A-2004-187
Agency
Parks, Recreation, & Community Services
Council Approval Date
9/20/2004
Expiration Date
6/30/2005
Insurance Exp Date
12/28/2005
Destruction Year
2011
Notes
Amended by A-2005-148
Document Relationships
WHITE, MATTIE D. 7a
(Amended By)
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\Contracts / Agreements\ INACTIVE CONTRACTS (Originals Destroyed)\W-X (INACTIVE)
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02/03/2005 14:34 7145714209 PARKS AND RECREATION PAGE 03 <br />I ILO/40" IV. DV rAA DV54.74JUVA ALLUMU 1NSUHANUt SVUS 19 VV•t VUI <br />A e= CERTIFICATE OF LIABILITY <br />..TMID <br />INSURANCE TE <br />11/29e/'04 <br />I �D ■ <br />CCOAb INSURANCE SERVICES <br />J <br />1 SOX 4405 0666200 <br />Thousand Oaks CA 913$9-1455 <br />vi0 . 73.9434 <br />QWIFICATFISSUED A9 TIDN <br />ONLY ANO COERB NO RIOMTB YPON THE CERMICArE <br />NPHOLDER, THIS CBRTIMCATE DOES NOT AMENO, EXTEND OR <br />ALTER THE COVERAGE AFFORDED DY THE POUGEs 11I <br />INSURERS AFfO1tDINp COVERADE <br />4 <br />:IAEYME Mattia D TPtfite k _;1001t_/g 'T <br />Siny Tat Preschool <br />3201 E Deegan Drive <br />Santa Ana,CA 92704 <br />NaIAfR• Scottsdale lnsur a Com an <br />Iufu■cA9 <br />ASURIAfc <br />INeunin oe <br />A <br />ICOMMAGES <br />TTIE POLICIES O': INOLRANCELINTEDNLOW NAVE BEEN 15EUEDTO THE INEURIONAMrmDAEOVt FOR THE PDUeYPEAIODINDIOATEO 1407WT14E7AHMNO <br />AHY A90WIMMENT, TERM OR CONDITION OF ANY CONTM4r OR 07HER OCCUMENT WIrM RENECT TO LIWCN TM1E Ol"FrATE IMY BE IBEUED OR <br />MAY PERTAIN, THE INSURANCE AFFERM BY THE POLICIES pE$CIUOm MlRIIN IE SVEJECT TO ALL THE 7ERMs, 9Xt`,LUBIONEAND CONDITICNi OR EUCN <br />MIME. AODREW7E LIMITS WOWN MAY INVfiBElN AEDUC BYPAIDCLAIMa <br />L <br />mR 0l IIIINRANCI <br />F■ Wni(A <br />L <br />A <br />aERAAALUAeu7Y <br />X <br />Car+MlnckL OirAFA6 LLYNYTY <br />W C■3wDf �CCU DR <br />PrDty-a_ElDnel- <br />Cn50031777RC-2 <br />12 /2B{04I12/2B/OS <br />I <br />AAOH0044MME Z <br />IL DDD OD <br />FIAT OATIRGF IAIY e�ruN <br />1 SD DDD <br />ViO EL? ,an•P•�• <br />5I D <br />RenEDNwA.OdIISAwY <br />11 000 DO <br />OENRALAOCR96prE <br />12 D D 0, O D D <br />OCNL rnOR Are Lurt urues re■ <br />x r'GNG', RR Lam. <br />rnooum-t9mrcr�9 <br />42,000,000 <br />14100111011.4 <br />I <br />uAE■m <br />ANY AYTO <br />ALL OANW AUTCA <br />E0140VLi9Auf06 i <br />M■ED AVTG4 <br />nawMlf9AUTYE <br />- - <br />i <br />DDunuEDP�NpLA UaR <br />{ralw■AN <br />1 <br />IODLY INAIW <br />{�1f pRrlp�) <br />1 <br />IOdLY WJu" <br />iaalrN <br />t <br />PROPIPIM 06WADE <br />F'If 1E041M1 <br />• <br />aA■AOf LMaYry i <br />A W ALRD <br />I APPROVED <br />A <br />I <br />IAYTQ 9NLh•N�CSIAMr <br />1 <br />erweq YwN eA ACC <br />AIROCYLY, /ao <br />J <br />1 <br />IAMN LWOUTY <br />CCCUR � CWMf W77f <br />I <br />OmLRNLC i +' Lauzo7fititt <br />RETEHTJON AWstAK <br />/ � <br />Sheed� <br />City Attor <br />I <br />ev <br />EICM OCCURRENCE <br />1 <br />AE4RROATf <br />7 <br />1 <br />1 <br />1 <br />' <br />' <br />raRnlw mLsmunDlrJo <br />iLT.Le.TPe LueuTY <br />I <br />e. cACNrrcoarr <br />1 <br />C,L OIlWI•F9ucr LMT <br />1 <br />OTHER <br />f <br />I <br />pECMrT0ERA0UTONILOOA O CLCLOIICLLa BUOREEREJmEFECaL <br />City of Santa Ana is named as Additional insured per Exhibit 'A' <br />Ths City of Santa Ana <br />20 Civic Conley P16:6 <br />Banta Ana CA 92701 <br />Attn: No Chiec <br />fax: 714.935.0075 <br />e101,11.9 ARV 9R TNi EEON cuemmo M1.10 a BE "MV.lf1 <br />9ATf TMW. THE IfEIEA6 N/1,11OR MLL7tpB MA WA <br />NOTICE TO TIe 41RRIWTt NDLEER NAIREEW WE UFRO 1 <br />
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