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BOLDRICK, LORRIE 1 - 2005
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BOLDRICK, LORRIE 1 - 2005
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Last modified
1/4/2017 7:30:55 AM
Creation date
1/21/2005 3:02:47 PM
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Contracts
Company Name
Lorrie Boldrick
Contract #
A-2005-003
Agency
Parks, Recreation, & Community Services
Council Approval Date
1/3/2005
Expiration Date
12/31/2005
Insurance Exp Date
6/24/2006
Destruction Year
2016
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<br />--- <br />, <br /> <br /> , C'lAnHl: 1_5 ~,... '~B~ <br />ACORDN CERTIFICATE OF LIABILITY INSURANCE I DATEIIIIIIDDi'm'Y) <br />12118104 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB Intem8tlon81111lnois ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />55 E. Jack80n Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. <br />Chicago, IL 60604 <br />312822-5000 INSURERS AFFORDING COVERAGE NAlC. <br />........ INSURER A: Hartford Accident & Indemlnlty CA <br /> Lorrie BoIdrlck, DVM dba INSURER B: <br /> 1330 N. GIs....1 Ste. M INSURER c: <br /> Orange, CA 821168 INSURER D: <br /> INSURER E; <br /> <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 CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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 CQNOmONS OF SUCH <br />.S.AGGREGATe LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAlO CLAI~ ~ <br /> TYPE OF ~ POUCYNU8P LIIIITO <br /> ~ LWIILITV EACH OCCURRENCE . <br /> DAMAGE EN 0 <br /> - ~CIAl GENERAL LIABIliTY . <br /> - ClAIMS MADE 0 OCCUR MED EXP (Any one penon) . <br /> PERSONAL & ADV tNJURV . <br /> GENERAl AGGREGATE . <br /> ~~A~nILIMIT APñS¡PER: PRODUCTS. COMPfOP AGG . <br /> POUCy I r::P:r lOC <br /> ~ELIA88UTY COMBINED SINGLE I..IMtT . <br /> - ANY AUTO (E88OC1d8nt) <br /> - ALL OWNED AUTOS 900tL Y INJURY <br /> . <br /> - SCHEDUlED AUTOS (Par)8l'8Ofl) <br /> - HIRED A.UTOS BODILY INJURY <br /> . <br /> - NON-OWNED AUTOS (p.,8CCident) <br /> ''''% <br /> 75'.. .f/ .' PROPERTY DAMAGE . <br /> (P... acdóent) <br /> =rOE~nv 1/ AUTO ONLY - EA ACCIDENT . <br /> AH'fAUTO OTHER THAN EA ACC . <br /> AUTO ONt Y: AGG . <br /> ~UA8lLIrY EACH OCCURRENCE . <br /> OCCUR D ClAIMS tAADE AGGREGATe . <br /> . <br /> =i ~E~BLé . <br /> RETENTION . . <br />A WORICIR8 caliri I~JIONAND 83WBGNAII014 06130104 06130105 I ~STATU..I 10TH- <br /> ......... UA8JI'V .1.000 000 <br /> ANY PROPRtETORIPARTNERlEXecUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEt.eER EXCLUDED? E..L. DISEASE. EA EMPlOYEE .1 000 000 <br /> !~.~..- ..... E.l. DISEASE. POLICY LIMIT .1 000 000 <br /> """'. <br />DESCRIPTION OF OPERAn0N8/ LOCAT1ON8 IVEHlCLES , EXCLU8ION8 ADDED BY ~E_NT' PECIA1. MOVI8ION8 <br />-FOR COVERAGE PURPOSES ONL"....... <br />Subject to policy terms, conditions and .xcluslons. <br /> <br />ACORD 25 (2001108) 1 of 2 <br /> <br />COVERAGES <br /> <br />ERTI <br /> <br />T HO DER <br /> <br />CAN <br /> <br />LATlON <br /> <br />-...oR PROOF OF COVERAGE ONLY" <br /> <br />IHOULD AH'f OF tHE ABOVE DUCItIRD ÞOLICID 81 CANCeL1.ID IIEFORE THE EXPIRA110N <br />DAT1!:THl!REOfI'. THE IISUING INSURERWtLL ENDEAVOR TO MAIL -30.... DAYSWRfmN <br />N01'ICE TO tHE CER'flltCATE HOLDER NAMED TO tHE LDT. BUt FAll.URE TO DO 80 SHALL <br />1IIP08I NO OBUCIAnoN OR UA8IU1'Y OF ANY KIND UPON THE INIURER, ITS AOeNT8 Ok <br />IENTA11YE8. <br />AUTHORIZED REPREIENTAtM <br />-;) <br /> <br />- <br /> <br />.108260 <br /> <br /> <br />. ACORD CORPORATION 18.. <br />
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